Regency at St. Clair Shores

In the surveyor’s words

From the most serious findings on record at Regency at St. Clair Shores, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 3, 2024

  This intake pertains to Intake MI00138670. Based on interview and record review, the facility failed to timely implement interventions or properly treat an existing pressure injury for one resident (R700) out of three reviewed for wounds, resulting in the hospitalization for debridement of the wound. Findings Include: A review of an Intake called into the State Agency noted the following, .Complainant states that facility neglected to properly treat the bedsore .complainant states the bedsore got progressively worse and the size of a grapefruit. Complainant states on [date] the resident was sent to the hospital for debridement . A review of the medical record revealed that R700 admitted into the facility on [DATE] with the following diagnoses, Multiple Sclerosis and Dysphagia. […]

• Actual harm, isolatedF689Jan 3, 2024

  This citation pertains to intake MI00140941 Based on interview and record review, the facility failed to provide two-person assistance during care for one resident (R712) out of one reviewed for falls, resulting in a fall from bed and death. Findings Include: A review of an incident and accident report dated [DATE] revealed the following, Nursing Description: CENA (Certified Nursing Assistant) was in Resident's room to provide care. While CENA was at the sink [they] heard a loud thump. CENA went back to Resident's bed and saw that [R712] was lying on the floor. CENA informed Writer that Resident was on the floor. Writer observed Resident lying on the floor on [their] right side on the left side of [their] bed with [their] head slightly under the bed frame. […]

• Actual harm, isolatedF689Nov 30, 2022

  This citation pertains to intake number MI00132609 Based on interview and record review the facility failed to provide adequate supervision and secure all facility doors for one resident at risk for elopement (R905) of three residents reviewed for elopement, resulting in the resident exiting out of an unlocked unalarmed kitchen door and ambulating to an adjacent neighborhood and sustaining lacerations to the left side of their face and body. Findings include: On 11/30/22 at 9:35 AM, unidentified family member I was contacted regarding an alleged incident which occurred involving R905 on 10/30/22. Family member I stated, I was told by the facility that [Resident] got out an unlocked side door of the facility and was found by [police], they had fallen and cut their face. […]

• Actual harm, isolatedF600Feb 8, 2021

  This citation pertains to Intake: MI 823 Based on interview and record review, the facility failed to prevent staff to resident abuse for one resident (R704), following R704's refusal to release their bed remote causing a facility staff member to forcibly twist and bend the resident's right hand, resulting in an abrasion and pain to their right fifth finger. Findings include: A review of Intake MI 823 revealed the following, [R704] resides in Regency nursing home . [Certified Nursing Assistant A] is a staff member at the facility. Yesterday (12/27/2020), [CNA A] was in R704's room. [CNA A] asked [R704] to drop the TV remote. When [they] would not, she grabbed [their] right hand, squeezing and twisting it causing [their] pinky nail to lift and bleed . […]

• No harm, potential for more than minimal, widespreadF725Aug 6, 2025

  Based on observation, interview, and record review, the facility failed to respond to call lights in a timely manner for 11 residents (R47, R110, and a confidential group of nine residents) out of 11 residents reviewed for call lights. Findings include: R110 On 8/4/25 at 10:03 AM, R110 revealed “This place is short of help on nights, everyone knows we are short, it doesn't get better, it gets worse, not recently getting showers”. R110 further revealed once they were in bed, no one checked on them all night. R110 further explained when they put on their light, staff would take a long time to come, then turn it off and go out without addressing their needs. […]