Deficiency Records for Regency Canyon Lakes Rehab and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Regency Canyon Lakes Rehab and Nursing 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-07-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-21 | 2023-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-21 | 2023-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-21 | 2023-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-18 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-18 | 2023-05-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-04-18 | 2023-05-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-18 | 2023-05-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-15 | 2021-10-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-15 | 2021-10-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-15 | 2021-10-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-09-15 | 2021-10-27 | 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 | 2021-09-15 | 2021-10-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-15 | 2021-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-09 | 2021-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-09 | 2021-09-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-12-13 | 2020-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-13 | 2020-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-13 | 2020-01-21 | 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 | 2019-12-13 | 2020-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-21 | 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 | 2019-12-13 | 2020-01-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-12-13 | 2020-01-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-13 | 2020-01-21 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-12-13 | 2020-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2019-12-12 | N |
