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
care unit. LNA A stated R2 had kissed R1 and R3 outside of the memory unit. LNA A stated that R2 is
LNA A did not state what would cause nursing to feel R2 needed the one-on-one supervision. LNA A
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.
235545 08/28/2025
Regency at Whitmore Lake 8633 N Main Street Whitmore Lake, MI 48189
During an interview on 08/28/2025 at 10:05 AM, Licensed Nursing Home
LNA A stated that R2 is now more involved in activities and eating in the dining room. LNA A added if
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.