Regency at Whitmore Lake

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 31, 2025

  Based on observation, interview, and record review, the facility failed to prevent and correctly identify pressure ulcers for two out of seven residents (Residents 101, and 108) resulting in misidentifying of pressure ulcers, and worsening of pressure ulcers. Findings Included: Resident #101 (R101): Per the facility face sheet R101 had resided at the facility since 4/4/2023. Diagnoses included spinal cord injury, contractures of both hands and fingers, and muscle contractures. Review of a photo dated 12/17/24, of R101's buttocks area reveal moisture associated skin damage (MASD-damage of the skin caused by being constantly moist from things such as urine), and a stage III pressure ulcer (PU) (full thickness tissue loss, fat may be visible). […]

• Actual harm, isolatedF689Aug 1, 2024

  This citation pertains to intake: MI00145821 Based on observation, interview and record review the facility failed to: 1.) ensure the safety, 2.) implement care-planned interventions, 3.) ensure that those interventions were functional and in place; and 4.) provide timely assessment and treatment for 1 of 3 sampled residents (R104) reviewed for supervision from a total sample of 4 residents, resulting in actual harm for R104's fall with left femur fracture on 6/7/24, delay in assessment, pain and transfer to the hospital. […]

• Actual harm, isolatedF686Mar 5, 2024

  Based on observation, interview and record review facility failed to: 1) accurately assess, monitor, treat and prevent the development of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for one Resident (R38) of three reviewed for pressure ulcers, resulting in facility acquired stage 4(full thickness skin and tissue loss), and the increased likelihood for delayed wound healing and/or worsening of wounds and overall deterioration in health status. […]

• Actual harm, isolatedF689Mar 5, 2024

  This citation pertains to intake MI00142988. Based on interview and record review, the facility failed to thoroughly supervise, assess and investigate incident and accidents in three of five residents reviewed for accidents (Resident #77, #79 & #89), resulting in a change of condition, transfer to the hospital followed by death (R77), and avoidable accident (Resident #79) and safety risks with elopement (Resident #89). Findings include: Resident #77 (R77) R77's admission Minimum Data Set (MDS) assessment dated [DATE], revealed he admitted to the nursing home on [DATE], had severely impaired cognition, difficulty with focusing attention, and disorganized thinking. […]

• Actual harm, isolatedF697Mar 5, 2024

  Based on observation, interview, and record review, the facility failed to provide pain management service of Botox injections in one of three residents (Resident #317) reviewed for pain, resulting in unrelieved pain. Findings include: Review of an Admission Record revealed Resident #317 (R317) admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included fracture of neck, traumatic subarachnoid hemorrhage with loss of consciousness, need for assistance with personal care, disorder of the autonomic nervous system, and cellulitis of toe. The Admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/9/23, reflected R317 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). […]