Regency Care of Rogue Valley

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Nov 21, 2024

  Based on observation, interview and record review it was determined the facility failed to maintain water temperatures for 2 of 6 sampled residents (#s 27 and 88) reviewed for environment and accidents. This placed residents at risk for burns. Findings include: 1. Resident 27 admitted to the facility 10/2024 with a diagnosis of a wedge compression fracture. An 10/2024 admission MDS revealed Resident 27 was cognitively intact. Resident 27 resided in Birch Hall. On 11/19/24 at 10:54 AM Resident 27 stated on one occassion she/he used the sink to wet her/his hair. On 11/19/24 at 10:56 AM Staff 6 (Maintenance Director) used a digital thermometer to test the hot water temperature at the tap of the sink in Resident 27's room. The thermometer indicated the hot water temperature was 125 degrees F. […]

• No harm, potential for more than minimal, patternF804Nov 21, 2024

  Based on observation, interview and record review it was determined the facility failed to ensure concerns regarding proper food temperatures were addressed for Resident Council and 2 of 5 sampled residents (#s 9 and 25) reviewed for food. This placed residents at risk for food that was not palatable. Findings include: A 9/9/24 computer dashboard communication revealed CNAs were provided a reminder to not reheat anything for a resident in a microwave oven because resident safety and staff licenses were at risk. Staff were given the following direction: Coffee-offer to get them a new cup. Food-ask the kitchen to reheat the food. 1. On 11/20/24 at 11:00 AM nine residents attended a Resident Council meeting. […]

• No harm, potential for more than minimal, isolatedF628Mar 27, 2026

  Based on interview and record review, it was determined the facility failed to provide required communication and documentation for 2 of 3 sampled residents (#s 49 and 51) reviewed for hospitalization and discharge. This placed residents at risk for unsafe discharge. Findings include: The 8/2024 Facilities Bed Hold Policy and Agreement Form indicated a resident who was temporarily absent from the facility because of a Break in Services (defined under Oregon law as a hospitalization or leave of absence) may apply for a bed hold to ensure her/his bed was preserved for her/his anticipated return. […]

• No harm, potential for more than minimal, isolatedF552Nov 21, 2024

  Based on interview and record review it was determined the facility failed to notify a resident prior to change of administration of medication for 1 of 1 sampled resident (#139) reviewed for informed consent. This placed residents at risk for lack of informed consent. Findings include: Resident 139 admitted to the facility in 2024 with diagnoses including depression. A 3/26/24 Admission MDS indicated Resident 139 was cognitively intact. Admission orders signed 3/28/24 revealed Citalopram (an anti-depressant) 60mg at bedtime and Imipramine (an anti-depressant) 50mg at bedtime for depression. […]

• No harm, potential for more than minimal, isolatedF679Nov 21, 2024

  Based on observation, interview, and record review it was determined the facility failed to provide a meaningful activity program for 1 of 1 sampled resident (#3) reviewed for activities. This placed residents at risk for lack of social engagement. Findings include: Resident 3 admitted to the facility in 8/2023 with a diagnosis of paralysis. A 7/23/24 annual MDS revealed Resident 3 was cognitively impaired, preferred to stay in bed, and required assistance with ADLs. When interviewed, Resident 3 indicated choosing activities was very important. Activities important to Resident 3 included interaction with pets and reading. […]