Regency Care

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880May 5, 2021

  Based on observation, interview and record review, the facility failed to implement effective infection control procedures to prevent the spread of COVID-19 by failing to ensure accurate completion of employee screening tools to prevent employees from working while experiencing symptoms of COVID-19; failing to ensure non-vaccinated employees who report close contact with others with COVID-19 quarantine; failing to timely implement transmission based precautions for residents who were in prolonged contact with a staff member with COVID-19; and failing to ensure staff have access and utilize appropriate Personal Protective Equipment (PPE) when caring for residents who have been potentially exposed to COVID-19. […]

• Immediate jeopardy, isolatedF600Sep 25, 2024

  Based on interview and record review the facility failed to ensure residents were free from sexual abuse for 1 of 6 (R5), reviewed for abuse in the sample of 6. This failure resulted in R5 experiencing two episodes of being sexually abused by R1 on 9/8/24, in which R5 was verbally heard yelling for help, stating that it hurt. The reasonable person concept can also be utilized, a reasonable person would experience fear, trauma, humiliation, should sexual abuse occur to them. The Immediate Jeopardy began on 9/8/2024 when R5 was sexually abused by R1. The abuse was witnessed by V5 (Certified Nurse Assistant, CNA). After removing R1 from the room, leaving R1 unsupervised, R1 again re-entered the room and sexually abused R5 for a second time. […]

• Actual harm, isolatedF690Aug 10, 2026

  Based on interview, observation and record review, the facility failed to complete timely and complete incontinent care for 3 of 4 residents (R3, R6, R9); reviewed for bowel/bladder incontinence in a sample of 11. This failure resulted in R6 and R9 having feelings of embarrassment and helplessness.Findings include:1.R9's Facesheet with a print date of 7/30/26 documented he was admitted to the facility on [DATE] with diagnosis of, in part, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, type two diabetes mellitus, and major depressive disorder.R9's Minimum Data Set (MDS) dated [DATE] documented he is moderately cognitively impaired. MDS dated [DATE] documented he was dependent on staff for toileting hygiene and toileting transfers. […]

• Actual harm, isolatedF689Feb 17, 2026

  Based on observation, interview, and record review, the facility failed to follow transfer and fall prevention policies and did not provide adequate supervision for 2 of 2 (R2, R6) residents in the sample of 14. This failure resulted in R2 being forcefully lifted from the floor by V5, Certified Nursing Assistant, CNA, without the use of a gait belt or mechanical lift, and R6 sustaining a fall that resulted in a fracture.Findings include:R2's face sheet documents an admission date of 12/4/2025. Diagnosis includes Sepsis, Cerebral Infarction, Type 2 Diabetes, Dementia, Cellulitis of Buttock.R2's Minimum Data Set, MDS, documents R2 is severely cognitively impaired. R2 is dependent for mobility and transfers. […]

• Actual harm, isolatedF550Mar 13, 2025

  Based on interview and record review, the facility failed to answer resident's call lights to address their needs and promote resident dignity for 6 of 6 residents (R9, R16, R25, R30, R33 and R285) reviewed for dignity in the sample of 42. This failure resulted in R285 becoming incontinent and feeling humiliated. Findings include: 1. R285 was admitted on [DATE] with diagnosis of, in part, fracture of left fibula, left tibial fracture, fracture around internal prosthetic left knee joint, and retention of urine. […]