Regency at Troy

In the surveyor’s words

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

• Actual harm, isolatedF791Jul 22, 2026

  This citation pertains to intake 3069088. Based on interview and record review, the facility failed to ensure a dental evaluation was completed in a timely manner for one resident (R901) of two residents reviewed for Nutrition, resulting in continued oral pain, facial swelling, delay in starting speech/language pathology therapy (SLP) and subsequently being kept on a pureed diet. Findings include:On 7/22/26 a concern submitted to the State Agency was reviewed which alleged R901 was unable to eat properly and did not receive the appropriate treatment for mouth pain. On 7/22/26 the medical record for R901 was reviewed and revealed the following: R901 was initially admitted to the facility on [DATE] and was discharged to the hospital on 6/27/26 and did not return. […]

• Actual harm, isolatedF689Jun 10, 2026

  This citation pertains to intake #2963192. Based on observation, interview and record review the facility failed to prevent a fall for one Resident (R121) and failed to assess and provide interventions to prevent choking for one Resident (R79) out of seven residents reviewed for falls/accidents, resulting in R121 sustaining a fracture to the right femur, pain and extended hospital stay. Findings include: R121 A complaint was filed with the State Agency (SA) that alleged R121 fell out of bed and broke their hip. A review of R121's clinical record revealed the resident was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] with diagnoses that included: fracture of right femur, chronic kidney disease and type II diabetes. […]

• Actual harm, isolatedF686Mar 18, 2026

  This citation pertains to Intake(s): 2795651, 2796703, 2786658, 2725790, 2634630 Based on observation, interview and record review the facility failed to ensure a resident at risk for pressure ulcers was timely assessed and timely treated for pressure ulcers for one (R706) of five residents reviewed for pressure ulcer/wound care resulting in R706 obtaining a facility acquired stage 4 pressure ulcer that required hospitalization and surgery and pain. Findings include:A complaint was filed with the State Agency (SA) that alleged the resident went to (name redacted) hospital on 2/17/26 with a right buttock wound and it could not be determined when the woundstarted. […]

• Actual harm, isolatedF689Feb 2, 2026

  This citation pertains to intake: 2709710.Based on interview and record reviews the facility failed to implement adequate/effective fall interventions and ensure consistent follow up of fall interventions implemented, for one (R201) of one resident reviewed for falls. This resulted in a transfer to the hospital and the identification of a left ischium fracture. Findings include:A review of a complaint submitted to the State Agency (SA) documented in part . (R201's name) had multiple falls at (facility name). suffered a . left leg fracture. on 1/3, a nurse. and her. nurse manager at (facility name) refused to call 911.A review of the hospital referral provided to the facility upon R201's admission documented the following in part, . […]

• Actual harm, isolatedF690May 15, 2025

  This citation pertains to Intake MI00152492 Based on observation, interview and record review the facility failed to accurately assess, monitor, and document, catheter care for three residents (902, 904, 905) of three reviewed for catheter use. Additionally, the facility failed to document Urology Consultations, and evaluate the long term administration for Pyridium (analgesic medication used to relieve urinary tract discomfort, including pain, burning, and urgency) resulting in the delay of diagnosing and treatment of a Urinary Tract Infection (UTI), Sepsis (an infection causing injury to its own organs) and hospitalization and subsequently death. […]