Regency Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Aug 2, 2024

  Based on observation, interview, record review, document review, and facility policy review, it was determined the facility failed to ensure residents' comprehensive care plans were developed and implemented for two of five sampled residents assessed for elopement risk, Resident (R)82 and R259. 1. The facility assessed R259 to be at risk for elopement and R259 was care planned as at risk for elopement due to exhibited exit-seeking behavior. However, the resident exited the facility undetected by staff on 09/08/2022 at approximately 4:10 PM and was outside unsupervised for approximately five minutes. 2. The facility assessed R82 to be at risk for elopement for exhibited exit-seeking behaviors. […]

• Immediate jeopardy, isolatedF689Aug 2, 2024

  Based on observation, interview, record review, facility document and policy review, it was determined the facility failed to provide effective monitoring and supervision to prevent elopement and to prevent residents from becoming missing for two of five sampled residents assessed for elopement risk, (Resident (R)82 and R259) out of the total resident sample of twenty-three (23). R259 on 09/08/2022, and R82 on 10/27/2022, eloped from the facility unescorted, unsupervised, and without staff knowledge. […]

• No harm, potential for more than minimal, widespreadF880Jan 15, 2026

  Based on observation, interview, record review, and facility policy review the facility failed to follow infection control precautions related to standard and transmission-based precautions for four of 30 residents on Standard and Transmission based precautions (Resident (R)3, 15, 104 and 42). Multiple observations during survey revealed staff failing to don (put on) personal protective equipment (PPE) prior to entering resident rooms identified with infection precautions. Additionally, observation revealed no signage indicating enhanced barrier precautions for a resident with a midline catheter with the tubing end left exposed.The findings include:Review of the facility's policy, Infection Control effective 08/08/2024 stated, the facility infection control policies and practices were… […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2024

  Based on observation, interview, and facility policy review it was determined the facility failed to store, prepare, distribute and/or serve food in accordance with professional standards for food service safety. Observations revealed food items were opened with no dates and/or uncovered. This had the potential to affect 95 of 99 residents with five residents receiving tube feedings The findings include: Review of facility policy, dated 03/2023, revealed all opened food items should be dated with the date opened and covered. Additionally, all food items will be checked to ensure consumption before their use-by date, or frozen, or discarded. During the initial kitchen tour on 07/16/2024 at 5:30 AM, observation revealed in the reach-in refrigerator a package of strawberry yogurt. […]

• No harm, potential for more than minimal, patternF565Aug 2, 2024

  Based on observations, interviews and record review it was determined the facility failed to ensure it provided a private space for resident council members to meet. This had the potential to affect 16 of 99 residents who attended resident council meeting on 07/17/2024. The findings include: Record review of the facility's policy, Residents Rights. revised March 2017 revealed the facility informed the resident both orally and in writing of his or her rights as a resident, and the rules and regulations governing the resident's conduct and responsibilities during his or her stay at the facility. During an interview with the Administrator on 07/19/2024 at 3:10 PM, he stated the facility did not have a policy to address a residents' privacy during resident council. […]