Regency at Grand Blanc

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store food, mitigate pests, and maintain sanitizer concentrations in the food service area, resulting in the potential to spread food borne illness to all residents who consume food from the kitchen.

Inspectors wroteBased on observation, interview, and record review, 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.

Inspectors wroteBased on interview and record review the failed to maintain clean and homelike room conditions for one resident (Resident #82) of one resident reviewed for homelike conditions. Findings Include: Resident #82:During Resident Council on 7/14/2026 at 3:00 PM, Resident #82 asked what frequency housekeeping should mop resident rooms. The resident was informed upon receiving an answer it would be provided to her. On 7/15/2026 at approximately 10:00 AM, a review was conducted of Resident #82's record, and it revealed she admitted the facility on 5/11/2016 with diagnoses that included, Congestive Heart Failure, Anxiety, Diabetes, Chronic Kidney Disease, Atrial Fibrillation and Lymphedema. On 7/15/2026 at 12:41 PM, Housekeeper R reported they are supposed to vacuum or mop the resident room floors on daily. They recently had a staff meeting where this was reinforced. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a shower and shaving was provided to one resident (Resident #95), of one resident reviewed for Activities of Daily Living (ADL) care.

Inspectors wroteThis citation pertains to Intake Number 3104173. Based on observation, interview and record review the facility failed to follow standards of care during provision of services and 1) Ensure the prompt reporting of an acknowledged new skin issue for one resident (Resident #157) and 2) Ensure the proper handling and use of percutaneous endoscopic gastrostomy (PEG) tubes, which deliver nutrition and medications directly into the stomach, for one resident (Resident #44) of two residents reviewed for quality care standards.

Inspectors wroteBased on observation, interview and record review, the facility failed to implement interventions and treatments for pressure ulcer management for one resident (Resident #56) of three residents reviewed for pressure ulcers.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain the storage of nebulizer equipment (a medical device that turns liquid medication into a fine mist to be inhaled directly into the lungs for treatment of respiratory conditions) in a sanitary manner for 1 resident (Resident 11) and failed to ensure that a physician's order for oxygen use was followed for 1 resident (Resident #59) of four residents reviewed for oxygen/respiratory care.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure Infection Prevention and Control standards of practice were followed for 1) Personal Protection Equipment/PPE use during care and medication administration with a feeding tube for 2 residents (#14 and #44), and Care of and medication administration via a Peripherally Inserted Central Line/PICC Line for one resident (#94), of 5 residents reviewed for a feeding tube or PICC line while in Enhanced Barrier Precautions and 2.) Laundering of Kitchen cleaning cloths to prevent the spread of infectious organisms, Findings Include: Resident #44 (R44): A record review of the Face sheet and Minimum Data Set (MDS) assessment indicated R44 was admitted to the facility on [DATE] diagnoses included: [...]

Inspectors wroteBased on interview, and record review the facility failed to ensure Pneumococcal vaccinations were offered and documentation was recorded that the vaccinations were accepted or declined for one resident (#44) of 5 reviewed for vaccinations, resulting in the potential for Resident #44 to be exposed to Pneumococcal illnesses. Findings Include: Infection ControlPneumococcal Vaccinations On 7/15/2026 at 10:55 AM, the Infection Control Practitioner/ICP B was interviewed about Pneumococcal/Pneumonia vaccinations for residents. The ICP said the residents were assessed for vaccinations beginning on admission. She said if the resident had not received the most updated Pneumococcal vaccination, it was offered. She said the residents' acceptance or declination was documented on a consent form and the information was placed in the resident's medical record. [...]

Inspectors wroteBased on interview, and record review the facility failed to ensure staff were provided a current Vaccine Information Sheet/VIS per Standards of Practice, for Covid-19 vaccinations for 3 staff of 3 reviewed for Covid-19 vaccinations, which could result in the Staff lacking the necessary information to make an informed decision about consent or declination of the Covid-19 vaccination. Findings Include: Facility Infection Control On 7/15/2026 at 10:47 AM, during an interview with Infection Control Practitioner/ICP B about staff vaccinations, she said Covid-19 vaccinations were discussed with employees on hire. [...]

