A list of the most recent deficiencies for The Palm at Regency Square. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-01 | 2023-11-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-11-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-01 | 2023-11-28 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-11 | 2023-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-11 | 2023-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-11 | 2023-06-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-11 | 2023-06-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-11 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-11 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-11 | 2023-06-30 | 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 | 2023-05-09 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-06-30 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-05-09 | 2023-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-03-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-09 | 2022-03-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-09 | 2022-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-09 | 2022-03-04 | 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 | 2022-02-09 | 2022-03-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-09 | 2022-03-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-09 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-02-09 | 2022-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-03-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-08 | 2022-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-14 | 2021-08-05 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-14 | 2021-08-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-14 | 2021-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-08-13 | 2020-09-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-10 | 2020-09-25 | N |
