Deficiency Records for Regency Healthcare and Rehab Center
Updated as of August 01, 2020
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-05-06 | Y |
| 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 |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-21 | 2017-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-21 | 2017-10-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-21 | 2017-10-23 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-09-21 | 2017-10-23 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-21 | 2017-10-23 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-21 | 2017-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-21 | 2017-10-23 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-21 | 2017-10-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-21 | 2017-10-23 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-09-21 | 2017-10-23 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-09-21 | 2017-10-23 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-21 | 2017-10-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-21 | 2017-10-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-21 | 2017-10-23 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-09-20 | 2016-10-27 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2016-09-20 | 2016-10-27 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-09-20 | 2016-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-20 | 2016-10-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-22 | 2016-10-26 | N |
