Deficiency Records for Regency Manor Nursing and Rehabilitation Center
Updated as of February 01, 2018
This is not the most recent data for Regency Manor Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Regency Manor Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| 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 | 2017-10-10 | 2018-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-10 | 2017-11-24 | 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 | 2017-10-10 | 2017-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-10 | 2017-11-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-10-10 | 2017-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-10 | 2017-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-10 | 2017-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-10 | 2017-11-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-10 | 2017-11-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-10 | 2017-11-19 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-10-10 | 2017-11-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-10 | 2017-11-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-10 | 2017-11-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-10 | 2017-11-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-06 | 2017-07-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-06 | 2017-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-06 | 2017-07-21 | Y |
| 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 | 2016-12-20 | 2017-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-20 | 2017-02-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-30 | 2017-02-07 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-30 | 2017-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-30 | 2017-02-07 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-12-21 | 2017-01-31 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-12-21 | 2017-01-31 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-21 | 2017-01-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-21 | 2017-01-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-12-21 | 2017-01-31 | N |
| Provide housekeeping and maintenance services. | Health | 2016-12-21 | 2017-01-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-21 | 2017-01-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-21 | 2017-01-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-21 | 2017-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-21 | 2017-01-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-21 | 2017-01-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-21 | 2017-01-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-21 | 2017-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-21 | 2017-01-31 | N |
| Keep all essential equipment working safely. | Health | 2016-12-21 | 2017-01-31 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-12-21 | 2017-01-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-07 | 2016-10-07 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-07 | 2016-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-07 | 2016-10-07 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-27 | 2016-08-01 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-27 | 2016-06-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-27 | 2016-06-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-27 | 2016-06-30 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-27 | 2016-05-04 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-27 | 2016-05-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-02-02 | 2016-02-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-02 | 2016-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-02 | 2016-02-26 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-02 | 2016-02-26 | 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 | 2016-02-02 | 2016-02-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-02 | 2016-02-26 | N |
