A list of the most recent deficiencies for Regency Care Center at Monroe. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-20 | 2024-01-11 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-21 | 2023-10-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-04 | 2022-11-08 | 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 | 2022-10-04 | 2022-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-04 | 2022-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-04 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-04 | 2022-11-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-04 | 2022-11-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-28 | 2022-10-21 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-09-28 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-28 | 2022-10-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-26 | 2020-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-26 | 2020-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-02 | 2018-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-02 | 2018-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-02 | 2018-11-06 | 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 | 2018-10-02 | 2018-11-06 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-02 | 2018-11-06 | 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 | 2018-10-02 | 2018-11-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-02 | 2018-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-02 | 2018-11-06 | 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 | 2018-10-02 | 2018-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-02 | 2018-11-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-02 | 2018-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-10-22 | N |
