Elevate Care Regency

In the surveyor’s words

From the most serious findings on record at Elevate Care Regency, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 5, 2026

  Based on interview and record review, the facility failed to provide necessary respiratory care and monitoring for a ventilator-dependent resident by failing to assess and respond to ventilator alarms and failing to ensure the resident's ventilator circuit and closed suction system were intact and functioning. These deficiencies affect one (R1) of four residents in the sample of nine reviewed for quality of care. These failures resulted in R1 not receiving ventilation and being found unresponsive, requiring emergency medical intervention; and expired. These failures resulted in Immediate Jeopardy. The Immediate Jeopardy was identified on [DATE] when R1 was found unresponsive, pale and disconnected from ventilator. […]

• Immediate jeopardy, isolatedF684Dec 18, 2025

  Based on interview and record review, the facility failed to ensure that a resident received care and services in accordance with professional standards of practice to promptly intervene, monitor, and escalate treatment for severe hypoglycemia for a resident. This failure applied to one (R1) of three residents reviewed for nursing care and resulted in R1 experiencing prolonged hypoglycemia of over two hours with decreased responsiveness, requiring emergent hospital transfer. R1 subsequently expired at the hospital the same day.This failure was identified as an Immediate Jeopardy. The Immediate Jeopardy began on November 18, 2025. V1 (Administrator) was notified of the Immediate Jeopardy on December 17, 2025 at 1:07PM. […]

• Actual harm, isolatedF689Jul 6, 2026

  Based on interview and record review, the facility failed to ensure safe wheelchair transport and failed to immediately respond to a resident's complaint of pain following an incident for 1 of 4 residents (R1) reviewed for accidents and supervision in a sample of 4. This failure resulted in R1 sustaining a fracture of the left femur after R1's left foot became caught in the wheelchair during transport by staff, requiring surgical intervention.Findings Include:On 7/5/2026 at 3:15 PM, R1 was observed lying in bed with an immobilizer in place on the left leg. R1 stated that she underwent surgery after sustaining a fracture when V3 (Certified Nursing Assistant/CNA) was pushing her in a wheelchair and her foot became caught underneath the footrest, causing her left leg to bend. […]

• Actual harm, isolatedF686Mar 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure that 2 of 4 residents (R8, R98) who entered the facility without pressure ulcers received the necessary treatment and services to prevent the development of new pressure ulcers and to promote the healing of existing ulcers. Specifically, the facility failed to implement mandatory pressure-redistribution protocols and provide timely incontinence care for a ventilator-dependent resident (R8) and a quadriplegic resident (R98). […]

• Actual harm, isolatedF692Apr 11, 2025

  Based on observations, interviews, and record reviews, the facility failed to document accurate meal intakes, offer alternative meal options, and notify the physician or nurse practitioner of significant weight loss. Additionally, the facility failed to implement the dietitian ' s recommendations and follow the physician ' s orders to increase Remeron for weight management. This deficient practice affected two of the seven residents (R62 and R103) reviewed for nutrition and unplanned weight loss prevention. As a result, Resident R62 experienced a 10% unplanned weight loss over a six-month period. Findings include: On 4/8/25 at 12:10 PM, R62 was observed in dining room for lunch meal. Staff were observed setting up R62's tray. […]