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Deficiency Records for Regency Healthcare and Rehab Center

A list of the most recent deficiencies for Regency Healthcare and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Regency Healthcare and Rehab 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-17 2024-08-07 N
Ensure each resident receives an accurate assessment. Health 2024-07-17 2024-08-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-15 2024-01-23 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-12-15 2024-01-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-12-15 2024-01-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-15 2024-01-23 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 2023-12-15 2024-01-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-15 2024-01-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-15 2024-01-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-15 2024-01-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-15 2024-01-23 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 2023-12-15 2024-01-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-15 2023-12-15 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-12-15 2023-12-15 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-05-16 2023-06-29 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-05-16 2023-06-29 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-16 2023-06-29 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 2023-05-16 2023-06-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-16 2023-06-29 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 2023-05-16 2023-06-29 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-05-16 2023-06-29 N
Assist a resident in gaining access to vision and hearing services. Health 2023-05-16 2023-06-29 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-05-16 2023-06-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-16 2023-06-29 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-05-16 2023-06-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-16 2023-06-29 N
Ensure that residents are free from significant medication errors. Health 2023-05-16 2023-06-29 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-05-16 2023-06-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-16 2023-06-29 N
Provide and implement an infection prevention and control program. Health 2023-05-16 2023-06-29 N
Implement a program that monitors antibiotic use. Health 2023-05-16 2023-06-29 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-05-16 2023-06-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-18 2023-01-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-18 2023-01-10 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 2022-11-18 2023-01-10 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-18 2023-01-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-18 2023-01-10 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-11-18 2023-01-10 Y
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2022-03-15 2022-05-03 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-15 2022-05-03 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-15 2022-05-03 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-15 2022-05-03 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-03-15 2022-05-03 Y
Ensure that residents are free from significant medication errors. Health 2022-03-15 2022-05-03 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-03-15 2022-05-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-15 2022-05-03 Y
Ensure each resident receives an accurate assessment. Health 2022-01-25 2022-03-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-25 2022-03-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-25 2022-03-10 Y

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