Average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency At Canton during CMS and state inspections, most recent first.
A resident who was dependent for transfers and required a two-person assist with a Hoyer lift, and who had multiple medical conditions including a right humerus fracture, atrial fibrillation, and a right artificial shoulder joint, was being transferred to bed by a CNA using a Hoyer lift without the required second staff member. During the transfer, the resident began sliding in the sling, the resident’s cheek came into contact with a nightstand, and the CNA, who later admitted using the lift alone and recognizing the sling was not applied correctly, lowered the resident to the floor. The DON confirmed that the resident’s cheek was against the nightstand and that the resident began to fall, and record review showed that both the resident’s care plan and the facility’s mechanical lift policy required two staff for Hoyer transfers to maintain safety.
A cognitively impaired resident with a history of dementia and falls expressed a desire to leave and made multiple attempts to exit the facility. Despite these incidents, staff did not reassess elopement risk or implement interventions, and the resident later exited the building unnoticed, remaining outside unsupervised. Documentation was inconsistent, the front entrance was left unmonitored, and the security system was not functional, all contributing to the failure to prevent the resident's elopement.
A resident with severe cognitive impairment and multiple medical conditions exited the facility unsupervised and was found outside in a hospital gown. Staff interviews confirmed the incident was not reported, investigated, or documented according to facility policy, and the family was not notified until days later.
A resident with severe cognitive impairment and multiple medical conditions exited the facility unsupervised and was found outside in a hospital gown. The DON and NHA did not initially recognize or document the event as an elopement, and no investigation or incident report was completed as required by facility policy. Staff interviews confirmed the lack of proper documentation and investigation, and the facility's security cameras were not operational at the time.
Surveyors found that the kitchen was not consistently kept clean or sanitary, with wet floors, exposed and wilted produce, soiled food containers, and improperly stored and labeled food in both refrigerators and freezers. Opened bags of food showed signs of freezer burn, and food prep areas had dried food and spills. A staff member was repeatedly observed working and serving food without proper beard restraint, despite facility policy and available supplies. The dietary manager could not account for the improper food storage practices.
Two residents did not receive necessary assistance with activities of daily living, including nail care and scheduled showers. One resident with a hand contracture experienced discomfort from untrimmed, sharp fingernails, while another resident requiring extensive help with bathing did not receive scheduled showers for over a month. Staff acknowledged lapses in care and inconsistencies in documentation and communication regarding these services.
A resident with dementia and chronic pain was not provided timely podiatry services, resulting in overgrown, thickened, and discolored toenails with dry, scaly skin. Staff noted ongoing issues with insurance coverage and could not provide documentation of efforts to secure podiatry care or communicate with the resident's guardian. Care conferences did not address these concerns, and facility policy for referrals and follow-up was not followed.
The facility failed to ensure the dishmachine was in good working order, properly clean and air dry kitchen items, maintain cleanliness in the walk-in cooler, and properly label and store food. Expired food was found with active stock, and staff food was commingled with residents' food. These deficiencies increased the risk of food-borne illness for all residents.
A resident with moderate cognitive impairment was found self-administering a prescribed pain lotion without a physician's order. The LPN acknowledged the lack of authorization, and the DON confirmed that the nurse should have applied the medication. The facility's policy requiring a self-administration evaluation and physician's authorization was not followed.
A resident with multiple diagnoses, including COPD and CHF, experienced an acute change in condition, refusing food and critical medications, and requested to go to the hospital due to stomach pain. Despite documented signs of distress, the facility failed to notify the physician, as required by their policy.
The facility failed to administer transdermal patches according to the manufacturer's guidelines and physician's orders for two residents. One resident had a patch applied to the wrong hip, and another had patches left on for almost twenty-four hours instead of the prescribed twelve hours. Both errors were confirmed by the LPNs and the DON.
The facility failed to provide audiology services for a resident with documented hearing concerns. The resident was observed unable to hear properly and had no hearing aids. Despite a care plan intervention to refer the resident to audiology services, no such referral was made due to a lapse in the referral process after the previous Social Worker left.
The facility failed to ensure wound treatments were consistently documented per physician orders and nursing standards of practice for a resident with severe cognitive impairment and multiple diagnoses. The review revealed numerous instances where wound care was not documented on the Treatment Administration Records (TAR), despite the facility's policy requiring such documentation.
Failure to Follow Two-Person Hoyer Lift Policy Resulting in Resident Fall
Penalty
Summary
The deficiency involves the facility’s failure to implement required interventions during a Hoyer lift transfer, resulting in a fall to the floor for one resident. A progress note dated 03/30/2026 by Nurse G documented that a CNA was assisting the resident to bed for a brief change using a Hoyer lift when the resident, who was positioned over the bed, began sliding to the left. As the CNA attempted to get the resident’s legs into the bed, the resident’s left cheek came into contact with the nightstand, and to avoid injury to the face, the CNA lowered the resident to the floor. Interview with CNA F confirmed that the Hoyer lift was used by a single staff member, despite knowing that two staff were required, and that the sling had not been applied correctly, which led to the need to lower the resident to the floor. The DON stated that during the transfer back to bed, the resident’s cheek was against the nightstand and the resident began to fall, prompting the CNA to lower the resident to the ground. Review of the EHR showed the resident had diagnoses including a nondisplaced comminuted fracture of the right humerus, hyperlipidemia, atrial fibrillation, and a right artificial shoulder joint, with admission on 03/21/2026 and discharge on 04/07/2026. The MDS indicated the resident was dependent for transfers and toileting and required a two-person assist for Hoyer lift use. The care plan documented the resident’s functional ability deficit, dependence for bed mobility and toilet transfer, and an intervention to provide reassurance regarding safety. The facility’s written policy, “Transfer with a Mechanical Lift,” dated April 2025, specified that all mechanical lifts require two staff members when moving a resident and to obtain coworker assistance as needed to maintain resident safety, which was not followed in this incident.
Failure to Assess and Intervene After Resident Elopement Attempts
Penalty
Summary
A cognitively impaired resident with a history of alcohol-induced dementia, falls, and other significant medical conditions expressed a desire to leave the facility and made two attempts to exit through a back door. Despite these attempts and clear verbalization of wanting to go home, there was no reassessment of the resident's elopement risk, and no elopement care plan or interventions were implemented at that time. The resident's care plan did not include elopement precautions until several days after the initial exit attempts. Subsequently, the resident was able to exit the facility unnoticed, wearing only a hospital gown and pushing a wheelchair, and was found outside the building by staff after being unsupervised for approximately 10-15 minutes. Documentation of the incident was inconsistent, with initial notes indicating only an attempt to leave, and no addendum was made to reflect that the resident had actually left the building. The Director of Nursing and Nursing Home Administrator initially denied that an elopement had occurred and were unable to provide evidence regarding the resident's whereabouts or the duration of time spent outside. Further investigation revealed that the facility's front entrance was left unmonitored for periods of time, and the security camera system was nonfunctional, preventing verification of the incident. There was no investigation into the elopement, and the facility failed to follow its own elopement policy, which required risk assessments upon significant changes and after incidents. The lack of timely assessment, intervention, and supervision resulted in the resident's unsupervised exit from the facility.
Failure to Report and Investigate Resident Elopement
Penalty
Summary
The facility failed to report an incident of elopement involving one resident who was found outside the building unsupervised. Interviews revealed that the Director of Nursing (DON) initially denied any elopement had occurred, stating the resident had only attempted to elope. However, further interviews with staff confirmed that the resident had exited the building and was found outside in a hospital gown, pushing a wheelchair. The Nursing Home Administrator (NHA) did not consider the incident to be an elopement because the resident did not leave the premises, and was unable to provide evidence regarding where the resident was found, how the resident exited, or the duration the resident was outside unsupervised. The incident was not documented or investigated until prompted by a surveyor, and the family was not notified until several days after the event. The resident involved had a history of significant medical issues, including a fracture of the right femur, history of falls, alcohol dependence with alcohol-induced dementia, osteoporosis, chronic kidney disease, glaucoma, and sarcopenia. The Minimum Data Set indicated severe cognitive impairment. The facility's elopement policy defined elopement as a resident who needs supervision leaving a safe area without authorization and required an incident report to be filed if a resident leaves the facility. Despite this policy, no incident report or investigation was completed at the time of the event, and the facility failed to notify the family or authorities in a timely manner.
Failure to Report, Investigate, and Document Resident Elopement
Penalty
Summary
The facility failed to report, investigate, and document an incident of resident elopement in accordance with federal regulations. A resident with severe cognitive impairment and multiple medical conditions, including alcohol-induced dementia and a history of falls, exited the building unsupervised and was found outside the facility in a hospital gown, pushing a wheelchair. Despite this, the Director of Nursing (DON) initially denied any elopement had occurred and only acknowledged the incident after further questioning. The Nursing Home Administrator (NHA) also did not consider the event to be an elopement and was unable to provide evidence regarding the resident's whereabouts or the duration of time spent outside unsupervised. Additionally, the facility's security camera system was not functional at the time of the incident. Staff interviews revealed that the incident was not properly documented or investigated. The LPN initially recorded the event as an attempted elopement and did not update the documentation after learning the resident had actually left the building. The DON confirmed that no investigation was conducted until prompted by the surveyor's inquiry. The facility's elopement policy requires completion and filing of an incident report when a resident leaves the facility, but this was not followed. The receptionist desk was also left unmanned during breaks, potentially contributing to the lack of supervision.
Deficient Food Storage, Sanitation, and Staff Hygiene in Kitchen
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's kitchen related to food storage, cleanliness, and staff hygiene. The kitchen was not consistently maintained in a clean and sanitary condition, as evidenced by wet floors, wilted and exposed lettuce, food particles on the floor, and soiled containers of cheese in the walk-in refrigerators. Additionally, some food items, such as an opened quart of milk, were not properly dated, and containers of cheese were found with unidentified white substances. In the walk-in freezer, opened bags of hamburger patties and breaded chicken strips were left unsealed and exposed to air, showing signs of freezer burn. Other areas of the kitchen, including food prep and serving areas, had dried food, crumbs, and unidentified liquids present on surfaces and equipment. Staff hygiene practices were also found to be deficient. The Sous Chef was repeatedly observed working in the kitchen and serving food without a beard guard, despite the facility's policy and the availability of facial hair nets. Even after being questioned about the lack of a beard guard, the Sous Chef was later seen with the facial hair net worn incorrectly, leaving the beard exposed. The Certified Dietary Manager was unable to explain the presence of opened and improperly stored foods. The facility's policies and the FDA Food Code require proper food storage, labeling, and staff use of hair restraints, all of which were not consistently followed during the survey.
Failure to Provide Timely Nail Care and Scheduled Showers
Penalty
Summary
The facility failed to provide timely and adequate assistance with activities of daily living for two residents, specifically in the areas of nail care and scheduled showers. One resident, who had a contracture of the right hand and wrist and was cognitively intact, reported that the nails on the affected hand were sharp and caused discomfort by stabbing the palm. Observations confirmed that the resident's fingernails were long, pointed, and jagged, and staff acknowledged that the resident had not refused nail care. The CNA plan of care required keeping the resident's fingernails trimmed and clean, but this was not followed, as evidenced by the resident's complaints and the physical state of the nails during the survey. Another resident, also cognitively intact and requiring extensive assistance with bathing due to weakness and impaired mobility, reported not receiving scheduled showers for over a month. The resident preferred showers at night and expressed dissatisfaction with the lack of scheduled showers. Review of care records confirmed that the resident had not received showers or bed baths on multiple scheduled days. Staff interviews revealed confusion regarding the resident's assigned shower days and a lack of notification or documentation when showers were missed. The facility's policy required assistance with personal hygiene and scheduled showers according to person-centered care, but this was not consistently implemented.
