Deficiency Records for Regency Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Regency Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-28 | 2021-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-28 | 2021-07-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-11 | 2021-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-11 | 2021-04-08 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-11 | 2021-04-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-23 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2020-01-02 | 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 | 2019-08-23 | 2020-01-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-08-23 | 2020-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-23 | 2020-01-02 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-08-23 | 2020-01-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-23 | 2020-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-08 | 2019-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-23 | 2019-10-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-23 | 2019-10-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-23 | 2019-10-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-23 | 2019-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-23 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-23 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-10-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-23 | 2019-10-16 | 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 | 2018-05-24 | 2018-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-06-19 | 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 | 2018-05-24 | 2018-06-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-24 | 2018-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-24 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-23 | 2018-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-23 | 2018-06-19 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-13 | 2017-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-13 | 2017-05-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-13 | 2017-05-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-13 | 2017-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-13 | 2017-05-05 | 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 | 2017-04-13 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-13 | 2017-05-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-13 | 2017-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-13 | 2017-05-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-04-12 | 2017-05-05 | N |
