Regalcare at Harwich

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 18, 2022

  Based on record reviews, interviews, and observations for one of four sampled Residents, (Resident #1), the Facility failed to ensure resident safety and failed to provided adequate supervision to prevent an incident of elopement that resulted in serious harm. On [DATE] at approximately 6:15 A.M., Resident #1 was found outside the Facility in the cold, laying on the ground in a patio area, unresponsive, and was pronounced dead by Emergency Medical Services personnel who responded to the Facility's 911 call. Staff were unaware Resident #1 had exited the Facility and the last time staff recalled seeing him/her on the unit was at 11:30 P.M. on [DATE], when he/she was resting in bed. - On [DATE] during the 11:00 P.M. to 7:00 A.M. […]

• Actual harm, isolatedF580Jan 17, 2023

  Based on record review and interviews, for one of three sampled Residents (Resident #1), who had a history of developing deep vein thrombosis (DVT, blood clots), the Facility failed to ensure staff notified his/her physician regarding a significant change in condition, when on 11/03/22 Resident #1 complained of right lower extremity discomfort, edema, swelling, and drainage was noted, however his/her physician was not notified. Resident #1 was discharged home the next day (11/04/22), complained of right lower extremity pain within an hour of being home and his/her right lower extremity was noted with redness and swelling. […]

• Actual harm, isolatedF684Jan 17, 2023

  Based on record review and interviews, for one of three sampled Residents (Resident #1), who had a history of developing deep vein thrombosis (DVT, blood clots), the Facility failed to ensure nursing provided care and services that met professional standards of practice, related to a change in condition, when on 11/03/22, it was reported to nursing that Resident #1 complained of discomfort to his/her right lower extremity and was noted to have edema, swelling and drainage. However, there is no documentation to support Resident #1 was assessed by nursing after being notified of his/her change in condition. […]

• No harm, potential for more than minimal, patternF698Dec 3, 2025

  Based on record review and interview, the facility failed to provide care and services consistent with professional standards of practice for one Resident (#11) who required hemodialysis (a life sustaining treatment that helps the body remove extra fluids and waste products from the blood when the kidneys are not able to), out of a total sample of 17 residents. Specifically, the facility failed:a. To ensure nursing staff did not obtain blood pressures from the Resident's right arm, where his/her AV fistula (arteriovenous fistula, where an artery and vein connect directly, allowing blood to flow) used for hemodialysis access was located; andb. […]

• No harm, potential for more than minimal, patternF584Aug 13, 2024

  Based on observation and interview, the facility failed to ensure the residents' environment was clean, comfortable, and homelike. Specifically, the facility failed to ensure the residents' rooms and environment were maintained in good repair and homelike on two (Bayview and Cranview) of three resident care units. Findings include: Review of the facility's policy titled Accommodation of Needs and Preferences and Homelike Environment, dated as last revised 4/20/22, indicated but was not limited to the following: -Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) the residents' rooms, bathrooms, hallways, dining areas, lobby, outdoor patios, therapy areas, and activity areas. […]