Failure to Provide Timely Podiatry Services
Penalty
Summary
The facility failed to provide timely podiatry services for one resident with significant medical needs, including dementia, polyneuropathy, and chronic pain syndrome. Observations revealed that the resident's toenails were raised, long, thickened, discolored, and fungal-like, with dry and scaly skin around the toes. Staff interviews confirmed that the resident's toenails were in need of trimming and that there were ongoing issues with insurance coverage for in-house podiatry services. Documentation of attempts to secure podiatry services or to communicate with the resident's guardian about these issues was not available. Additionally, there was no evidence that concerns regarding podiatry coverage were discussed during care conferences. The clinical record showed that the resident had previously received podiatry care, with a note indicating elongated, dystrophic, and discolored nails, and a recommendation for reassessment in nine weeks or as needed. However, there was a lack of follow-up and no documentation of further podiatry visits or efforts to address the resident's ongoing foot care needs. Facility policy required referrals to ancillary providers with resident consent and follow-up as needed, but this process was not documented or followed for the resident in question.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure the dishmachine was in good working order, as evidenced by the absence of temperature log entries and the failure of the temperature indicator panel to turn black during tests. Additionally, the facility did not properly clean and air dry pans and lids before stacking them, as observed with soiled and wet kitchen items. The walk-in cooler floor was stained and soiled with debris, and a milk crate was improperly stored on the floor. Expired food was found stored with active food stock, and several food items were not properly date-labeled in the walk-in cooler, walk-in freezer, and resident refrigerators. Staff food was also commingled with residents' food, which is against facility policy and professional standards for food safety and sanitation. The dishmachine's malfunction was confirmed by a service technician who identified a non-working heating element and a turned-off main power switch to the dishwasher booster heater. The facility's policy on dish machine usage and sanitation was not followed, as the Culinary staff failed to check and record the machine's wash and rinse temperatures before use. This led to the use of a dishmachine that did not reach the required temperatures for proper sanitation. Additionally, the facility did not maintain proper cooling logs for potentially hazardous foods like goulash and sausage gravy, which were found undated in the walk-in freezer. In the Cherry Hill and [NAME] nourishment refrigerators, food items were found without proper labeling, including snack meal kits and a loaf of cinnamon bread. These deficiencies in food storage, labeling, and sanitation practices had the potential to affect all residents consuming food from the kitchen, increasing the risk of food-borne illness. The facility's failure to adhere to professional standards and FDA Food Code regulations was evident in multiple areas of food handling and storage.
Failure to Assess Self-Administration of Medication
Penalty
Summary
The facility failed to complete an assessment for the self-administration of medication for one resident, resulting in the potential for inappropriate medication administration. On 6/11/24, a resident was observed self-administering a pain lotion without a physician's order. The resident, who had a prescription for diclofenac sodium topical gel 1% to be applied three times a day, was found applying the medication himself. The Licensed Practical Nurse (LPN) acknowledged that the resident did not have a physician's order to self-administer the medication and admitted that it was not appropriate for the resident to do so without such an order. The resident's clinical record showed an initial admission and a readmission with diagnoses including diabetes mellitus-type 2, peripheral vascular disease, and acquired absence of left toe(s). The resident had moderate cognitive impairment, and there was no care plan for self-administration of medication in the clinical record. The facility's policy required a self-administration evaluation and a physician's authorization, neither of which were completed. The Director of Nursing (DON) confirmed that the nurse should have applied the medicated cream according to the physician's order. No additional documentation or information was provided during the exit conference.
Failure to Notify Physician of Acute Change in Condition
Penalty
Summary
The facility failed to notify the physician of an acute change in condition for a resident (R152). The resident, who had diagnoses including chronic obstructive pulmonary disease, major depressive disorder, anxiety disorder, hypertension, congestive heart failure, and gastro-esophageal reflux disease, was documented to have intact cognition. On a specific date, the resident refused food and medications in the morning and requested to go to the hospital due to stomach pain. The resident's 9:00 AM medications, which included several critical drugs for depression, CHF, hypertension, and other conditions, were refused. An eINTERACT Change in Condition Evaluation documented signs of abdominal pain, altered mental status, and labored breathing, but it was noted that the primary care clinician was not notified of these changes or the resident's request to go to the hospital. The Director of Nursing (DON) acknowledged that the physician should have been informed of the resident's acute condition and medication refusal. The facility's policy on Notification of Change mandates informing the resident and consulting with the resident's practitioner when there is a change in status, including decisions to transfer or discharge the resident. However, there were no nursing progress notes generated on the day before the incident, and the DON confirmed that the physician was not notified as required. During the exit conference, the Nursing Home Administrator and DON did not provide additional documentation or information when asked.
