CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Regency Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Regency Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Regency Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-16 | 2025-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-16 | 2025-10-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-16 | 2025-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-16 | 2025-08-15 | 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 | 2025-07-16 | 2025-08-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-16 | 2025-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-16 | 2025-08-15 | 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 | 2025-07-16 | 2025-08-15 | 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 | 2025-07-16 | 2025-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-05 | 2025-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-12 | 2025-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-12 | 2025-02-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-12 | 2025-02-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-12 | 2025-02-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-01-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-13 | 2024-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-13 | 2024-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Develop a communication plan. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-13 | 2024-07-11 | 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 | 2024-06-13 | 2024-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-13 | 2024-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-07-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-13 | 2024-07-01 | 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 | 2024-06-13 | 2024-07-01 | 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 | 2024-06-13 | 2024-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-13 | 2024-07-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-13 | 2024-07-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-13 | 2024-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-07-01 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-13 | 2024-07-01 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-13 | 2024-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-01 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2024-06-13 | 2024-07-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-06 | 2024-04-16 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2024-03-06 | 2024-04-16 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-26 | 2023-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-06-01 | 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 | 2023-04-26 | 2023-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Meet other general requirements. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-26 | 2023-06-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-26 | 2023-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-26 | 2023-05-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-26 | 2023-05-26 | 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 | 2023-04-26 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-05-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-26 | 2023-05-26 | N |