A list of the most recent deficiencies for Regency Care of Copley. 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? |
|---|---|---|---|---|
| Have proper power supply for life support equipment. | Fire Safety | 2022-10-04 | 2023-10-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-07-11 | 2023-07-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-10-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-07 | 2022-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-07 | 2022-10-31 | 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 | 2022-10-07 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-10-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-07 | 2022-10-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-04 | 2022-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-04 | 2022-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-04 | 2022-10-31 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-10-17 | 2019-12-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-17 | 2019-12-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-17 | 2019-12-13 | 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 | 2019-10-17 | 2019-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-17 | 2019-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-17 | 2019-12-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-17 | 2019-12-13 | 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 | 2019-10-17 | 2019-12-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-17 | 2019-12-13 | 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 | 2019-10-17 | 2019-12-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-17 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-17 | 2019-12-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-17 | 2019-12-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-17 | 2019-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| 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 | 2018-09-20 | 2018-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-10-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-20 | 2018-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-20 | 2018-10-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-20 | 2018-10-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-17 | 2018-10-09 | N |
| 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 | 2018-09-17 | 2018-10-09 | 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 | 2018-09-17 | 2018-10-09 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-09-17 | 2018-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-17 | 2018-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-17 | 2018-10-09 | N |
