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Deficiency Records for Regina Health Center
A list of the most recent deficiencies for Regina Health 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 Regina Health 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-06-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-22 | 2024-06-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-22 | 2024-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-21 | 2024-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-11 | 2023-04-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-21 | 2022-05-20 | 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 | 2022-04-20 | 2022-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-25 | 2019-06-07 | 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 | 2019-04-25 | 2019-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-06-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-04-26 | 2019-06-07 | 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 | 2019-04-26 | 2019-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-26 | 2019-06-07 | N |
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