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Deficiency Records for Regency Care

A list of the most recent deficiencies for Regency Care. 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 Care. 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 2024-09-25 2024-09-26 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-03-28 2024-04-11 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-03-28 2024-04-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-28 2024-04-11 N
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 2024-03-28 2024-04-10 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-03-28 2024-04-10 N
Provide and implement an infection prevention and control program. Health 2024-03-28 2024-04-10 N
Establish staff and initial training requirements. Fire Safety 2024-03-26 2024-03-29 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 2024-03-26 2024-03-26 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-29 2024-03-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-14 2023-11-28 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-14 2023-11-28 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-08-03 2023-08-09 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-04 2023-06-02 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-04 2023-05-18 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-05-04 2023-05-18 N
Develop a communication plan. Fire Safety 2023-05-04 2023-05-18 N
Establish emergency prep training and testing. Fire Safety 2023-05-04 2023-05-18 N
Establish staff and initial training requirements. Fire Safety 2023-05-04 2023-05-18 N
Conduct testing and exercise requirements. Fire Safety 2023-05-04 2023-05-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-04 2023-05-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-20 2023-05-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-20 2023-05-11 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-20 2023-05-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-04-20 2023-05-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-20 2023-05-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-20 2023-05-11 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 2023-05-04 2023-05-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-04 2023-05-11 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-04 2023-05-11 N
Have exits that are accessible at all times. Fire Safety 2023-05-04 2023-05-10 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2023-05-04 2023-05-10 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-02-16 2023-03-06 Y
Provide and implement an infection prevention and control program. Health 2023-02-16 2023-03-06 Y
Perform COVID19 testing on residents and staff. Health 2023-02-16 2023-03-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-11 2022-09-09 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-06 2022-05-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-05-06 2022-05-09 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-05-06 2022-05-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-06 2022-05-06 N
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 2022-03-31 2022-04-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-03-31 2022-04-15 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-03-31 2022-04-15 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 2022-03-31 2022-04-15 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-03-31 2022-04-15 N
Provide and implement an infection prevention and control program. Health 2022-03-31 2022-04-15 N

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