A list of the most recent deficiencies for Regina Senior Living. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-23 | 2024-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-25 | 2024-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-25 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-25 | 2024-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-23 | 2024-02-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-23 | 2024-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-23 | 2024-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-23 | 2024-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-23 | 2024-02-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-23 | 2024-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-01-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-06 | 2023-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-06 | 2023-11-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-11-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-09-01 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-11 | 2022-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-12 | 2022-11-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-12 | 2022-11-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-12 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-28 | 2021-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-28 | 2021-09-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-29 | 2021-09-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-29 | 2021-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-09-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-28 | 2021-07-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-28 | 2021-07-29 | N |
