Deficiency Records for Regency Park Nursing and Rehab Center of Jefferson
Updated as of March 01, 2024
A list of the most recent deficiencies for Regency Park Nursing and Rehab Center of Jefferson. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-01-11 | Y |
| 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 | 2024-01-11 | 2024-01-11 | Y |
| 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 | 2023-11-13 | 2023-12-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-13 | 2023-12-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-13 | 2023-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-13 | 2023-12-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-13 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-13 | 2023-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-13 | 2023-12-13 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-16 | 2023-11-16 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-07-10 | 2023-08-07 | 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 | 2022-10-27 | 2022-11-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-01 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-01 | 2022-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-01 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-01 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-01 | 2022-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-20 | Y |
| Honor 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. | Health | 2021-05-26 | 2021-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-02 | 2021-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-02 | 2021-06-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-02 | 2021-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-02 | 2021-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-02 | 2021-06-03 | N |
