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Deficiency Records for Regalcare at Worcester

A list of the most recent deficiencies for Regalcare at Worcester. 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 Regalcare at Worcester. 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?
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-01-04 2024-02-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-04 2024-02-02 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-01-04 2024-02-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-04 2024-02-02 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 2024-01-04 2024-02-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-04 2024-02-02 N
Provide and implement an infection prevention and control program. Health 2024-01-04 2024-02-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-14 2022-09-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-06-14 2022-09-12 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-06-14 2022-09-12 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 2022-06-14 2022-08-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-06-14 2022-08-08 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-06-14 2022-07-29 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-06-14 2022-07-29 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-06-14 2022-07-29 N
Establish policies and procedures including evacuation. Fire Safety 2022-06-14 2022-07-29 N
Establish policies and procedures for volunteers. Fire Safety 2022-06-14 2022-07-29 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-06-14 2022-07-29 N
Develop a communication plan. Fire Safety 2022-06-14 2022-07-29 N
Establish emergency prep training and testing. Fire Safety 2022-06-14 2022-07-29 N
Conduct testing and exercise requirements. Fire Safety 2022-06-14 2022-07-29 N
Implement emergency and standby power systems. Fire Safety 2022-06-14 2022-07-29 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 2022-06-14 2022-07-29 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-06-14 2022-07-29 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-06-14 2022-07-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-14 2022-07-29 N
Provide a written emergency evacuation plan. Fire Safety 2022-06-14 2022-07-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-14 2022-07-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-06-14 2022-07-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-06-14 2022-07-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-14 2022-07-29 N
Perform COVID19 testing on residents and staff. Health 2022-07-18 2022-07-26 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 2022-06-07 2022-07-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-07 2022-07-13 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 2022-06-07 2022-07-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-07 2022-07-13 N
Provide appropriate foot care. Health 2022-06-07 2022-07-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-07 2022-07-13 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-06-07 2022-07-13 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 2022-06-07 2022-07-13 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 2022-06-07 2022-07-13 N
Dispose of garbage and refuse properly. Health 2022-06-07 2022-07-13 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-06-07 2022-07-13 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-07 2022-07-13 N
Report COVID19 data to residents and families. Health 2022-06-07 2022-07-13 N
Perform COVID19 testing on residents and staff. Health 2022-06-07 2022-07-13 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-10-12 2021-11-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-12 2021-11-12 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-07 2021-06-24 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 2021-05-07 2021-06-24 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 2021-05-07 2021-06-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-07 2021-06-24 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-05-07 2021-06-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-05-07 2021-06-15 N
Keep residents' personal and medical records private and confidential. Health 2021-05-07 2021-06-15 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-05-07 2021-06-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-07 2021-06-15 N
Ensure each resident receives an accurate assessment. Health 2021-05-07 2021-06-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-05-07 2021-06-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-07 2021-06-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-07 2021-06-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-05-07 2021-06-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-07 2021-06-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-07 2021-06-15 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 2021-05-07 2021-06-15 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-07 2021-06-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-07 2021-06-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-05-07 2021-06-15 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-05-07 2021-06-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-05-07 2021-06-15 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 2021-05-07 2021-06-15 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 2021-05-07 2021-06-15 N
Ensure that residents are free from significant medication errors. Health 2021-05-07 2021-06-15 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 2021-05-07 2021-06-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-05-07 2021-06-15 N
Provide and implement an infection prevention and control program. Health 2021-05-07 2021-06-15 N
Report COVID19 data to residents and families. Health 2021-05-07 2021-06-15 N

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