Regency At Bluffs Park

In the surveyor’s words

From the most serious findings on record at Regency At Bluffs Park, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 20, 2026

  Based on observation, interview and record review, the facility failed to prevent a fall for one (R200) of three residents reviewed, resulting in major injury.Findings include:A review of the clinical record revealed R200 was admitted into the facility on [DATE] with diagnoses that included: hypotension, muscle wasting and atrophy, malaise and Liver cell carcinoma. According to the Minimum Data Set (MDS) assessment dated [DATE], R200 scored 15/15 on the Brief Interview for Mental Status exam (which indicated intact cognition). Review of Section GG: Functional Limitation in Range of Motion revealed the following:Lower extremity (hip, knee, ankle, foot)-impairment on one side. […]

• Actual harm, isolatedF684Nov 28, 2023

  This citation pertains to intakes MI00140976, MI00140959 & MI00141121. Based on observation, interview, and record review, the facility failed to perform a through assessment after a change of condition, in 2 of 7 reviewed for assessment (Resident #1 and #5), resulting in a delay in treatment and services. Findings include: Resident #1 (R1) R1's electronic medical record (EMR) revealed he admitted to the nursing home on 8/15/23; had the diagnoses of Chronic Obstructive Pulmonary Disease (COPD, lung disease) and heart failure. R1's EMR indicated he had transferred to the hospital 4 times since he admitted to the facility. […]

• Actual harm, isolatedF760Nov 28, 2023

  This citation pertains to intakes MI00140976, MI00140959 & MI00141121. Based on interview and record review, the facility failed to prevent significant medication errors in 6 of 7 residents reviewed for medication errors (Resident #1, #3, #4, #5, #6, and #7), resulting in a transfer to the hospital for assessment and treatment (Resident #1 & #5), and the potential for a change in condition (Resident #3, #4, #6, and #7). Findings include: Resident #1 (R1) R1's electronic medical record (EMR) revealed he admitted to the nursing home on 8/15/23; had the diagnoses of Chronic Obstructive Pulmonary Disease (COPD, lung disease) and heart failure. R1's EMR indicated he had transferred to the hospital 4 times since he admitted to the facility. […]

• Actual harm, isolatedF678Feb 6, 2023

  Based on interview and record review, the facility failed to ensure cardiopulmonary resuscitation (CPR) was performed timely by competent staff and according to standards of practice for one (Resident #60) of one reviewed for death, resulting in delayed CPR and the potential for ineffective CPR efforts and death. Findings include: Review of the medical record reflected Resident #60 (R60) was admitted to the facility on [DATE], with diagnoses that included unspecified severe protein-calorie malnutrition, atherosclerosis of coronary artery bypass graft(s) without angina pectoris, hypertension (high blood pressure), kidney transplant status, malignant neoplasm of kidney (except renal pelvis) and acute kidney failure. […]

• Actual harm, isolatedF684Feb 6, 2023

  This citation pertains to intake M100134151 Based on observation, interview, and record review, the facility failed to monitor for ongoing/worsening bruising, inflammation, and monitor/treat pain timely; complete physician notification and additional testing for 1 (Resident # 8) of 17 sampled residents reviewed for quality of care resulting in delayed identification and treatment of a fractured femur, and increased pain. Findings include: Resident # 8 (R8) initially admitted to facility 8/4/2021 with most recent facility readmission 1/11/23 with diagnoses including COVID-19, unspecified fracture of left femur, muscle weakness, unspecified atrial fibrillation, embolism and thrombosis of arteries of the upper extremities, and cognitive communication deficit. […]