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Deficiency Records for Regency Oaks Health Center

A list of the most recent deficiencies for Regency Oaks Health 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 Oaks Health 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?
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-12-02 2023-01-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-02 2023-01-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-02 2023-01-01 N
Respond appropriately to all alleged violations. Health 2022-12-02 2023-01-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-02 2023-01-01 N
Provide care or services that was trauma informed and/or culturally competent. Health 2022-12-02 2023-01-01 N
Ensure medication error rates are not 5 percent or greater. Health 2022-12-02 2023-01-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-02 2023-01-01 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-12-02 2023-01-01 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-29 2023-01-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-29 2023-01-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-29 2023-01-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-04 2021-07-04 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-04 2021-07-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-04 2021-07-04 N
Keep all essential equipment working safely. Health 2021-06-04 2021-07-04 N
Provide properly protected cooking facilities. Fire Safety 2021-06-02 2021-07-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-02 2021-07-04 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-02 2021-07-04 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-09-05 2019-10-31 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2019-09-05 2019-10-31 N
Address subsistence needs for staff and patients. Fire Safety 2019-09-05 2019-10-31 N
Develop a communication plan. Fire Safety 2019-09-05 2019-10-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-05 2019-10-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-05 2019-10-31 N
Install an approved automatic sprinkler system. Fire Safety 2019-09-05 2019-10-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-05 2019-10-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-09-05 2019-10-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-09-05 2019-10-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-05 2019-10-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-09-05 2019-10-31 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-05 2019-10-31 N
Provide and implement an infection prevention and control program. Health 2019-09-06 2019-09-10 N

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