Regency at Jackson

CMS abuse icon · CCN 235016 · JACKSON OPCO LLC · For profit - Corporation · CIENA HEALTHCARE/LAUREL HEALTH CARE chain · 82 certified beds · Jackson · MI


Regency at Jackson is a 82-bed nursing home in Jackson, Michigan. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 71.0 residents a day.

What harm was found in the violations cited at Regency at Jackson?

CMS lists 88 health-inspection deficiencies for Regency at Jackson since 2023-02-21, 64 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-05.

Survey dateTagDeficiencySeverity
2026-06-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-06-05F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2026-06-05F0600, F0610, F0628, F0641, F0658, F0745, F0761Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2026-05-28F0585, F0607, F0609, F0610, F0686, F0689, F0690, F0842Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-02-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.L
2026-02-27F0585, F0609, F0610, F0677, F0725Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2026-02-27F0580, F0600, F0628, F0656, F0684, F0883Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2026-01-13F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2026-01-13F0677, F0689, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2025-12-18F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-05-02F0610, F0641, F0657Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-04-16F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2025-04-16F0676, F0686, F0756, F0757, F0758, F0804Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2025-01-29F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-05-17F0686, F0689Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-05-17F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2024-05-17F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-05-17F0600, F0609, F0610, F0656, F0684, F0692, F0757, F0880Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2024-02-15F0622, F0626Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2023-11-21F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2023-08-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-08-14F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2023-02-21F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-02-21F0656, F0680, F0725, F0804, F0921Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure the activities program is directed by a qualified professional. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-02-21F0561, F0609, F0610, F0645, F0655, F0657, F0676, F0679, F0684, F0685, F0687, F0689, F0690, F0692, F0698, F0806, F0880, F0883Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was Regency at Jackson fined?

DateTypeAmount
2023-11-21Fine$15,593

How is Regency at Jackson staffed relative to the MI average?

MeasureThis facilityMI average
Total nurse staffing hours per resident per day2.839953.99072
Average number of residents per day71.085.9

Who owns Regency at Jackson, and what chain is it in?

Regency at Jackson is registered with CMS as For profit - Corporation, operates under the legal business name JACKSON OPCO LLC and belongs to the CIENA HEALTHCARE/LAUREL HEALTH CARE chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYKHAN, ANIS, QAZI, MOHAMMADsince 02/01/2025
OPERATIONAL/MANAGERIAL CONTROLCIENA HEALTHCARE MANAGEMENT INC, KHAN, ANIS, QAZI, MOHAMMADsince 02/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFKHAN, ANISsince 12/05/2025
ADP OF THE SNFCIENA HEALTHCARE MANAGEMENT INC, KHAN, ANIS, QAZI, MOHAMMADsince 02/01/2025

Were you or a family member harmed at Regency at Jackson?