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Deficiency Records for Regency Heights-Detroit
A list of the most recent deficiencies for Regency Heights-Detroit. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Regency Heights-Detroit. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-03 | 2024-10-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-03 | 2024-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-03 | 2024-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-03 | 2024-05-31 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-05-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-05 | 2024-05-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-05 | 2024-05-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-04-05 | 2024-05-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-05 | 2024-05-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-05 | 2024-05-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-05 | 2024-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-05 | 2024-05-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-05 | 2024-05-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-03 | 2024-05-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-05 | 2024-01-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-12-05 | 2024-01-04 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-16 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-03-21 | N |
| Keep all essential equipment working safely. | Health | 2023-02-16 | 2023-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-16 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-03-21 | Y |
| Meet other general requirements. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-06 | 2022-12-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-06 | 2022-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-03 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-03 | 2022-03-28 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-13 | 2021-01-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-03-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-13 | 2020-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-13 | 2020-03-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-13 | 2020-03-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-03-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-13 | 2020-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-17 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-13 | 2020-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
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