A list of the most recent deficiencies for Regency at Waterford. 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-27 | 2023-08-22 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-27 | 2023-08-22 | Y |
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 | 2023-07-27 | 2023-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-08-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-08-22 | Y |
Provide activities to meet all resident's needs. | Health | 2023-07-27 | 2023-08-22 | Y |
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 | 2023-07-27 | 2023-08-22 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-27 | 2023-08-22 | 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 | 2023-07-27 | 2023-08-22 | Y |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-28 | 2023-08-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-27 | 2023-07-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-07 | 2023-06-20 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-04-09 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-15 | 2023-04-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-09 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-15 | 2023-04-09 | Y |
Post nurse staffing information every day. | Health | 2023-03-15 | 2023-04-09 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-15 | 2023-04-09 | Y |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-03-15 | 2023-04-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2022-10-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-08 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-09-08 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-29 | 2022-09-08 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-29 | 2022-09-08 | Y |
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 | 2022-06-29 | 2022-07-28 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-29 | 2022-07-28 | N |
Provide or obtain dental services for each resident. | Health | 2022-06-29 | 2022-07-28 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-29 | 2022-07-28 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-29 | 2022-07-28 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-29 | 2022-07-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-07-28 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-29 | 2022-07-28 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-28 | 2022-07-28 | 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 | 2022-06-28 | 2022-07-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-06-29 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-29 | 2022-04-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-11-09 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-06 | 2021-11-02 | Y |
Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-06-18 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-16 | 2021-06-18 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-16 | 2021-06-18 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-16 | 2021-05-20 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-04-16 | 2021-05-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-16 | 2021-05-20 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-16 | 2021-05-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-16 | 2021-05-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-16 | 2021-05-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-16 | 2021-05-20 | 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 | 2021-04-16 | 2021-05-20 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-04-16 | 2021-05-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-16 | 2021-05-20 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-04-16 | 2021-05-20 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-16 | 2021-05-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-16 | 2021-05-20 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-19 | 2021-05-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-19 | 2021-05-20 | N |