Regency Coupeville Rehab and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jun 12, 2025

  Based on observation, interview, and record review the facility failed to ensure staff performed Cardio-Pulmonary Resuscitation (CPR) to 1 of 1 resident (Resident 1) who was found unresponsive and had a physician order to initiate CPR and signed POLST (Physician Order for Life Sustaining Treatment- a form indicating the resident's wishes to have or not have CPR) for life-sustaining care and services. The failure to train staff on the facility's expectation how to respond to a resident requiring CPR, locate, for immediate reference, resident POLST/Advanced Directives, and accurately assess signs of irreversible death, resulted in staff not following Resident 1's CPR directives, and placed other current residents with CPR directives at risk of not receiving CPR and/or full medical… […]

• Actual harm, isolatedF600Jun 12, 2025

  Based on interview and record review the facility failed to protect the resident's right to be free from neglect when they failed to initiate Cardiopulmonary Resuscitation (CPR) or call 911 for Emergency Medical Services (EMS) timely to respond correctly to a medical emergency for 1 of 2 residents (Resident 1) reviewed for abuse and neglect. Resident 1 experienced harm when the resident was found unresponsive, required CPR that was not initiated by facility staff and an unexpected death occurred. The facility staff were aware of the CPR protocol but failed to follow directives that resulted in a delay in 911 EMS call, and the initiation of CPR was delayed by 45 minutes. […]

• Actual harm, isolatedF689Nov 22, 2023

  Based on observation, interview, and record review, the facility failed to ensure 3 of 4 sampled residents (Residents 169, 13, and 37) reviewed for accidents, were free of accident hazards, individualized care plan approaches were followed, effectiveness of current care plan interventions were evaluated, addition preventative measures to prevent falls were implemented, and assistance with meals was provided. Resident 169 was harmed when the identified care plan interventions to assist the resident with one-person maximal assistance with walking were not followed and the resident experienced a fall with fracture injury to their left greater trochanter (upper part of the thigh bone). […]

• Actual harm, isolatedF697Jul 1, 2022

  Based on observation, interview and record review the facility failed to provide pain management for two of three residents (Resident 15 and 49) reviewed for pain control, and to ensure medication to manage pain was administered timely. This failure caused harm to Resident 15 and 49 who experienced unrelieved pain. Findings included . Review of the Facility's policy titled, Pain Management, revised 04/2018, showed it was the policy of the facility to provide care and services to effectively manage resident pain by addressing and treating the underlying causes of pain. The staff were directed to assess for possible indicators of pain such as facial expressions-grimacing and protective body movement or postures such as rubbing or massaging a body part or holding a body part during movement. […]

• Actual harm, isolatedF557May 10, 2022

  Based on observation, interview and record review, the facility failed to provide care in a manner that promoted resident respect and dignity for one of three residents (1) reviewed for dignity. Staff directing the resident to urinate in their brief instead of assisting the resident with toileting, which resulted in embarrassment, anxiety, humiliation, and diminished self-worth. Findings included . Review of the facility Dignity Policy titled Resident Rights, revised 11/2016 showed Resident has a right to a dignified existence, self-determination . and Resident has the right to receive treatment and care with respect and dignity in a manner . […]