Failure to Administer Transdermal Patches Correctly
Penalty
Summary
The facility failed to administer a transdermal patch in accordance with the manufacturer's guidelines and physician's orders for two residents. For the first resident, the Lidoderm patch was applied to the wrong hip, contrary to the physician's order specifying the right hip. This error was identified during a medication pass when the resident reported the patch was not applied correctly the previous day. The LPN confirmed the mistake and corrected it by placing a new patch on the correct hip. The Director of Nursing (DON) acknowledged that the patches should have been applied as ordered by the physician. For the second resident, the Lidoderm patches were not removed and applied at the correct times as per the manufacturer's instructions and physician's orders. The patches were supposed to be removed after twelve hours but were left on for almost twenty-four hours. This discrepancy was discovered during a medication pass when the LPN reviewed the Medication Administration Record (MAR) and confirmed the incorrect documentation of removal and application times. The Unit Manager/LPN and the DON both confirmed that the patches should have been removed and applied as per the twelve-hour schedule.
Failure to Provide Audiology Services
Penalty
Summary
The facility failed to provide audiology services for a resident (R65) with documented hearing concerns. On observation, R65 was unable to hear properly and did not have any hearing aids. The resident's medical record indicated a diagnosis of unspecified bilateral hearing loss and a cochlear implant status. The care plan included a goal to maintain communication through hearing devices and an intervention to refer the resident to audiology services. However, there were no audiology consults or physician's orders for such a consult in the medical record. Interviews with the Social Worker and the Director of Nursing revealed that the referral process for audiology services was not completed for R65. The Social Worker admitted that the previous Social Worker had left in April, and as a result, R65 was not referred to the audiologist. The Director of Nursing confirmed that the Social Worker is responsible for facilitating these services and agreed that R65 should have been referred. The facility's policy on referrals to outside providers was reviewed and indicated that referrals should be made to meet the resident's needs, but this was not followed in R65's case.
Failure to Document Wound Treatments
Penalty
Summary
The facility failed to ensure wound treatments were consistently documented per physician orders and nursing standards of practice for one resident (R3) with severe cognitive impairment and multiple diagnoses, including schizophrenia, epilepsy, cerebral infarction, and hemiplegia. The clinical record review revealed that wound care for R3 was not documented on the Treatment Administration Records (TAR) on multiple occasions, despite physician orders specifying the required treatments. The missing documentation included treatments for wounds on the left great toe, under the left arm, inside the palm of the left hand, and on the buttocks. The Director of Nursing (DON) confirmed that the nurses should have documented the treatments on the TAR, even if the resident refused the treatment. The facility's policy titled 'Documentation Expectations' required that events be charted as they occur and maintained in chronological order, with nurse initials, omissions, or other documentation relating to the administering of a medication/treatment to be documented in an electronic format. However, the review of the TARs showed numerous instances where wound care was not documented, indicating a failure to adhere to the facility's documentation policy. During the exit conference, the Nursing Home Administrator and DON did not provide additional documentation or information when asked.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Optalis Health And Rehabilitation Of Canton | 4.3 mi | ★★★★★ | 41 | 1 |
| Cherry Hill For Nursing And Rehabilitation | 4.3 mi | ★★★★★ | 13 | 0 |
| Special Tree Neurocare Center | 5 mi | ★★★★★ | 0 | 0 |
| Regency At Westland | 5.2 mi | ★★★★★ | 10 | 0 |
| Villa At Willow Place | 5.4 mi | ★★★★★ | 19 | 0 |
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