Inspectors wroteBased on interview and record review, the facility failed to implement interventions to prevent falls for one resident (Resident #3) of three residents reviewed for falls, resulting in a fall from bed.

Inspectors wroteThis citation pertains to Intake Number 2710871. Based on the interview and record review, the facility failed to maintain complete, accurate, and timely clinical documentation for one resident (Resident #301) of 3 residents reviewed for accuracy and timeliness of clinical documentation.

Inspectors wroteThis citation pertains to Intake Number 2697789. Based on observation, interview and record review the facility failed to complete thorough respiratory assessments for one resident (Resident #1) and establish a completed oxygen order for one resident (Resident #2). Findings Include:Resident #1:On 1/2/2026 at approximately 12:20 PM, an interview was conducted with Resident #1's daughter. She stated her mother admitted to the facility for strengthening after she fractured her tibia and fibula, while at the facility it was discovered she had pneumonia and utilized oxygen daily. Concern was expressed that as Resident #1's time at the facility progressed, she required increased oxygen supplementation. In addition, the two antibiotic courses did not appear to be effectively treating her pneumonia. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure five residents' (#1,#7, #13, #37 and #42) wheelchairs/Amigos were regularly cleaned, sanitized and free from damaged areas of six reviewed for a homelike environment. Findings Include: During Resident Council held on 6/11/2025 at 10:20 AM, five residents' wheelchairs or amigos were observed to have packed substances in the crevices, worn cushions, and varying areas of dried on substances. When asked if their wheelchairs were cleaned on a regular basis, they stated they were not. None could recall when the last time their wheelchair had been cleaned. Review was completed of Resident #1, #7, #13, #37 and #42's wheelchair cleaning task log for the last 30 days. The documentation indicated their wheelchairs were being cleaned weekly, but observations made indicated they were not being consistently cleaned. [...]

Inspectors wroteResident #70 On 6/10/25 at 1:13 PM, an interview was completed with Resident # 70 in their room. The Resident was sitting up in their bed with the overbed tray positioned over the bed in front of them. A nebulizer machine was present on the dresser beside the bed. The nebulizer mask was sitting directly on the top of the dresser and was not contained. There was visible fluid in the medication cup chamber of the nebulizer mask. Record review revealed Resident #70 was admitted to the facility on [DATE] with diagnoses which included bipolar disorder, depression, anxiety, and colostomy (surgically created opening in the abdomen allowing for the passage of stool into an external bag). [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to 1) Maintain food preparation and kitchen equipment in a sanitary and good working condition and 2) Maintain a clean and sanitary environment (refrigerator, microwave and floor drains), resulting in an increased potential for food borne illness, with the potential to affect all residents who consumed oral nutrition. Findings Include: On 6/10/25 at 10:28 AM, a tour of the kitchen was completed with Certified Dietary Manager D the following was identified as areas of concern: Ice Machine: Puddle of water was observed being the ice machine. The drain grate was a dark orange/brown color on the slacks. The tubing from the back of the ice machine the filter connected on the wall was riddled with visible brown colored dust spanning the length of the tubing. Microwave: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dignity by not having the call lights accessible, extended call light response times, and not treating residents in a respectful manner for five residents (Res. #15, Res. #50, Res.#187, Res. #289, & Res.#391) of five residents reviewed for dignity and respect and call light response times, resulting in fear of abandonment, isolation and decreased socialization and the potential for falls or accidents.

Inspectors wroteBased on interview and record review, the facility failed to provide advanced written notification of a room change and obtain consent for one resident (Resident #70) of one resident reviewed, resulting in a cognitively intact resident not being informed of and/or provided the rationale for a room change prior to their room being moved.

