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Deficiency Records for Regency Care of Silver Spring, LLC
View the most recent health deficiencies and inspection results for Regency Care of Silver Spring, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Regency Care of Silver Spring, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-11 | 2026-04-08 | 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 | 2026-03-11 | 2026-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-11 | 2026-04-08 | 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 | 2026-03-11 | 2026-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-11 | 2026-04-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-11 | 2026-04-08 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2026-03-11 | 2026-04-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-17 | 2025-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-17 | 2025-05-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-17 | 2025-05-14 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-04-17 | 2025-05-14 | N |
| Post nurse staffing information every day. | Health | 2025-04-17 | 2025-05-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-17 | 2025-05-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-04-17 | 2025-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-05-14 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-04-17 | 2025-05-14 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-04-17 | 2025-05-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-04-17 | 2025-05-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-04-17 | 2025-05-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-17 | 2025-05-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-17 | 2025-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-17 | 2025-05-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-17 | 2025-05-14 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-17 | 2025-05-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-17 | 2025-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-17 | 2025-05-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-04-17 | 2025-05-14 | 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 | 2025-04-17 | 2025-05-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-03-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-26 | 2021-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-26 | 2021-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-26 | 2021-03-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-02-26 | 2021-03-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-02-26 | 2021-03-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-18 | 2019-07-12 | 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 | 2019-06-18 | 2019-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-18 | 2019-07-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-18 | 2019-07-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-18 | 2019-07-12 | 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 | 2019-06-18 | 2019-07-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-18 | 2019-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-18 | 2019-07-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-18 | 2019-07-12 | 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 | 2019-06-18 | 2019-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-18 | 2019-07-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-06-18 | 2019-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-18 | 2019-07-12 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-06-18 | 2019-07-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-18 | 2019-07-12 | N |