Regency Canyon Lakes Rehab and Nursing Center

In the surveyor’s words

From the most serious findings on record at Regency Canyon Lakes Rehab and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF760Dec 26, 2024

  Based on interviews and record review, the facility failed to ensure 1 of 3 residents (Resident 1), reviewed for medication administration, was free from a significant medication error. Resident 1 experienced harm when Staff A (Registered Nurse) did not follow standard practices for medication administration when they administered multiple medications, belonging to another resident, to Resident 1. This resulted in Resident 1 becoming unresponsive with low blood pressure (BP) and low blood glucose (BG) levels, necessitating an emergency transfer to the emergency room and admission to the hospital. The facility corrected the deficient practice prior to the initiation of the abbreviated survey on 12/26/2024. […]

• Actual harm, isolatedF684Sep 4, 2024

  Based on observation, interview and record review, the facility failed to provide timely care and services and perform assessments for 1 of 3 residents (Resident 1) reviewed with indwelling urinary retention catheters. Resident 1 experienced harm when they had prolonged bladder pain due to urinary retention with a delay in treatment. The facility corrected the deficient practice prior to the initiation of the abbreviated survey on 09/04/2024. This failure was past non-compliance (the facility was not in compliance at the time the situation occurred; however, there was sufficient evidence that the facility corrected the non-compliance after it was identified) and was corrected by the facility on 08/29/2024 and is no longer outstanding. […]

• Actual harm, isolatedF689Jul 7, 2023

  Based on interview and record review the facility failed to provide adequate supervision to ensure the directed plan of care for two-person staff assistance with transfers and use of assistive devices were followed for 1 of 3 residents (Resident 1) reviewed for avoidable accidents and/or falls. These failures caused harm to Resident 1 when they were transferred off the toilet by one staff member, not utilizing a gait belt (an assistive device placed around the resident's waist to safely transfer the resident), and fell in the bathroom. Resident 1 sustained a sacral (large triangular bone at the bottom of the spine) fracture at the time of the fall which resulted in pain and a decline in their activities of daily living (ADLs). […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2023

  Based on observation, interview and record review, the facility failed to periodically test the sanitizing agent used to ensure proper sanitation of food preparation surfaces in accordance with professional standards for food service safety, for one of one kitchen reviewed for food service safety. This failure placed all residents, staff, and visitors that ate from the facility's kitchen at risk for food borne illnesses and the spread of infectious diseases. Findings included . Review of the March 1, 2022, Washington State Retail Food Code, showed the concentration of the sanitizing solution must be accurately determined by using a test kit or other device. […]

• No harm, potential for more than minimal, patternF585Apr 10, 2025

  Based on interview and record review, the facility failed to ensure grievances (resident and/or resident representative concerns that can be voiced or written) conveyed during resident council meetings (a meeting of the facility's residents to communicate concerns, request improvements and keep up to date of the facility's activities/events) underwent prompt resolution through to their conclusion or appropriately updated on the grievance progress/conclusion for 4 of 5 residents (Resident 22, 348, 350, 349) reviewed for the grievances process. […]