Deficiency Index

Regency Manor Nursing & Rehabilitation Center

Utica, Michigan · CCN 235617

30 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
150
Surveys
30
Harm or worse
8
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file21/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
39
Ownership
For profit - Limited Liability company
Chain
PIONEER HEALTHCARE MANAGEMENT
County
Macomb
Medicare-certified since
2005

CMS ratings

Overall
2
Health inspection
1
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 71 for-profit facilities with fewer than 66 beds in Michigan.

Last survey on record

Jul 2, 2026

130 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Enforcement

Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K12.2%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2656.5%E48.7%F1532.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 46 of the 150 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F9215×

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • F6894×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F5503×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Regency Manor Nursing & Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF689May 21, 2026

    Based on observation, interview, and record review, the facility failed to ensure safe water temperatures to reduce the risk of severe burns, having the likelihood of affecting all 35 residents in the facility. Findings include: On 05/20/2026 at 8:56 a.m., hot water temperature was observed and recorded at 159 degrees Fahrenheit at the hand sink located in the physical therapy/conference room. The hand sink did not have a mixing valve installed. On 5/20/26 at 9:51 a.m., Unit Manager E was interviewed on the usage in the physical therapy/conference room, and she stated residents receive therapy and are weighed in there. On 5/20/26 at 10:42 a.m., interviewed Maintenance Manager F on what the hot water temperatures are set to, and he stated it's set to 135 degrees Fahrenheit. […]

  • Actual harm, isolatedF790Feb 1, 2023

    This citation pertains in part to Intake MI00133877. Based on observation, interview, and record review, the facility failed to coordinate transportation for dental services, for one (R903) reviewed for dental care, resulting in delayed dental services and treatment, on-going tooth pain, and the potential for oral infections. Findings include: A review of a State Agency Intake summary noted, Resident has multiple carious (loss of tooth enamel) teeth which causes [R903] pain and several infections it has been recommended that [903] have all his teeth surgically removed. Administrator has failed to obtain transportation for this resident to go to [their] appointment. This has been an issues for over a year. […]

  • No harm, potential for more than minimal, widespreadF727May 21, 2026

    Based on interview and record review, the facility failed to have documented Registered Nurse (RN) coverage scheduled for at least eight consecutive hours, per day for seven days a week. Findings include:During the Staffing Task of the survey, a request was made to review six months of Daily Staffing Census/Postings. The daily postings that were provided revealed dates that did not indicate eight consecutive hours of RN coverage on the following dates 3/5, 3/6, 3/7, 3/8, 3/28, 3/29, 3/31, 4/14, 4/21, 4/24, and 4/28/2026.On 5/21/2026 at 3:12 PM, the Acting Nursing Home Administrator (ANHA) was asked if there were any other documentation that could be reviewed for RN coverage. […]

  • No harm, potential for more than minimal, widespreadF812May 21, 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 5/20/26 at 9:00 AM observed the following on a tour of the basement level kitchen with dietary supervisor (DS) B:The low temperature dish machine was operating with no chlorine detected by a test strip. DS B indicated that the chlorine supply was just changed but no chlorine was being dispensed. DS B indicated she was unsure of how to prime the pump and would follow up with a service technician by phone. […]

  • No harm, potential for more than minimal, widespreadF814May 21, 2026

    Based on observation and interview, the facility failed to properly dispose of waste and maintain the dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility. Findings include:On 5/20/26 at 2:00 PM, the outdoor garbage enclosure was observed with the side door open, squirrels exited the dumpster on approach, and debris covered the ground throughout the enclosure (e.g. used gloves, food packaging, and bags of garbage). At the back side of the garbage enclosure a collapsing shed was full of debris.When queried at this time, the regional maintenance director (RMD) C and regional maintenance staff member D acknowledged the debris and need for removal and clean up. RMD C said the damaged shed was planned for demolition and removal. […]

Read 27 findings in full →The most serious and the most recent: 27 of 150 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 2, 2026Complaint1 finding
  • May 21, 2026Standard and complaint10 findings · 1 harm
  • Jul 16, 2025Standard and complaint6 findings
  • May 5, 2025Complaint1 finding
  • Feb 12, 2025Complaint4 findings
  • Jan 23, 2025Complaint1 finding
  • Jun 13, 2024Standard13 findings
  • Mar 6, 2024Complaint3 findings
Show the 22 earlier surveys
  • Apr 26, 2023Standard and complaint7 findings
  • Feb 1, 2023Complaint2 findings · 1 harm
  • Mar 3, 2022Standard12 findings
  • Feb 18, 2021Standard6 findings
  • Nov 13, 2019Standard and complaint8 findings
  • Oct 7, 2019Complaint1 finding
  • Jul 30, 2019Complaint2 findings
  • Jan 8, 2019Standard8 findings
  • Dec 7, 2018Complaint1 finding · 1 harm
  • Oct 10, 2017Standard6 findings · 2 harm
  • Jun 6, 2017Complaint3 findings
  • Jan 30, 2017Complaint3 findings · 2 harm
  • Dec 21, 2016Standard16 findings · 1 harm
  • Sep 7, 2016Complaint3 findings
  • Feb 2, 2016Standard6 findings
  • Apr 22, 2015Standard7 findings
  • Oct 15, 2014Complaint2 findings
  • Mar 27, 2014Standard2 findings
  • Oct 19, 2012—1 finding
  • Mar 1, 2012—4 findings
  • Apr 25, 2011—1 finding
  • Apr 15, 2011—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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