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Deficiency Records for Regency at Shelby Township
A list of the most recent deficiencies for Regency at Shelby Township. 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 at Shelby Township. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-12 | 2024-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-12 | 2024-10-09 | 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 | 2024-09-12 | 2024-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-09 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-09-12 | 2024-10-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-09-12 | 2024-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-12 | 2024-10-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-12 | 2024-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-10-09 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-12 | 2024-10-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-26 | 2023-08-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-26 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-26 | 2023-08-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-26 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-26 | 2023-08-16 | Y |
| 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 | 2023-07-26 | 2023-08-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-26 | 2023-07-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-18 | 2022-06-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-18 | 2022-06-16 | N |
| 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 | 2022-05-18 | 2022-06-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-18 | 2022-06-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-18 | 2022-06-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-18 | 2022-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-18 | 2022-06-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-18 | 2022-06-16 | 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 | 2022-05-18 | 2022-06-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-05-18 | 2022-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-18 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-18 | 2022-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-18 | 2022-06-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-18 | 2022-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-06-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-18 | 2022-06-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-16 | 2022-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-16 | 2022-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-08 | 2021-12-02 | Y |
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