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Deficiency Records for Regency at Chene
A list of the most recent deficiencies for Regency at Chene. 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 at Chene. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-19 | 2024-05-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-19 | 2024-05-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-19 | 2024-05-17 | 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 | 2024-04-19 | 2024-05-17 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-04-19 | 2024-05-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-19 | 2024-05-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-05-17 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-19 | 2024-05-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-19 | 2024-05-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-17 | N |
Dispose of garbage and refuse properly. | Health | 2024-04-19 | 2024-05-17 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-17 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-19 | 2024-05-17 | Y |
Establish policies and procedures including evacuation. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-17 | 2024-02-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-11-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-11-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-13 | 2023-03-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-13 | 2023-03-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-07 | Y |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-02-13 | 2023-03-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-13 | 2023-03-07 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-08-15 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-21 | 2022-08-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-07 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-09 | 2022-01-21 | 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 | 2021-12-08 | 2022-01-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-29 | 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 | 2021-12-09 | 2021-12-29 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-09 | 2021-12-29 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-09 | 2021-12-29 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2021-12-29 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-09 | 2021-12-29 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-08 | 2021-12-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-18 | 2021-11-10 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-10-18 | 2021-11-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-18 | 2021-11-10 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-18 | 2021-11-10 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-18 | 2021-11-10 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-18 | 2021-11-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-18 | 2021-11-10 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-18 | 2021-11-10 | Y |
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