RegalCare at Wakefield

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Feb 4, 2025

  Based on observations, interviews and record review, the facility failed to notify the physician of a significant change in status for one Resident (#72) out of a total sample of 26 residents. Specifically, the facility failed to notify the physician when Resident #72 verbalized Suicidal Ideation (SI) and acute psychological distress. Findings include: Review of the facility policy titled Change in a Resident's Condition of Status, dated as revised February 2021 indicated the following: -The nurse will notify the resident's attending physician or physician on call when there has been a significant change in the resident's physical/emotional/mental condition. […]

• Immediate jeopardy, isolatedF600Feb 4, 2025

  Based on observations, record review and interview, the facility failed to protect two Residents (#72 and #17), from abuse and neglect, out of a total sample of 26 residents. Specifically: 1. For Resident #72 the facility neglected to provide psychosocial support including ongoing monitoring, intervention and notification of the physician timely in a Resident who has a known history of suicidal ideation (SI) and observed to be making statements of SI by multiple staff without intervention. 2. […]

• Immediate jeopardy, isolatedF726Feb 4, 2025

  Based on interviews, record review, staff education review, and Facility Assessment review, the facility failed to ensure the nursing staff were trained and demonstrated the competencies and skill sets necessary to provide the level and types of care and services needed as outlined in the Facility Assessment. Specifically: The facility failed to ensure licensed nursing staff who were on the schedule on 1/28/25, 1/29/25 and 1/30/25, were trained and competent to identify, assess, and intervene when one Resident (#72), who was admitted with Suicidal Ideation's, made repeated statements of wanting to commit suicide. […]

• Immediate jeopardy, isolatedF740Feb 4, 2025

  Based on observations, record review and interview, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for two Residents (#72 and #80) with a history of suicidal ideation (SI) and depression, out of a total sample of 26 residents. Specifically: 1. For Resident #72 the facility failed to provide Resident #72 with appropriate behavioral health services following verbalizations of SI and psychosocial distress. 2. for Resident #80 the facility failed to indicate any behavioral health care plan or interventions were implemented after identifying Resident #80's history of attempted suicide or suicidal ideations. […]

• Immediate jeopardy, isolatedF689Feb 28, 2022

  Based on policy review, record review, observation and interview, the facility failed to 1) provide adequate supervision to prevent accidents for three of 36 sampled residents (#4, #5 and #64). 1. (A.) Resident #4 was not supervised while eating breakfast and placed a small plastic butter container in his/her mouth. The small plastic butter container had to be extricated (removed), by a nurse, from Resident #4's mouth. Despite, the risk of choking or possible death, the staff continued to provide non-edible items, including sugar packets on Resident #4's meal trays and leave Resident #4 unsupervised at mealtimes, after the initial observation. 1. (B.) Resident #5 was not supervised while eating breakfast and placed a plastic hair curler in his/her mouth. […]