Cape Regency Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Cape Regency Rehabilitation & Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF692Sep 22, 2022

  Based on observation, interviews, record review, and policy review, the facility failed to ensure staff identified, addressed, and monitored significant weight changes for two Residents (#106 and #65) with unplanned, significant weight changes, out of a total sample of 25 residents. In addition, the facility failed to weigh residents according to physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Specifically, the facility failed 1. For Resident #106, to ensure the Resident was weighed upon admission and weekly as ordered and implement nutrition recommendations timely to prevent weight loss. 2. […]

• No harm, potential for more than minimal, widespreadF908May 20, 2025

  Based on observation and interview, the facility failed to ensure mechanical equipment in the main kitchen was maintained in safe operating condition, specifically (a) the plate warmer cart and (b) the walk-in freezer in the main kitchen. Findings include: Review of the 2022 Food Code by the Food and Drug Administration (FDA), revised 1/2023, indicated but was not limited to the following: 4-5 Maintenance and Operation 4-501 Equipment 4-501.11 Good Repair and Proper Adjustment. (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. (B) EQUIPMENT components such as doors, seals, hinges, fasteners, and kick plates shall be kept intact, tight, and adjusted in accordance with manufacturer's specifications. […]

• No harm, potential for more than minimal, widespreadF880Apr 1, 2024

  Based on observation, interview, and policy review, the facility failed to: 1. Maintain an infection prevention and control program which included a complete and accurate system of surveillance to identify any trends or potential infections; 2. Ensure staff performed hand hygiene in between each resident during a medication pass and did not touch the medications with their bare hands; 3. Ensure staff performed hand hygiene in between glove changes during a dressing change treatment for Resident #257; and 4. Ensure transmission based precautions (TBP) were implemented according to Centers for Disease Control and Prevention (CDC) guidance for Resident #21. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Sep 22, 2022

  Based on observation, record review, and staff interview, the facility failed to ensure that food is stored, prepared, and distributed in accordance with professional standards. Specifically, the facility failed to: 1.) Ensure that food was stored, prepared, and distributed under sanitary conditions; and 2.) Ensure three unit kitchenette refrigerators were maintained in a sanitary manner to store food and fluid. Findings include: 1. On 9/19/22 at 8:15 A.M., the surveyor observed the following sanitation concerns in the kitchen: *Walk-in freezer had two large containers of frozen vegetables left open and exposed to the air *Diet aide serving breakfast was not wearing a hairnet On 9/21/22 at 8:00 A.M., the surveyor entered the main kitchen and observed breakfast meal service. […]

• No harm, potential for more than minimal, patternF684May 20, 2025

  2. Resident #11 was admitted to the facility in January 2013 with a diagnosis of cirrhosis (scar tissue on the liver). Review of the medical record indicated Resident #11 developed an arterial ulcer (disruption or blockage of the arterial blood flow to an area which causes tissue to die) to the lateral (outside) of the left foot on 3/7/25. Review of the medical record indicated an order for the following treatment was initiated on 3/8/25: -cleanse with Vashe wash (wound cleanser), pat dry, apply Iodosorb gel (an antimicrobial ointment), apply a dry protective dressing followed by a kling (gauze) wrap. […]