Deficiency Records for Regency Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Regency Health 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-20 | 2023-12-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-20 | 2023-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-20 | 2023-12-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-15 | 2021-08-23 | 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 | 2021-07-15 | 2021-08-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-07-15 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-15 | 2021-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-23 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-15 | 2021-08-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-15 | 2021-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-22 | 2021-07-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-07-22 | 2021-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-04 | 2019-01-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-04 | 2019-01-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-01 | 2018-12-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-11-01 | 2018-12-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-01 | 2018-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-01 | 2018-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-12 | 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 | 2018-11-01 | 2018-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-15 | 2018-01-18 | 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 | 2017-08-15 | 2017-10-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-08-15 | 2017-10-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-10 | 2017-09-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-10 | 2017-09-20 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-08-10 | 2017-09-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-10 | 2017-09-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-10 | 2017-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-10 | 2017-09-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-10 | 2017-09-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-10 | 2017-09-20 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-08-10 | 2017-09-20 | N |
