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Complaint Investigation

Regency At Bluffs Park

February 20, 2026 · Ann Arbor, MI · 355 Huronview Blvd
Citations 2
CMS Rating 2/5
Beds 71
Provider ID 235658
Healthcare Facility
Regency At Bluffs Park
Ann Arbor, MI  ·  View full profile →
Inspection Summary

Regency At Bluffs Park in Ann Arbor, MI — inspection on February 20, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies

of R200's Death Certificate revealed the following:date of death : November 30, 2025.

Immediate

of Injury: Nursing HomeA review of the facilities policy titled Fall Management, documented in part

needs.

Interventions should be related to the risk factors as well as incorporating resident choice to help minimize the risk of a fall.

235658 02/20/2026

Regency at Bluffs Park 355 Huronview Blvd Ann Arbor, MI 48103

CNA told the nurse that resident had been unconscious but was awake when the nurse arrived, he

bleed. DON reported that nursing staff should refer to the Care plan or Kardex to determine what level

the care plan was not followed and the resident should not have been ambulating with nursing staff due to weakness and immobility. DON reported that through their interviews it was determined that R200 had ambulated with nursing staff prior to this incident and that there was a walker at his bedside.

When asked if she knew why a set of orthostatic vital signs were completed on [DATE], she reported that she did not and would let me know if she was able to determine that (no additional information was provided prior to survey exit).

When asked if any new interventions were put in place for residents dizziness, lightheadedness and hypotension, DON reported that she would let me know if she found any documentation of new interventions (no additional information was provided prior to survey exit).

When asked what the expectation was for gait belt use, DON reported that a gait belt should be used for all transfers for anyone that requires any level of assistance.Review of R200's Death Certificate revealed the following: date of death : [DATE].

Immediate cause of death: Complications of blunt force head trauma and FallDate of injury: [DATE], Time of Injury: 0645 on or about, Describe how injury occurred: The decedent fell from standing height, Place of Injury: Nursing Home.A review of the facilities policy titled Fall Management, documented in part Residents identified at risk for falls will have an initial plan of care developed to meet each resident's needs.

Interventions should be related to the risk factors as well as incorporating resident choice to help minimize the risk of a fall.A review of the facilities policy titled Routine Resident Care, documented in part Staff members should observe the following safety precautions with all residents.Gait belts are used for transfers and ambulation, as indicated.R200's care plan, Kardex and Therapy to Nursing Communication sheet indicated resident should have been ambulated by therapy only.

The resident was ambulated by a single (non-therapy) staff member without a gait belt or use of sit to stand, despite documentation that resident had experienced lightheadedness/dizziness, episodes of hypotension and required substantial/maximal assistance which resulted in major injury (multiple skull fractures and brain bleed).

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Ann Arbor, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Regency At Bluffs Park or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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