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Deficiency Records for Regency House of Alexandria
A list of the most recent deficiencies for Regency House of Alexandria. 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 House of Alexandria. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-09-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-11 | 2024-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-15 | 2024-03-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-22 | 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 | 2024-02-15 | 2024-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-15 | 2024-03-22 | 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 | 2024-02-15 | 2024-03-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-15 | 2024-03-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-15 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-07 | 2023-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-07 | 2023-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-06 | 2022-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-06 | 2022-01-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-06 | 2022-01-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-01-06 | 2022-01-31 | 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 | 2022-01-06 | 2022-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-06 | 2022-01-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-06 | 2022-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-06 | 2022-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-01-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-01-06 | 2022-01-31 | N |
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