Regalcare at Greenfield

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF925Apr 22, 2026

  Based on observations, record review, and interviews, the facility failed to maintain an effective pest control program so that the facility was free of pests, placing residents at risk for food, beverage and wound contamination. Specifically, the facility failed to repair/replace grout and tiles in the main kitchen dishwasher area, as initially recommended by the pest company in March 2023 [sic], and reviewed again in October 2025, January 2026, February 2026, and March 2026, resulting in an unresolved flying pests' presence and an optimal, ongoing area for flying pests to eat and breed. 2. […]

• No harm, potential for more than minimal, widespreadF926Nov 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure their smoking policy addressed what preventative measures were in place in the event of a fire emergency for one Resident (#8) out of one applicable resident. Specifically, the facility failed to ensure fire prevention equipment was readily available in the smoking area to ensure a safe smoking environment. Finding include: Review of the facility policy titled Smoking, revised 3/2022, indicated the following: -Smoking is only permitted in designated resident smoking areas, which are located outside of the building. -Metal containers, with self-closing cover devices, are available in smoking areas. […]

• No harm, potential for more than minimal, patternF636Apr 22, 2026

  Based on interviews and record review, the facility failed to complete comprehensive assessments in the timeframe specified by the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) manual for six Residents (#5, #133, #82, #98, #122 and #9) out of a total sample of 24 residents.Specifically, the facility failed to ensure that:1.annual Minimum Data Set (MDS) assessments were completed for Residents #5, #133, #82 and #98 no later than 14 days after the MDS assessment reference dates (ARDs).2. significant change in status assessments (SCSAs) were completed for Residents #122 and #9 no later than 14 days after determination that significant change in the Residents' status occurred, resulting in both Residents being admitted to hospice services. […]

• No harm, potential for more than minimal, patternF638Apr 22, 2026

  Based on interview and record review, the facility failed to complete non-comprehensive quarterly Minimum Data Set (MDS) assessments within the timeframe specified by the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) manual for six Residents (#34, #115, #3, #124, #138, and #105) out of a total sample of 24 residents. Specifically, the facility failed to complete non-comprehensive quarterly MDS Assessments for Residents #34, #115, #3, #124, #138, and #105 no later than 14 days following the assessment reference date (ARD). Findings include: Review of CMS' RAI Manual, dated October 2025, indicated non-comprehensive quarterly assessments are required to be completed no later than 14 calendar days following the ARD (ARD plus 14 calendar days). […]

• No harm, potential for more than minimal, patternF812Apr 22, 2026

  Based on observation, interviews, and record review, the facility failed to follow professional standards of practice for food storage and environmental cleaning of the facility's main kitchen, placing the facility residents at risk of contamination and foodborne illnesses.Specifically, the facility failed to ensure that:-food items were properly dated, stored, and/or discarded timely in the main kitchen.-clean and sanitary surfaces were maintained in the food preparation areas. Findings include: Review of the Food Drug Administration (FDA) Food Code 2017 (www.fda.gov), indicated the following: -Food Preparation: >During preparation, unpackaged food shall be protected from environmental sources of contamination. […]