Regency at Canton

Inspectors wroteThis citation pertains to intake 3027558. Based on observation, interview, and record review the facility failed to provide adequate supervision and follow elopement protocol resulting in R101 leaving the facility unknown to staff and sustaining a fall out of a wheelchair resulting in a facial hematoma, an abrasion to the left hand and right toes for one resident (R101) at risk for immediate jeopardy out of six residents reviewed for supervision. Further investigation of the incident revealed facility staff failed to supervise a severely cognitively impaired resident (R101) with a high elopement risk and respond appropriately to a door alarm (Emergency Door) on the Ridge Unit. R101 was determined to have exited emergency door number 10 at approximately 3:01 PM on 5/20/2026 after setting off the emergency exit door alarm at approximately 3:00 PM. [...]

Inspectors wroteThis citation pertains to intake 2970985. Based on interview and record review, the facility failed to implement interventions during a Hoyer lift transfer for one resident (R104) of five residents reviewed for falls, resulting in a fall without injury.

Inspectors wroteThis citation pertains to intake MI00153910. Based on observation, interview and record review, the facility failed to assess a cognitively impaired resident (R401) after expressing desire to leave the facility and an attempt to exit a back door of the facility on 6/19/25. On 6/23/25 at approximately 8:30 PM, R401 was found after exiting the facility unbeknownst to staff. R401 was located outside the facility in a hospital gown pushing their wheelchair. This resulted in an Immediate Jeopardy due to the facility's failure to identify, assess, and implement interventions to provide resident safety and prevent elopement for residents at risk. The Immediate Jeopardy (IJ) began on 6/19/25. The facility was notified of the IJ on 7/1/25 at 2:30 PM and a removal plan was requested.

Inspectors wroteBased on interview and record review the facility failed to report an incident of resident elopement for one resident (R401) of three residents reviewed for elopement. This failure resulted in the facility not identifying or responding to a situation in which a resident exited the facility without supervision, posing a potential risk to residents' health and safety.

Inspectors wroteBased on interview and record review, the facility failed to ensure that an incident involving a resident elopement was reported, investigated, and documented in accordance with federal regulations. This failure affected one resident (R401) of three residents reviewed for elopement and had the potential to place the resident at risk due to inadequate supervision and failure to follow established protocols for investigating and reporting incidents.

Inspectors wroteBased on observation, interview, and record review the facility failed to 1. Consistently maintain the kitchen in a clean and sanitary condition; 2. Properly date and label food in the refrigerator; 3. Ensure food is properly stored in the freezer. 4. Ensure the use of hair restraints of staff working in the kitchen. These deficient practices had the potential to affect all the residents who consumed food from the kitchen, resulting in an increased risk for food borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide timely nail care for one resident (R17) and scheduled showers for one resident (R51) out of three residents reviewed for activities of daily living, resulting in resident dissatisfaction.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide podiatry services in a timely manner for one resident (R62) out of one resident reviewed for podiatry services, resulting in unmet care needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure the dishmachine was in good working order; 2. Ensure pans and lids were properly cleaned and allowed to air dry before stacking; 3. Ensure the floor of the walk-in cooler was cleaned. 4. Store a plastic crate containing cartons of milk on a clean floor; 5. Ensure expired food was not stored with active food stock; 6. Properly date-label food stored in the walk-in cooler, walk-in freezer, and resident refrigerators; 7. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, goulash and sausage gravy; and 8. Ensure staff food was not commingled with residents' food. These deficient practices had the potential to affect all the residents who consumed food from the kitchen, resulting in the potential for food-borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to complete an assessment for the self-administration of medication for one resident (R51), out of 40 residents reviewed for medication administration, resulting in the potential for inappropriate medication administration.

Inspectors wroteBased on interview and record review, the facility failed to notify the physician of an acute change in condition for one resident (R152).

Inspectors wroteBased on observation, interview, and record review the facility failed to administer a transdermal patch in accordance with the manufactures guidelines and physician's orders for two residents (R211 and R257) out of forty residents reviewed during medication administration, resulting in the potential for excessive medication dosage delivery and inadequate pain relief.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide audiology services for one of one resident (R65) reviewed for hearing concerns, resulting in inadequate accommodations of hearing needs.

Inspectors wroteBased on interview and record review, the facility failed to ensure wound treatments were consistently documented per physician orders and nursing standards of practice for treatment administration for one resident (R3) of three residents reviewed for skin conditions, resulting in the potential for compromise and complications in health.

Inspectors wroteThis citation pertains to MI000141717 Based on interview and record review, the facility failed to prevent the misappopriation of narcotic medication for two residents (R501 and R502) of three residents reviewed resulting in staff misappropriation of medication.

Inspectors wroteThis citation pertains to MI00141717. Based on interview and record review, the facility failed to accurately perform a narcotic count for two of three residents reviewed for nursing staff misappropriation of medication resulting in missed pain medication.

Inspectors wroteThis citation pertains to Intakes MI00134521 and MI00134705. Based on observation, interview, and record review, the facility failed to ensure a proper pivot transfer for one resident (R23) of 6 residents reviewed for accidents resulting in an acute spiral lower leg fracture.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a care plan for a communication deficit was created upon admission for two (#78, #98) of two residents reviewed for baseline care plans, resulting in the potential for residents communication care need not being met.

Inspectors wroteBased on observation, interview and record review, the facility failed to apply a hand protector for one resident (R49) of 6 residents reviewed for limited range of motion (ROM) resulting in the potential for skin breakdown, reduced hand ROM and hand function.

Inspectors wroteBased on interview and record review, the facility failed to ensure accurately and consistently assess weight changes for one resident (R91) of five residents reviewed for nutrition, resulting in the potential for weight loss to go undetected and compromised health conditions.