Regency Heights-Detroit

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 5, 2024

  Based on observations, interviews, and record review the facility failed to implement interventions to prevent pressure ulcers for one (R153) of 10 residents reviewed for pressure ulcers resulting in R153 developing an Unstageable Pressure Ulcer to her left hip. Findings include: According to the National Pressure Ulcer/Injury Advisory Panel (NPUAP); Unstageable Pressure Ulcer/Injury is full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because it is obscured by slough or eschar (necrotic dead tissue). If slough or eschar is removed, a Stage 3 or Stage 4 pressure injury will be revealed. […]

• Actual harm, isolatedF686Feb 16, 2023

  Based on interview and record review, the facility failed to implement interventions to prevent the development of a pressure ulcer and properly treat a pressure ulcer for one resident (R96) of five residents reviewed for pressure ulcer/injuries resulting in the development of a facility acquired Stage III pressure ulcer (Full-thickness loss of skin, in which adipose [fat] is visible in the ulcer and granulation tissue and epibole [rolled wound edges] are often present. Slough and/or eschar [dead skin tissue] may be visible.). Findings include: A review of the Admission Record for Resident #96 (R96) revealed an initial admitted [DATE], readmitted [DATE], and discharge date of [DATE]. […]

• Actual harm, isolatedF689Mar 10, 2021

  This citation pertains to intake MI 1. This citation has two Deficient Practices. Deficient Practice #1 Based on observation, interview, and record review the facility failed to provide proper bed mobility assistance during activity of daily living (brief change) assistance per the plan of care for one resident (R#812) resulting in a fall with injury (hematoma and laceration) to the right facial area. Deficient Practice #2 Based on interview and record review the facility failed to provide proper monitoring and one to one supervision per the plan of care for one resident (R#808), resulting in multiple falls with injury (lacerations) to the right facial area. Findings include:Findings include: Resident #812 On 3/9/21 at 3:47 p.m., the Resident was observed laying in bed watching television. […]

• No harm, potential for more than minimal, widespreadF812Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 06/30/2026 at 8:56 AM observed a yellow stain under the food storage rack in the dry storage room and black smear marks along the floor. In an interview with Dietary Manger (DM) T at this time, when asked about cleaning of floors, DM T indicated the floors are cleaned daily. On 06/30/2026 at 9:01 AM observed a plastic cutting board with frayed strands of plastic attached to the surface in one area. […]

• No harm, potential for more than minimal, widespreadF880Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure appropriate personal protective equipment (PPE) was worn while providing care for one (R124) out of eight residents reviewed for infection control and prevention, and failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for spread of infection, and increased risk of waterborne pathogens to exist and spread among residents in the facility.Findings include: On 7/1/2026 at approximately 1:50 PM, R124's room door was observed open. R124 was seen from the hallway to be in their bed. A mechanical lift was observed in the room. […]