A list of the most recent deficiencies for Regency at Northpointe. 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 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 | 2023-11-03 | 2023-12-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-28 | 2023-05-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-25 | 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 | 2023-04-20 | 2023-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-20 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-20 | 2023-05-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-20 | 2023-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-20 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-03-03 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-22 | 2019-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-22 | 2019-12-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-11 | 2019-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-11 | 2019-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-11 | 2019-02-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-01-11 | 2019-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-11 | 2019-01-23 | N |
