Regency at Waterford

In the surveyor’s words

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

• Immediate jeopardy, widespreadF883Mar 15, 2023

  Based on interview and record review, the facility failed to follow their policy and Centers for Disease Prevention and Control (CDC) guidance to offer and administer pneumococcal vaccinations to residents (R807, R801, R803, R811, R803 R815, R814, administer influenza vaccinations to residents who consented to receive them, screen and assess residents for eligibility of receiving pneumococcal vaccinations, and educate residents on risks versus benefits of the vaccination for any resident who resided in the facility since May 2022, resulting in facility acquired pneumonia for 20 residents between June 2022 and March 2023 and residents who wished to receive the influenza vaccination not being immunized against influenza. […]

• Immediate jeopardy, isolatedF689Oct 19, 2022

  This citation pertains to intake #MI00122959 Based on interview and record review the facility failed to prevent the elopement of one resident (R901) of three residents reviewed for elopement, resulting in immediate jeopardy (IJ) when R#901who was previously identified as an elopement risk and had severe cognitive impairment, exited the building and left the facility premises without staff knowledge or supervision increasing the likelihood of serious injury, serious harm, serious impairment, or death. Findings include: On 10/18/22 a facility reported incident that was submitted to the State Agency was reviewed and indicated that R901 had eloped from the facility without the knowledge of the facility staff on 10/3/22. […]

• Immediate jeopardy, isolatedF686Mar 16, 2021

  This citation pertains to intake: MI 114. Based on interview and record review the facility failed to accurately complete the residents weekly skin assessments, promptly implement interventions (care plan) for a resident who was assessed as high risk for developing a pressure ulcer and identify and report worsening of coccyx wound for one (R#804) of three residents reviewed for pressure ulcers, resulting in Immediate Jeopardy (IJ) when R#804 developed an unstageable pressure ulcer (Full - thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) to the coccyx area (within 12 days of admission) and worsened to a stage IV (stage 4 - Full-thickness skin and tissue loss with exposed or… […]

• Actual harm, isolatedF689May 27, 2026

  This citation pertains to Complaint # 2788554Based on observation, interview and record review the facility failed to ensure a resident was safely transferred in a facility contracted transportation vehicle for one (R701) out of two residents reviewed for accidents/transportation, resulting in R701 sustaining a C6 fracture (broken bone in the sixth cervical vertebra), a C7 compression fracture (structural collapse or break in the seventh cervical vertebra), hospitalization and pain. Findings include:A complaint was filed with the State Agency (SA) that alleged R701, who is bedridden, was being transported to the hospital for a routine checkup and upon return to the facility their wheelchair was not secured properly. […]

• Actual harm, isolatedF684Jan 14, 2026

  This citation pertains to intake #'s 2699473, 2699484, and 2699520.Based on interview and record review, the facility failed to notify the Doctor, Nurse Practitioner, or Physician's assistant of an acute change of condition and ensure a timely transfer to the emergency room (ER) for one resident (R202), of two residents reviewed for an acute change of condition, resulting in R202 not being transferred to the emergency room timely, deemed not a candidate for surgical intervention, and ultimately death from sepsis. Findings include:A complaint received by the State Agency alleged the resident was not appropriately treated for an acute change of condition.On [DATE] at 2:15 PM a phone call was conducted with the complainant. They said R202 admitted to the facility on [DATE] in the afternoon. […]