A list of the most recent deficiencies for Regency Oaks Health 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-02 | 2023-01-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2023-01-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-02 | 2023-01-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2023-01-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-02 | 2023-01-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2022-12-02 | 2023-01-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-02 | 2023-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2023-01-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-02 | 2023-01-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-04 | 2021-07-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-04 | 2021-07-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-07-04 | N |
| Keep all essential equipment working safely. | Health | 2021-06-04 | 2021-07-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-02 | 2021-07-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-02 | 2021-07-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-02 | 2021-07-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Develop a communication plan. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-05 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-09-10 | N |
