Regalcare at Courtyard-Medford

In the surveyor’s words

From the most serious findings on record at Regalcare at Courtyard-Medford, in the surveyor’s own words.

• Actual harm, patternF600Mar 11, 2025

  Based on observations, record review and interviews, the facility failed to ensure four Residents (#138, #110, #106, and #130) were free from abuse and neglect out of a total sample of 42 residents. Specifically, 1.) For Resident #138, the facility failed to ensure staff provided necessary care of repositioning and incontinence care resulting in the deterioration of a pressure wound. 2.) For Residents #110, #106 and #130, the facility neglected to provide the necessary care for incontinence management. Findings include: Review of the facility policy titled, Abuse: Prevention, dated revised 3/2022, indicated the following: Purpose: To allow residents freedom of the risk of abuse, neglect, involuntary seclusion, and misappropriation and exploitation of resident property. […]

• Actual harm, patternF686Mar 11, 2025

  Based on observations, interviews and record review, the facility failed to provide necessary treatment, services, and/or interventions to promote healing and prevent new ulcers from developing for four Residents (#138, #30, #167, and #143), who had pressure ulcers, out of 42 total sampled residents. Specifically, 1a.) For Resident #138, the facility failed to implement multiple wound care orders timely, resulting in the deterioration of the wound. 1b.) For Resident #138, the facility failed to ensure staff provided prompt incontinence care and was repositioned every two hours for pressure ulcer care, resulting in the deterioration of the wound. […]

• Actual harm, isolatedF684Mar 11, 2025

  Based on observation, record review and interview the facility failed to ensure that three Residents (#70, #629, and #130) out of a total sample of 42 residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically: 1. For Resident #70, the facility failed to a) initiate a treatment for a genital wound which subsequently became infected and deteriorated and b) failed to implement the wound Nurse Practitioner's (NP) recommendation for a change in wound treatment. 2. For Resident #629, the facility failed to obtain an antibiotic medication from the pharmacy in a timely manner, resulting in a worsening skin infection. 3. […]

• Actual harm, isolatedF758Mar 11, 2025

  2.) Resident #109 was admitted in 5/2021 with diagnoses including dementia and major depressive disorder. Review of the Minimum Data Set (MDS) assessment, dated 1/30/25, indicated Resident #109 could not participate in the Brief Interview for Mental Status exam due to severe cognitive impairment. Review of the facility policy titled Psychotropic Medication, dated 4/2022, indicates the following - The consultant pharmacist reviews the appropriateness of the psychoactive medication order as part of each drug regimen review and monitors for; - Appropriateness of psychoactive administration based on diagnosis, clinical indications and prescribing guidelines and; - Reassessment for trial reduction in dose in accordance with state/federal regulations. […]

• Actual harm, isolatedF600Mar 21, 2024

  Based on record review and interview, the facility failed to prevent abuse for 1 Resident (#157) out of a total sample of 41 residents. Specifically, Resident #157 was physically restrained to a chair by a staff member, causing emotional distress and weepiness. Findings include: Review of the facility policy titled Abuse Prohibition, dated 10/24/22, indicated the following: -Centers prohibit abuse, mistreatment, neglect, misappropriation of resident/patient (hereinafter patient) property, and exploitation for all patients. This includes, but is not limited to, freedom from corporal punishment, involuntary seclusion, and any physical or chemical restraint not required to treat the patient's medical symptoms. […]