A list of the most recent deficiencies for Regency Care of Central Oregon. 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? |
|---|---|---|---|---|
| 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 | 2023-05-05 | 2023-08-10 | Y |
| 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 | 2023-05-05 | 2023-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-05 | 2023-08-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-05 | 2023-08-10 | 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 | 2023-05-05 | 2023-08-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-05 | 2023-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-05 | 2023-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-05 | 2023-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-05 | 2023-08-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-05 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-08-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-08-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-05 | 2023-08-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-05 | 2023-08-10 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-10 | 2023-05-24 | 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 | 2023-05-10 | 2023-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-10 | 2023-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-10 | 2023-05-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-10 | 2023-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-05-24 | N |
| Post nurse staffing information every day. | Health | 2019-10-17 | 2019-11-21 | 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 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-17 | 2019-11-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-16 | 2019-11-21 | 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 | 2019-10-16 | 2019-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-20 | 2018-04-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-20 | 2018-04-24 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-20 | 2018-04-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-20 | 2018-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-20 | 2018-04-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-20 | 2018-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-20 | 2018-04-24 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-20 | 2018-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-20 | 2018-04-24 | 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 | 2018-03-20 | 2018-04-24 | N |
| Post nurse staffing information every day. | Health | 2018-03-20 | 2018-04-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-20 | 2018-04-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Develop a communication plan. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| 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 | 2018-03-12 | 2018-04-24 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-12 | 2018-04-24 | N |
