Complete Care at Regent LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Regent LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 3, 2025

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: 1. On [DATE] at 9:16 AM, the surveyor, in the presence of the Food Service Director (FSD) observed the following during the initial kitchen tour: On a shelf in a refrigerator, there was an opened pack of shredded mozzarella cheese. The pack had an open date of [DATE] and a use by date of [DATE]. The FSD stated that the pack of cheese should not be there and took it out to be discarded. […]

• No harm, potential for more than minimal, widespreadF919Feb 3, 2025

  Based on observation and interview on 1/27/2025 in the presence of the Director of Maintenance (DM), it was determined that the facility failed to ensure that the devices used to identify call bell notifications were functioning properly. This deficient practice had the potential to affect all residents and was evidenced by the following: An observation at 1:28 PM, revealed that the call bell system did not give audible or visual notification of the activation of the call bell system at the nurse's station when it was test for room [ROOM NUMBER]. Upon further investigation by the DM, it was discovered that the call bell annunciator at the nurse's station was not plugged in. […]

• No harm, potential for more than minimal, patternF689Jul 28, 2026

  Based on observations, interviews, record review, and review of other pertinent facility provided documentation, the facility failed to ensure each resident who was at risk for elopement was appropriately supervised and monitored to ensure safety, prevent elopement, and/or exiting of the building. Specifically, the facility failed to: a.) ensure the order and care plan included a function check of the wander guard for 1 of 3 residents (Resident #55), b.) test the battery status of the wander guards weekly as per the recommendation of the manufacturer for 3 of 3 residents (Resident #2, Resident #55, and Resident #97), and c.) have a policy/procedure in place for the wander guard bracelet or system used by the facility for 3 of 3 residents (Resident #2, Resident #55, and Resident #97). […]

• No harm, potential for more than minimal, patternF880Jul 28, 2026

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to follow appropriate infection control practices to prevent and control the spread of infection. Specifically, the facility failed to: a.) follow neutropenic precautions for 1 of 1 resident1 (Resident #1), b.) follow enhanced barrier precautions (EBP) for 1 of 2 residents (Resident #82), and c.) ensure water management plan was followed after a presumptive healthcare-associated Legionnaire's disease was identified. […]

• No harm, potential for more than minimal, patternF584Feb 3, 2025

  Based on observation, interview, and review of other facility documentation, it was determined the facility failed to ensure the facility was maintained in a safe, clean, and homelike environment. This deficient practice was identified for 3 of 3 units, (2nd, 3rd, and 4th units) and 2 of 2 residents' rooms. This deficient practice was evidenced by the following: 1. On 1/27/25 at 1:58 PM, during the initial tour of the 4th floor nursing unit, the surveyor observed a gray, dust or dirt-like substance adhering to the air circulation vent covers on the 4th floor unit in the hallways and above the nursing station. […]