A list of the most recent deficiencies for Regency at Chene. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-11-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-13 | 2023-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-13 | 2023-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-07 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-02-13 | 2023-03-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-13 | 2023-03-07 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-08-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-21 | 2022-08-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-09 | 2022-01-21 | 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 | 2021-12-08 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-29 | 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 | 2021-12-09 | 2021-12-29 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-09 | 2021-12-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-09 | 2021-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2021-12-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-09 | 2021-12-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-18 | 2021-11-10 | Y |
| 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 | 2021-10-18 | 2021-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-18 | 2021-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-18 | 2021-11-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-18 | 2021-11-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-18 | 2021-11-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-18 | 2021-11-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-18 | 2021-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-10 | 2021-03-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-10 | 2021-03-25 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-09-03 | 2020-10-09 | N |
