Regency at Northpointe

In the surveyor’s words

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

• Immediate jeopardy, patternF886Mar 2, 2021

  Based on observation, interview and record review, the facility failed to conduct COVID-19 testing of all residents since the start of 2/15/21 COVID outbreak, as required. Facility tested all residents for COVID-19 last on 1/18/21 but their outbreak was ongoing as of 2/23/21. This failure increased the likelihood for delayed identification/[DIAGNOSES REDACTED]. On 2/23/21 at 5:55 PM the facility's Administrator and Director of Nursing (DON) was notified of an Immediate Jeopardy (IJ) determination for 42 CFR §483.80 (h) (F886) for failure to conduct COVID-19 testing of all residents since the start of 2/15/21 COVID outbreak, as required. Facility tested all residents for COVID-19 last on 1/18/21 but their outbreak was ongoing as of 2/23/21. […]

• Actual harm, isolatedF684May 9, 2025

  Based on interview and record review, the facility failed to consistently assess and adequately follow-up on a change in condition for 1 of 3 sample residents (Resident 1) reviewed for quality of care. Resident 1 experienced harm when there was delay in recognizing a change in condition (elevated heart rate) and notification to the medical provider for treatment decisions that resulted in hospitalization and a diagnosis of sepsis (life-threatening medical emergency). These failures placed residents at risk of infection, hospitalization , and a diminished quality of life. Findings included . […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2024

  Based on observation and interview, the facility failed to ensure hand hygiene and use of hair coverings was implemented properly during the preparation and serving of food during 2 of 2 kitchen observations. This failure caused exposure of all residents to potential food contamination and food borne illness. Findings included: According to the CDC, Clinical Safety: Hand Hygiene for Healthcare Workers, hands should be cleaned using soap and water or an alcohol-based hand sanitizer immediately before touching a patient, before performing a task such as placing an indwelling device or handling invasive medical devices, before moving from work on a soiled body site to a clean body site on the same patient, after touching a patient or patient's surroundings, after contact with blood, body… […]

• No harm, potential for more than minimal, widespreadF623Mar 26, 2021

  Based on interview and record review, the facility failed to provide a written transfer notice at the time of transfer to the hospital, for three of three sample residents (#1, 2, 3), reviewed for hospitalization . This failure placed the residents and their representatives at risk for a lack of knowledge regarding their appeal rights. Findings included . Review of the facility's policy titled, Bed Hold/Notice of Transfer/Discharge, dated October 2018, showed residents would be made aware of their rights to appeal the facility's decision to transfer the resident, and also in the event the facility denied readmission to the facility after a hospital stay. […]

• No harm, potential for more than minimal, patternF880Feb 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure infection control interventions intended to mitigate the risk for spread of communicable diseases, including COVID-19 (an infectious disease causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death), were consistently implemented for 4 of 7 sample residents (1,2,3,4), reviewed for transmission-based precautions. […]