Deficiency Records for Regency Heritage Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Regency Heritage 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 safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-25 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-25 | 2022-03-25 | 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 | 2022-01-25 | 2022-03-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-05 | 2021-11-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-05 | 2021-11-05 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-10-05 | 2021-11-05 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-01-16 | 2020-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-16 | 2020-02-16 | 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 necessary and PRN use is limited. | Health | 2020-01-16 | 2020-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-16 | 2020-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-16 | 2020-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-16 | 2020-02-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-24 | 2019-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-24 | 2019-02-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-24 | 2019-02-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-24 | 2019-02-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-02-22 | N |
