Regalcare at Taunton

In the surveyor’s words

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

• Immediate jeopardy, isolatedF710May 13, 2025

  Based on record review, interview, and observation, the facility failed to ensure a physician and/or the physician assistant (PA) provided supervision and oversight for the care of one Resident (#40) with a known history of an organ transplant, out of a total sample of 18 residents, who required the daily use of tacrolimus (Prograf, an immunosuppressant medication used to prevent transplanted organ rejection). Specifically, the physician and PA failed to: 1. Identify that tacrolimus was discontinued after a recent hospitalization , resulting in a total of 40 missed doses; and 2. […]

• Immediate jeopardy, isolatedF726May 13, 2025

  Based on observation, record review, and interviews, the facility failed to ensure licensed nursing staff were competent in immunosuppressant drug therapy resulting in: a. failure to identify the adverse discontinuation of a necessary immunosuppressant medication (tacrolimus) for the prevention of organ rejection for one Resident (#40) in a sample of 18 residents; and b. failure to communicate with the practitioner about abnormally low tacrolimus level laboratory results for Resident #40, readmitted to the facility with a known history of heart transplant, resulting in emergent hospitalization in March 2025 for transplanted organ rejection surveillance and medication regimen adjustments. […]

• Immediate jeopardy, isolatedF756May 13, 2025

  Based on record review and interviews, the facility failed to ensure for one Resident (#40), out of a total sample of 18 residents, an Admission Medication Regimen Review (AMRR) was completed by the Consultant Pharmacist upon readmission to the facility and an irregularity was identified. Specifically, the Consultant Pharmacist failed to identify the discontinuation of Resident #40's immunosuppressant medication and, as a result, Resident #40 (a heart transplant recipient) missed 40 doses of tacrolimus (Prograf, an immunosuppressant medication used to prevent transplanted organ rejection) and required emergent hospitalization and medication adjustments during and after hospitalization . […]

• Immediate jeopardy, isolatedF760May 13, 2025

  Based on document review and interviews, the facility failed to ensure for one Resident (#40), out of a total sample of 18 residents, to ensure he/she was free from a significant medication error when the Resident's immunosuppressant medication was discontinued in error. As a result, Resident #40 missed 40 doses of tacrolimus (Prograf, an immunosuppressant medication used to prevent transplanted organ rejection) and required emergent hospitalization and medication adjustments during and after hospitalization . […]

• Actual harm, isolatedF600May 21, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who had severe cognitive impairment, the Facility failed to ensure he/she was free from abuse from a staff member, when on 03/30/25, Resident #1 became combative during care and in response to his/her behaviors, Certified Nurse Aide (CNA) #2, told Resident #1 if he/she hit her again, she would hit him/her back. CNA #2 hit Resident #1 on the top of his/her left hand twice. The incident was witnessed by another staff member who was assisting with Resident #1's care. […]