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Deficiency Records for Regency Care Center at Monroe
A list of the most recent deficiencies for Regency Care Center at Monroe. 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 Care Center at Monroe. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-26 | 2024-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | 2024-03-26 | 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 | 2024-02-26 | 2024-03-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-26 | 2024-03-26 | 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 | 2024-02-26 | 2024-03-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-26 | 2024-03-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-26 | 2024-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | 2024-03-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-26 | 2024-03-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Develop a communication plan. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-20 | 2024-01-11 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-21 | 2023-10-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-04 | 2022-11-08 | 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 | 2022-10-04 | 2022-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-04 | 2022-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-04 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-04 | 2022-11-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-04 | 2022-11-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-28 | 2022-10-21 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-09-28 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-28 | 2022-10-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-26 | 2020-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-26 | 2020-01-07 | 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 | 2019-11-26 | 2020-01-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-26 | 2020-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-12-13 | N |
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