A list of the most recent deficiencies for Regalcare at Worcester. 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 that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-04 | 2024-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-04 | 2024-02-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-04 | 2024-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-04 | 2024-02-02 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-04 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-14 | 2022-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-14 | 2022-09-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-14 | 2022-09-12 | 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 | 2022-06-14 | 2022-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-14 | 2022-08-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Develop a communication plan. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-14 | 2022-07-29 | 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 | 2022-06-14 | 2022-07-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-18 | 2022-07-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-07 | 2022-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-07 | 2022-07-13 | N |
| Provide appropriate foot care. | Health | 2022-06-07 | 2022-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-13 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-07 | 2022-07-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-06-07 | 2022-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-07 | 2022-07-13 | N |
| Report COVID19 data to residents and families. | Health | 2022-06-07 | 2022-07-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-07 | 2022-07-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-12 | 2021-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-12 | 2021-11-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-23 | 2021-11-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-23 | 2021-11-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-23 | 2021-11-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-23 | 2021-11-12 | 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 | 2021-09-23 | 2021-11-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-23 | 2021-11-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-23 | 2021-11-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-23 | 2021-11-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-08 | 2021-10-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-07 | 2021-06-24 | 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 | 2021-05-07 | 2021-06-24 | 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 | 2021-05-07 | 2021-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-06-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-07 | 2021-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-07 | 2021-06-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-07 | 2021-06-15 | N |
| 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 | 2021-05-07 | 2021-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-07 | 2021-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-07 | 2021-06-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-07 | 2021-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-07 | 2021-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-07 | 2021-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-07 | 2021-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-15 | N |
| 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 | 2021-05-07 | 2021-06-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-07 | 2021-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-07 | 2021-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-07 | 2021-06-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-05-07 | 2021-06-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-07 | 2021-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-15 | N |
| Report COVID19 data to residents and families. | Health | 2021-05-07 | 2021-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-06-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-06-03 | Y |
