Regency at Westland: Care Plan Failures for LOA - MI
The resident, identified in inspection records as R17, had been admitted to the facility multiple times, with readmissions in January and March of 2025. Their diagnoses included stroke, syncope, alcohol dependence, nicotine dependence, and a documented risk for falls. Despite that history, every cognitive assessment since admission had returned a perfect score, 15 out of 15 on the Brief Interview for Mental Status, and the facility had classified R17 as having no elopement risk and as fully independent for walking.
The receptionist told inspectors on January 28 that she had known R17 since admission and that the resident generally went out at the same time and roughly the same number of times each day. The social worker confirmed R17 had consistent leaves of absence tied to ear appointments. The Director of Nursing acknowledged on January 29 that nurses should be informed when a resident departs, even when accompanied by a certified nursing assistant.
No care plan for leave of absence had ever been completed for R17. The administrator confirmed this by email. The facility's own leave of absence policy required residents to sign out before leaving and sign back in upon return, and directed staff to document in the medical record when a resident failed to do so. A review of R17's progress notes found no indication that staff were even aware the sign-out process was not being followed.
The last care conference for R17 had been held in February 2025. The social worker told inspectors that a care plan entry for leave of absence was not routinely completed unless a problem had arisen.
R17's physician told inspectors that leave of absence orders with medications are issued only to residents deemed competent. R17 had been deemed competent at every assessment. The facility had the information. It had the policy. A resident with a history of stroke and fainting was walking out the door, repeatedly, and the paperwork trail ended at the front desk, where the receptionist recognized the routine.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Regency At Westland from 2026-01-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
Regency at Westland in Westland, MI was cited for violations during a health inspection on January 29, 2026.
The resident, identified in inspection records as R17, had been admitted to the facility multiple times, with readmissions in January and March of 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.