Inspectors wroteResident #18 (R18): Accidents On 06/12/25 at 12:34 PM, a review of R18's Electronic Medical Record (EMR) was conducted. R18 was [AGE] years old, admitted to the facility on [DATE] under hospice care with the diagnosis of Congestive heart failure, Type 2 Diabetes Mellitus with Diabetic Neuropathy, Vascular Dementia, Difficulty in Walking, weakness, and End Stage Renal Disease ESRD)in addition to other diagnoses. R18's Minimum Data Set (MDS) assessment, dated March 15, 2025, revealed a Brief Interview for Mental Status score of 07/15. A score of 0-7 indicates that the individual has severe cognitive impairment. The R18's plan of care, dated 2/12/25, did not include ensuring safety and monitoring body placement in a chair or bed after the Resident's dialysis or when up on a chair unsupervised. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to timely respond to two residents' (#28 and #47) pharmacy recommendations of five residents reviewed for unnecessary medications. Findings Include: Resident #28: On 6/13/2025 at 9:30 AM, a review was conducted of Resident #28 medical records, and it indicated she readmitted to the facility on [DATE] with diagnoses that included, Chronic Respiratory Failure, Major Depressive Disorder, Adjustment Disorder, Anxiety and Gastro-Esophageal Reflux Disease. Further review was conducted and yielded the following: On 6/13/2025 at approximately 10:45 AM, a review was conducted of Resident #28's Medication Regime Reviews (MRR) from August 2024 - May 2025. The following was found: January 13, 2025: (Resident #28) receives Eliquis 5 mg BID and Aspirin Low Dose 81 mg daily. Her last HBG is noted at 8.543 on 1-3-25. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure policies and procedures were operationalized for safe bedside medication storage for two residents (# 70 and # 81) of two residents reviewed resulting in a lack of assessment for self-administration of medications, medications stored at bedside, and lack of staff knowledge of medication administration.

Inspectors wroteRefer to Intake Numbers: MI00151742 Based on observation, interview, and record review, the facility failed to: 1.) provide services to prevent the development of new pressure ulcers consistent with professional standards, 2.) provide the appropriate skin care interventions to promote healing for two sampled residents (R304 and R306) of five residents reviewed with pressure ulcers, resulting in the development of avoidable pressure ulcer, delay in treatment and healing and potential for wound infection, pain, and complications.

Inspectors wroteThis citation pertains to Intakes Numbers MI00151425 and MI00151742. Past Non-Compliance (PNC) was identified at the facility during the investigation of the allegation and was accepted by the survey team upon exit from the facility for this citation. Following discussion with the State Manager, Past Non-Compliance was accepted with a Compliance Date of 3/28/2025. Based on the interview and record review, the facility failed to immediately notify the emergency contact regarding the resident's change in condition, which resulted in hospitalization for one resident (R#302) and delayed notification for one resident (R#301) after a fall of six residents reviewed for notification of changes.

Inspectors wroteThis Citation pertains to Intake Number MI00150768. Based on interviews and record review, the facility failed to ensure appropriate wound treatment, assess, monitor, and establish a care plan for one resident (Resident #301), who sustained a laceration on the left lower extremity after a fall, of three sampled residents reviewed for skin care treatments.

Inspectors wroteThis Citation pertains to Intake Number MI00145466. Based on interview and record review, the facility failed to provide adequate and appropriate interventions, evaluate and revise interventions to prevent the development and healing of pressure wounds for one resident (Resident #1) of three residents reviewed for pressure wounds, resulting in Resident #1 developing a pressure wound to the right and left heel area and the right and left buttock, worsening of the wounds and the potential for pain, infection and deterioration in health and wellbeing.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents' rights were being honored for one resident (Resident #21) of 2 sampled residents reviewed for residents' rights, resulting in the facility staff refusing to provide Resident #21 with requested dietary wishes.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a comprehensive care plan for one resident (Resident #115) of 26 residents reviewed.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the carpet in room [ROOM NUMBER], resulting in the increased likelihood for cross-contamination, bacterial harborage, odor and decreased air quality.

Inspectors wroteThis Citations pertains to Intake Number MI00137732. Based on interview and record review, the facility failed to ensure that one resident (Resident #112), who was at risk of aspiration pneumonia was given tube feeding per physician's order (rate per hour), resulting in a doubled rate of feeding per hour (130 ml/hr vs the ordered at 65ml/hr), which resulted in an episode of emesis, and the likelihood of fluid overload. Resident #112: Review of the Face Sheet, Minimum Data Set, dated 6/23, Physician orders dated 6/6/23, nutritional care plan dated 6/7/23 and Dietary notes dated 6/23. The resident was [AGE] years old, alert and responsible for self, a full code, and admitted to the facility on [DATE]. [...]