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Regency Manor Nursing & Rehabilitation Center

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About Regency Manor Nursing & Rehabilitation Center

General Information

Legal Business NameRegency Manor Nursing & Rehabilitation Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 9, 2005 (11 years)
Capacity39
Residents35
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Regency Manor Nursing & Rehabilitation Center

Regency Manor Nursing & Rehabilitation Center
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Michigan Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

April 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

October 15, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmComplaintKeep all essential equipment working safely.

March 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
CManyPotential for Minimal HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Regency Manor Nursing & Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 20min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
30min
50min
ReportedExpected
RN
3hr 55min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
92.8%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
93.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
30.0%
26.7%
13.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
12.9%
0.0%
14.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.2%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
18.2%
22.2%
14.3%
7.9%
Q1 2015Q2 2015Q3 2015MI
Lose Too Much Weight
-
-
-
5.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
3.0%
2.9%
0.0%
3.3%
Q1 2015Q2 2015Q3 2015MI
Have Depressive Symptoms
3.0%
2.8%
2.9%
4.9%
Q1 2015Q2 2015Q3 2015MI
With a Urinary Tract Infection
8.8%
11.1%
8.6%
3.0%
Q1 2015Q2 2015Q3 2015MI
Experiencing One or More Falls with Major Injury
0.0%
0.0%
0.0%
3.4%
Q1 2015Q2 2015Q3 2015MI
With a Catheter Inserted and Left in Their Bladder
5.9%
2.8%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MI
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
81.6%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
80.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
18.0%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened