Deficiency Records for Regency Manor Nursing and Rehabilitation Center
Updated as of March 01, 2020
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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-14 | 2019-12-20 | N |
| Be properly staffed | Fire Safety | 2019-11-14 | 2019-12-20 | 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 | 2019-11-13 | 2019-12-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-13 | 2019-12-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-13 | 2019-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-13 | 2019-12-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-13 | 2019-12-16 | 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 ne | Health | 2019-11-13 | 2019-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-13 | 2019-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-13 | 2019-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-07 | 2019-10-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-01-10 | 2019-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-10 | 2019-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-10 | 2019-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-04-03 | N |
| Be properly staffed | Fire Safety | 2019-01-10 | 2019-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-10 | 2019-03-08 | N |
| 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 | 2019-01-08 | 2019-02-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-08 | 2019-02-04 | 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 | 2019-01-08 | 2019-02-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-08 | 2019-02-04 | 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 | 2019-01-08 | 2019-02-04 | 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 ne | Health | 2019-01-08 | 2019-02-04 | 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 | 2019-01-08 | 2019-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-08 | 2019-02-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-07 | 2018-12-28 | 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 | 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 |
