Deficiency Records for Regalcare at Harwich
Updated as of July 01, 2022
This is not the most recent data for Regalcare at Harwich. For the most recent information, click here.
A list of the most recent deficiencies for Regalcare at Harwich. 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? |
---|---|---|---|---|
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-18 | 2022-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-13 | 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 | 2022-03-18 | 2022-04-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-18 | 2022-04-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-26 | 2021-02-02 | N |
Report COVID19 data to residents and families. | Health | 2021-01-08 | 2021-01-29 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2020-12-04 | N |
Perform COVID19 testing on residents and staff. | Health | 2020-10-29 | 2020-12-04 | N |
Provide and implement an infection prevention and control program. | Health | 2020-08-11 | 2020-09-16 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-19 | 2020-03-27 | 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 | 2020-02-19 | 2020-03-27 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-08 | 2020-02-21 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-08 | 2020-02-21 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-08 | 2020-02-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-08 | 2020-02-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-02-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-02-21 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-08 | 2020-02-21 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-08 | 2020-02-21 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-12-19 | 2019-02-02 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-12-19 | 2019-02-02 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-15 | 2019-01-11 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-15 | 2019-01-11 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-11-15 | 2019-01-11 | 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 | 2018-11-15 | 2019-01-11 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2019-01-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2019-01-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-15 | 2019-01-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2019-01-11 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-15 | 2019-01-11 | 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 | 2018-11-15 | 2019-01-11 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-15 | 2019-01-11 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-11-15 | 2019-01-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2019-01-11 | 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 | 2018-11-15 | 2019-01-11 | N |
Have policies on smoking. | Health | 2018-11-15 | 2019-01-11 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-11-15 | 2019-01-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-19 | 2018-12-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-23 | 2017-09-06 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-23 | 2017-09-06 | N |
Provide housekeeping and maintenance services. | Health | 2017-07-12 | 2017-07-31 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-12 | 2017-07-31 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-12 | 2017-07-31 | 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 | 2017-07-12 | 2017-07-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-07-12 | 2017-07-31 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-12 | 2017-07-31 | N |