Regency at Westland

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 13, 2023

  This citation pertains to Intake: MI00139056. Based on interview and record review, the facility failed to ensure the safety and prevent elopement for one sampled resident (R106) who had impaired decision making and with a known elopement risk. Resulting in an Immediate Jeopardy on Friday 06/23/23 at approximately 10:30 PM when, R106 exited the facility from an alarmed door. The staff at the facility did not respond to the door alarm, which resulted in R106 unable to be be located. R106 returned to the facility by knocking on one of the facility's doors on 6/24/23 at approximately 12:24 AM. This deficient practice had the likelihood of causing serious harm, injury, and/or death. […]

• Actual harm, isolatedF684Jul 14, 2022

  This citation pertains to intake #MI 411. Based on interview and record review, the facility failed to appropriately assess and follow up timely following a fall for one Resident (Resident #320) of seven residents reviewed for falls, resulting in a fracture, the delay in hospitalization and unnecessary pain. Findings include: A review of the intake information provided by the complainant revealed the following information: Complainant states the resident told [their] brother .that (Resident #320) fell again on 05/08/2022 and is experiencing pain on .left hip and left leg. The complainant states the facility did not document the fall that occurred on 05/08/2022 .Residents hip is in fact broken from resident falling sometime on Sunday, 5/8 (2022), nothing was done until yesterday afternoon. […]

• Actual harm, isolatedF689Jul 14, 2022

  Based on observation, interview, and record review, the facility failed to properly reposition a resident during incontinence care for one sampled Resident (R85) of seven residents reviewed for accidents resulting in, a fall with injury. Findings include: On 07/12/22 at 10:01 AM, R85 was observed lying in bed and asked about the activities that they attend in the facility. R85 explained that they recently began staying in their room more often and explained and they had a fall resulting in an injury to their knee cap. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  This citation pertains to Intake MI00146972. Based on observation, interview, and record review, the facility failed to ensure spoiled food items were discarded, open food items dated when opened, and cooking utensils were clean when stored, potentially affecting all 115 residents at risk for food borne illnesses. Findings include: On 10/29/24 at 9:41 AM, a review of the kitchen with the dietary manager revealed: -dust build up on top of the ovens; -a prepared salad in the chef's refrigerator was dated 10/18/24 with the salad items wilted and appeared moldy; -a package of sliced american cheese was open and not dated; -three scoops/strainers with dried food debris or white and opaque dried liquid stains; -in the walk-in freezer chocolate chip cookie dough were open to air, chicken… […]

• No harm, potential for more than minimal, widespreadF732Jul 14, 2022

  Based on interview and record review, the facility failed to retain 18 months of daily staffing information affecting all residents and visitors in the facility, resulting in the likelihood of necessary staffing information not being readily available to residents and visitors. Findings include: On 7/14/22 at 2:00 PM, during the Quality Assessment and Assurance meeting with the Nursing Home Administrator (NHA), the NHA was asked about the 18 months of staff postings and explained there were missing dates, and the staff were just in-serviced. The NHA further explained, that there were some postings for January and February missing, because the person in charge was out of the building. […]