Marquis Plaza Regency Post Acute Rehab

In the surveyor’s words

From the most serious findings on record at Marquis Plaza Regency Post Acute Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 15, 2026

  Based on interview, record review, and document review, the facility failed to ensure adequate supervision and appropriate post fall assessment following an unwitnessed fall of a resident identified as high risk for falls. The facility failed to recognize and respond in a timely manner to a significant change in condition, did not initiate required frequent and systematic neurological assessments, and did not ensure timely medical evaluation for 1 of 7 sampled residents (Resident 1). […]

• No harm, potential for more than minimal, patternF695Feb 1, 2023

  Based on observation, interview, and document review, the facility failed to provide Preventative Maintenance (PM) for 31 of 33 ventilators in use at the facility. The failure to provide preventative maintenance on the ventilators in a timely manner could lead to machine malfunction impacting a resident's respiratory care and cause potential physical harm. Findings include: On 02/01/2023 at 8:37 AM, a tour with the Director of Respiratory Services revealed the following: A resident in room [ROOM NUMBER] was on a ventilator. The PM sticker located on the ventilator documented the last PM had been completed in 2018 and the PM was due in 01/2020. Two residents in room [ROOM NUMBER], were on ventilators. […]

• No harm, potential for more than minimal, patternF908Feb 1, 2023

  Based on observation, interview, and document review, the facility failed to ensure resident equipment received preventative maintenance and were labeled with PM completed or due dates (Oxygen concentrators, Suction Machines and Feeding Pumps). The failure to maintain the resident equipment could lead to equipment malfunction impacting its effectiveness during resident care. Findings include: On 02/01/2023 at 8:13 AM, the Director of Plant Operations/Maintenance explained some of the resident's equipment were inspected by the facility's maintenance department and others were maintained through contracted companies. […]

• No harm, potential for more than minimal, patternF689Jul 19, 2022

  Based on observation and interview the facility failed to ensure staff responded and trained on how operate the annunciator (emergency exit panel alarms) for 2 annunciator panels. Findings include: On 07/15/2022 at 3:20 PM, an exit door alarm was triggered at the first-floor nursing station. a nurse stood from the station and disengaged the annunciator panel without looking at the specified area where the alarm was triggered. Seconds later, a second alarm was triggered from the same annunciator panel. The same nurse was about to disarm the alarm as another nurse approached and indicated to the nurse to check the hallway and staircase first prior to disarming. […]

• No harm, potential for more than minimal, isolatedF644Sep 12, 2025

  Based on interview, record review and document review, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR- a federally mandated process which screens individuals seeking admission to a nursing facility (NF) to identify those with serious mental illnesses (SMI) or intellectual/developmental disabilities (ID/DD) to ensure individuals with these conditions receive the most appropriate placement) level II was completed for 1 of 40 sampled residents (Resident 155). The deficient practice had potential for not ensuring a resident with behavioral symptoms still fits within the resident population and for additional behavioral needs would be provided. […]