Regency At Whitmore Lake
Regency at Whitmore Lake in Whitmore Lake, MI — inspection on August 28, 2025.
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.
Inspection Findings
have anything more to do with that incident.During an observation and interview on 08/27/2025 at 3:35 PM, R1 was observed leaving his room and stopped in the hallway. R1 stated R2 continued to walk down his hall which was hall 200 and not the hall R2 resided on. R1 stated R2 continues to attempt to always sit be him during activities. R1 stated it pissed him off, he got mad about it, and it upset him. R1 state R2 goes into activities and other events to be near him, and he didn't like it. R1 stated again, it really pissed him off.
During an interview on 08/28/2025 at 10:05 AM, Licensed Nursing Home Administrator (LNA) A stated that after the incident on 3/30/2025, R2 was transfer to the 100 hall and out of the memory care unit. LNA A stated R2 had kissed R1 and R3 outside of the memory unit. LNA A stated that R2 is now more involved in activities and eating in the dining room. LNA A added if nursing feels R2 needed one on one supervision, they would pull a CNA off the floor from providing care to be with R2 however, LNA A did not state what would cause nursing to feel R2 needed the one-on-one supervision. LNA A stated she didn't see R2 kissing R1 and R3 as inappropriate behavior, because R2 did not latch onto him but more of an affectionate thing.This writer asked LNA A if other residents and staff were interviewed that live or work on that hall.
LNA A stated no. LNA A stated she did not interview the residents that live on that hall, she would have had to interview all residents because R2 walks throughout the whole facility.
Writer asked LNA A if the staff working in that area on the dates that this took place were interviewed, LNA A stated no.This writer asked LNA A if IDT meetings were held and documented any follow up from these incidents. LNA A stated they discussed it during IDT meetings, but it is not documented anywhere.LNA A stated that I & A is a risk management report where the nurses document the event that accrued, notifies the LNA, family, DON, provider, describes the event, immediate action to take place, removed R2 from the memory care unit, SW H to follow up.
Looked for any predisposition factors, SW H wrote what they did, referred to psychiatric services, SW H became the key person to oversee this.
Could have had a telehealth visit made with the provider, LNA A and DON B discuss what should be done until they write up the 5-day report. LNA A stated they look at QA based on the audits, education to staff if there was a break in the process. LNA A stated they would put in new interventions if the current ones didn't work. LNA A stated they didn't have anything else to add.
Stated they went back to the care plan and added one-on-one supervision based off her behavior. R2 is more involved with activities.
Asked why she didn't change or add new interventions, because they were already doing everything, they said they were already in place and because it was working.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency at Whitmore Lake
8633 N Main Street Whitmore Lake, MI 48189
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 08/28/2025 at 10:05 AM, Licensed Nursing Home Administrator (LNA) A stated that after the incident on 3/30/2025, R2 was transfer to the 100 hall and out of the memory care unit. LNA A stated R2 had kissed R1 and R3 outside of the memory unit. LNA A stated that R2 is now more involved in activities and eating in the dining room. LNA A added if nursing feels R2 needed one on one supervision, they would pull a CNA off the floor from providing care to be with R2 however, LNA A did not state what would cause nursing to feel R2 needed the one-on-one supervision.
LNA A stated she didn't see R2 kissing R1 and R3 as inappropriate behavior, because R2 did not latch onto him but more of an affectionate thing.This writer asked LNA A if other residents and staff were interviewed that live or work on that hall. LNA A stated no. LNA A stated she did not interview the residents that live on that hall, she would have had to interview all residents because R2 walks throughout the whole facility.
Writer asked LNA A if the staff working in that area on the dates that this took place were interviewed, LNA A stated no.This writer asked LNA A if IDT meetings were held and documented any follow up from these incidents. LNA A stated they discussed it during IDT meetings, but it is not documented anywhere.LNA A stated that I & A is a risk management report where the nurses document the event that accrued, notifies the LNA, family, DON, provider, describes the event, immediate action to take place, removed R2 from the memory care unit, SW H to follow up.
Looked for any predisposition factors, SW H wrote what they did, referred to psychiatric services, SW H became the key person to oversee this.
Could have had a telehealth visit made with the provider, LNA A and DON B discuss what should be done until they write up the 5-day report. LNA A stated they look at QA based on the audits, education to staff if there was a break in the process. LNA A stated they would put in new interventions if the current ones didn't work. LNA A stated they didn't have anything else to add.
Stated they went back to the care plan and added one-on-one supervision based off her behavior. R2 is more involved with activities.
Asked why she didn't change or add new interventions, because they were already doing everything, they said they were already in place and because it was working.
Facility ID: