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Deficiency Records for Regency On The Lake - Fort Gratiot
A list of the most recent deficiencies for Regency On The Lake - Fort Gratiot. 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 On The Lake - Fort Gratiot. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-06-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-06-06 | 2024-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-06 | 2024-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-06 | 2024-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-06 | 2024-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-06 | 2024-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-04 | 2023-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-04 | 2023-04-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-04 | 2023-04-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-04-04 | 2023-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-04 | 2023-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-04 | 2023-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-04 | 2023-04-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-03 | 2023-04-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-11 | 2022-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-11 | 2022-09-05 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-26 | 2022-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-02-18 | 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 | 2022-01-24 | 2022-02-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-24 | 2022-02-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-24 | 2022-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-24 | 2022-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-24 | 2022-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-24 | 2022-02-18 | N |
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