Regency Park Health and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF655May 3, 2024

  Based on interviews, record review, and review of the facility policy titled HLTC Care Planning, the facility failed to implement the baseline care plan interventions for risk for falling for one of three residents (R) (R241) reviewed related to fall risk. Actual Harm occurred on October 30, 2023, when R241 was left unsupervised in the restroom, and fell off the toilet, resulting in a fracture to her right lower leg and ankle. Findings included: A review of the facility policy titled HLTC Care Planning with a reviewed/revised date of 3/21/2023, revealed that the facility will develop and implement a baseline care plan evaluation with the (electronic medical record (EMR)) for each resident that includes the instructions needed to provide effective and resident-centered care. […]

• Actual harm, isolatedF689May 3, 2024

  Based on interviews, record review, and review of the facility policies titled Falls and HLTC Care Planning, the facility failed to provide adequate supervision to prevent an avoidable fall for one of three sampled residents (R) (R241) reviewed related to fall risk. Harm occurred on 10/30/2023 when R241 was left unsupervised on the toilet and fell , resulting in a fracture to her right lower leg and ankle. Findings included: A review of the Fall Policy with a reviewed/revised date of 3/1/2020 revealed the facility's management of falls focuses on resident-centered assessment to aid in the prevention of falls. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on observations, staff interviews, and record review of the facility's policy titled Food Receiving and Storage with revised date of 2/22/2024, the facility failed to label and date open food items stored in the freezer. The census was 85. Findings included: The facility's policy titled Food Receiving and Storage revealed, Food shall be received and stored in a manner that complies with food and safe food handling practices. The policy further documented that all foods stored in the refrigerator or freezer would be covered, labeled, and dated with a used by date. […]

• No harm, potential for more than minimal, widespreadF880May 12, 2022

  Based on observations, interviews, and facility policy review, the facility failed to ensure staff members wore personal protective equipment (PPE), specifically face masks, in a manner that ensured the face masks fully covered staff members' noses and mouths in order to optimize source-control strategies and reduce the potential for COVID-19 transmission for one of two floors (second floor), for one of one facility entrance, and while in resident-care areas. Findings include: A review of the facility policy Required and Extended-Use Masking Policy for Healthcare Personnel (HCP) During COVID-19 Pandemic revealed, Effective Date: January 2022. Original Implementation Date: May 2020. […]

• No harm, potential for more than minimal, patternF584May 12, 2022

  Based on observations and interviews, the facility failed to ensure a homelike environment for five of 19 sampled residents (R) (R#34, R#36, R#50, R#59, and R#68) related to receiving meals from the kitchen on Styrofoam takeout containers and plastic utensils. Findings include: Observations on 5/9/22 at 1:05 p.m. of the meal service on the first-floor revealed residents were served their lunch in Styrofoam takeout containers with plastic utensils. During an interview on 5/9/22 at 10:06 a.m., R#59 stated that all meals were served in Styrofoam takeout containers with plastic utensils. The resident stated it would be much nicer to eat off a plate with real silverware. During an interview on 5/9/22 at 10:43 a.m., R#34 said the food was always cold because it was served on Styrofoam plates. […]