Regency Care of Copley

In the surveyor’s words

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

• Actual harm, isolatedF742Jul 11, 2023

  Based on observation, medical record review, review of a Self-Reported Incident (SRI), review of witness statements, resident interviews, staff interviews, review of the police report, review of facility fall incident reports, and review of the facility polices for Behavioral Health Services, Unmanageable Residents and Behavioral, Assessment, Intervention and Monitoring, the facility failed to ensure Resident #203, who had a history of behaviors, was provided an effective and individualized plan of care to address how staff would provide care and treatment safely and/or interventions to address behaviors when the resident was displaying behaviors. […]

• No harm, potential for more than minimal, patternF812Oct 7, 2022

  Based on interview and observation, the facility failed to ensure the kitchen was maintained in a clean, sanitary manner. This had the potential to affect 47 of the 49 residents, excluding Resident #18 and Resident #39, who received nothing by mouth. Findings included: Observation of the kitchen on 10/03/22 at from 9:30 A.M. to 10:15 A.M. revealed the following: - Dietary Aide #522 was standing inside kitchen by the entrance door with no hairnet on. - The hood above the stove had brown drip spots on the outside of it - The wall behind the stove had numerous amount of brown drip stains on it. - Brown colored stains were noted on the outside of the upper steamer. […]

• No harm, potential for more than minimal, patternF880Oct 7, 2022

  Based on observation, interview, medical record review, and policy review, the facility failed to ensure proper infection control was maintained throughout the facility related to COVID-19 and catheter care. This affected 41 of 49 residents residing in the facility as eight residents were identified as COVID-19 positive (Resident #1, #33, #40, #19, #150, #5, #45, #16). Findings include: 1. Review of Resident #150 medical record revealed an admitted [DATE]. Review of Resident #150's October 2022 physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Observation on 10/03/22 at 11:54 A.M. revealed State tested Nursing Aide (STNA) #566 walk into Resident #150's room without eye protection, collected trash, removed her gown and gloves, exited the room, and walked down the hall. […]

• No harm, potential for more than minimal, patternF887Oct 7, 2022

  Based on interview, record review, and policy review, the facility failed to timely vaccinate residents for COVID-19 after consents were signed to receive the vaccine. This affected four residents (Resident #19, Resident #29, Resident #33, and Resident #48) out of five unvaccinated residents reviewed for vaccinations. Findings include: 1. Review of Resident #19's medical record revealed an admitted [DATE]. Review of Resident #19's COVID=19 immunization form revealed a consent was signed on 04/29/22 verifying the resident wanted to receive the COVID-19 vaccine. Review of the Resident #19's nursing notes revealed the resident tested positive for COVID-19 on 09/26/22 and was unvaccinated against COVID-19. Interview on 10/06/22 at 10:52 A.M. […]

• No harm, potential for more than minimal, isolatedF677Dec 2, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to provide adequate and timely activities of daily living (ADL) care for dependent residents. This affected one resident (#42) of three residents observed and reviewed for ADL care. The facility census was 51.Findings include: Review of Resident #42 ' s medical record revealed an admission date of 10/25/24. Diagnoses included quadriplegia, muscle weakness, and anoxic brain injury.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had no cognition score as the resident was noted to be rarely/never understood. […]