Deficiency Records for Regency Healthcare and Rehab Center
Updated as of June 01, 2023
This is not the most recent data for Regency Healthcare and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Regency Healthcare and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-06 | 2023-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-06 | 2023-02-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-18 | 2023-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-18 | 2023-01-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-18 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2023-01-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-18 | 2023-01-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-18 | 2023-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-18 | 2023-01-10 | N |
| 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. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-03-15 | 2022-05-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-15 | 2022-05-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-15 | 2022-05-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-15 | 2022-05-03 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-15 | 2022-05-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-15 | 2022-05-03 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-03-15 | 2022-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-15 | 2022-05-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-25 | 2022-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-25 | 2022-03-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-11-09 | 2020-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-20 | 2020-12-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-06 | 2020-05-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-03-06 | 2020-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-06 | 2020-05-06 | N |
| Honor 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. | Health | 2020-03-06 | 2020-05-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-06 | 2020-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-06 | 2020-05-06 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-06 | 2020-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-05-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-03-06 | 2020-05-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-06 | 2020-05-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-06 | 2020-05-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-06 | 2020-05-06 | N |
| 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. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-06 | 2020-05-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-06 | 2020-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-06 | 2020-05-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-05-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-06 | 2020-05-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-03-06 | 2020-05-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-14 | 2019-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-01-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-14 | 2019-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-14 | 2019-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-14 | 2019-01-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-14 | 2019-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-14 | 2019-01-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-12-14 | 2019-01-11 | N |
| Post nurse staffing information every day. | Health | 2018-12-14 | 2019-01-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-12-14 | 2019-01-11 | N |
| 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. | Health | 2018-12-14 | 2019-01-11 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-12-14 | 2019-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2019-01-11 | N |
