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Deficiency Records for Regency Albany
A list of the most recent deficiencies for Regency Albany. 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 Albany. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-05-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-13 | 2020-01-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-13 | 2020-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-13 | 2020-01-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-13 | 2020-01-27 | 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 | 2019-12-13 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-01-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Meet other general requirements. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-11 | 2020-01-27 | 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 | 2019-12-11 | 2020-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-11 | 2020-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-01 | 2018-06-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-01 | 2018-06-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-01 | 2018-06-14 | 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 | 2018-05-01 | 2018-06-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-01 | 2018-06-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-01 | 2018-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-01 | 2018-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-01 | 2018-06-14 | 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 | 2018-05-01 | 2018-06-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-01 | 2018-06-14 | 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 | 2018-05-01 | 2018-06-14 | 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 | 2018-05-01 | 2018-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-01 | 2018-06-14 | 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 | 2018-05-01 | 2018-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-01 | 2018-06-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-01 | 2018-06-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-01 | 2018-06-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-27 | 2018-06-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-27 | 2018-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-27 | 2018-06-14 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-10 | 2017-05-09 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-03-10 | 2017-05-09 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-10 | 2017-05-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-10 | 2017-05-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-10 | 2017-05-09 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-10 | 2017-05-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-10 | 2017-05-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-10 | 2017-05-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-22 | 2017-04-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-22 | 2017-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-22 | 2017-04-25 | N |
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