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Deficiency Records for Regency Nursing and Rehabilitation Center
A list of the most recent deficiencies for Regency Nursing and Rehabilitation 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 Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-02 | 2024-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-02 | 2024-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-02 | 2024-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-02 | 2023-01-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-23 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2020-01-02 | 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 | 2019-08-23 | 2020-01-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-08-23 | 2020-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-23 | 2020-01-02 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-08-23 | 2020-01-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-23 | 2020-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-08 | 2019-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-23 | 2019-10-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-23 | 2019-10-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-23 | 2019-10-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-23 | 2019-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-23 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-23 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-10-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-23 | 2019-10-16 | 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 | 2018-05-24 | 2018-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-06-19 | 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 | 2018-05-24 | 2018-06-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-24 | 2018-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-24 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-23 | 2018-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-23 | 2018-06-19 | N |
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