Deficiency Records for Regency Park Nursing and Rehab Center of Jefferson
Updated as of March 01, 2019
This is not the most recent data for Regency Park Nursing and Rehab Center of Jefferson. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-15 | 2018-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-11-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-11-15 | 2018-11-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-04 | 2018-10-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-26 | 2018-05-25 | 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 | 2018-04-26 | 2018-05-25 | 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 ne | Health | 2018-04-26 | 2018-05-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-04-26 | 2018-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-05-25 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-04-30 | 2018-05-08 | N |
| 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 | 2017-02-16 | 2017-03-10 | N |
| 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 | 2017-02-16 | 2017-03-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-16 | 2017-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-23 | 2017-02-27 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-12-30 | 2017-01-02 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-14 | 2016-10-07 | Y |
| 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 | 2016-07-14 | 2016-08-19 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-07-14 | 2016-08-19 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-14 | 2016-08-19 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-14 | 2016-08-19 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Doors of sufficient width and proper construction in smoke barriers. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-22 | 2016-03-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-18 | 2016-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-18 | 2016-03-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-18 | 2016-03-19 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-18 | 2016-03-19 | N |
| 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 | 2016-02-18 | 2016-03-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-18 | 2016-03-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-18 | 2016-03-19 | N |
