Regency House

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed, in that: The facility failed to ensure the Food Supervisor (FS) was wear a mustache guard while there was uncovered food in the kitchen. This deficient practice could place residents who consumed meals and/or snacks from the kitchen at risk for food borne illness. The findings were: During an observation and interview on 09/17/24 at 09:32 AM, the FS was noted to have a mustache and not covered with a hair restraint. The FS was leaning over some uncovered pots that contained food and were on the stove top. The FS was asked about his mustache and if he ever covered it,. […]

• No harm, potential for more than minimal, widespreadF908Sep 19, 2024

  Based on observation and interview the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen reviewed for physical environment. The facility failed to ensure one of six stove top burners ignited automatically. This failure could place residents at risk of foodborne illnesses and potential for injury to residents and staff. Findings included: During an observation and interview on 09/17/24 at 09:30 AM, the stove in the kitchen was inspected. One of the six burners was noted to turn not turn on when the knob was turned to on by [NAME] D. [NAME] D said she had to use a lighter to turn that burner on as it did not turn on automatically like the other five burners. […]

• No harm, potential for more than minimal, widespreadF812Jul 27, 2023

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure that expired foods were discarded. This failure could affect residents who received meals prepared meals from the kitchen at risk for food borne illness and cross-contamination. The findings included: Observation on [DATE] at 10:15 AM, of the kitchen dry storage room revealed: 9, 14-ounce cans of Sweetened Condensed Milk with an expiration date of [DATE]. In an interview on [DATE] at 10:45 AM, the Dietary Manager was advised of the expired food items found during the initial inspection of the kitchen. […]

• No harm, potential for more than minimal, patternF698Jan 28, 2026

  Based on interview and record review, the facility failed to ensure residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 of 2 residents (Residents #1 and #3) reviewed for dialysis services. The facility failed to ensure the dialysis communication forms were completed to include the pre and post dialysis assessment for Resident #1 and Resident #3. The facility failed to ensure residents had a physician order for dialysis treatment and to inspect vascular access sites for Resident #1 and Resident #3. The facility failed to develop a person-centered care plan for Resident #1 and Resident #3 to address their dialysis needs. […]

• No harm, potential for more than minimal, patternF656Dec 18, 2025

  Based on observations, interviews and record reviews the facility failed to develop a comprehensive person-centered care plan for each resident consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that were identified in the comprehensive assessment which were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 20 residents (Resident #5, Resident #41, Resident #76) reviewed for care plans.The facility failed to implement a comprehensive person-centered care plan for Resident #5's diagnosis of bilateral presbycusis (hearing loss, in both ears, related to damage of the inner ear that develops gradually as you get… […]