Regency Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Regency Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF732Jan 16, 2025

  Based on observation, staff interview, and facility documentation review, the facility staff failed to ensure the posting of nurse staffing information on the nursing unit. The findings included: During the initial tour of the facility on 1/14/2025 at 11:00 a.m., there was no observation of nurse staffing data posted. The facility only had one nursing unit. There was no posting in the lobby area nor in the main hall of the facility. On 1/14/2025 at 4:15 p.m., there was no observation of nurse staffing data posted on the unit. On 1/15/2025 at 9:45 a.m., there was no observation of nurse staffing data posted on the unit. On 1/15/2025 at 3:55 p.m., there was no observation of nurse staffing data posted on the unit. […]

• No harm, potential for more than minimal, patternF727Feb 8, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to provide Registered Nurse coverage 8 consecutive hours per day for 9 days out of 32 days sampled. The findings include: Facility staff failed to provide Registered Nurse (RN) coverage in December 2023 on 12/9, 12/10, 12/23, 12/24, 12/30, 12/31, and in January 2024 on 1/5, 1/6, and 1/7. On 2/6/24 at approximately 1:15 PM, a routine interview was conducted with the facility Administrator with regard to RN staffing coverage at the facility and he stated, We have had some challenges with RN coverage at times, but we are managing with no further elaboration. […]

• No harm, potential for more than minimal, patternF755Jul 15, 2021

  Based on observation, interview, facility documentation and clinical record review, the facility staff failed to provide routine medications to 4 Residents (#'s 8, 36, 51, and 26) in a Survey sample of 21 Residents. The Findings included: 1. For Resident #8 the facility staff failed to ensure he had an adequate supply of routinely scheduled oxycodone (narcotic pain medication). Resident # 8, a 68 yr. old male admitted to the facility on [DATE] with diagnoses of but not limited to [CONDITION(S)], anxiety, depression, [CONDITION(S)], malignant neoplasm of supraglottis, [CONDITION(S)] of liver, chronic pain related to cancer, and calculus of gallbladder and bile duct (gall stones still present in gall bladder and bile duct) with acute and chronic [CONDITION(S)]. […]

• No harm, potential for more than minimal, patternF761Jul 15, 2021

  Based on observation, staff interviews, and facility documentation review, the facility staff failed to label and date a biological in accordance with currently accepted professional principles which was located in one out of one medication rooms. Specifically, an opened multi-dose vial of [MEDICATION(S)] was observed undated in the medication room refrigerator on 07/15/2021. On 07/15/2021 at 9:30 A.M., this surveyor and Licensed Practical Nurse A (LPN A) observed an opened box of [MEDICATION(S)]. There were two dates handwritten on the box: 06/21/21 and 07/13/21. Inside the box, an opened vial of [MEDICATION(S)] was observed. There was a clear solution in the vial and LPN A verified there was no handwritten date or initials observed on the vial. […]

• No harm, potential for more than minimal, patternF812Jul 15, 2021

  Based on observation, staff interview, and facility documentation review, the facility staff failed to store food in accordance with professional standards for food safety in 3 of 4 food storage areas. The facility staff failed to label and date prepared food items, opened food items and discard foods that had exceeded the use by date in 3 of 4 food storage areas. The findings included: On [DATE] at approximately 12 Noon, an inspection was conducted of the kitchen. The Dietary Manager (Employee C), accompanied Surveyor D as observations were made. The following items were observed: 1. The 2 door stand-alone fridge located beside the coffee pot contained a sandwich, tossed garden salad, and 2 cups of fresh fruit. […]