Regency Park Nursing & Rehab Center of Jefferson

In the surveyor’s words

From the most serious findings on record at Regency Park Nursing & Rehab Center of Jefferson, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 13, 2023

  Based on clinical record reviews, observations, resident, and staff interviews, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 2 of 2 residents reviewed (Residents #18 and #10) for falls. 1. Resident #18 fell two times and the facility failed to either put an intervention in place or put an inadequate intervention in place to prevent future falls. After Resident #18 fell on [DATE], the facility requested a urinalysis on 7/12/23. The facility collected and received the results on 7/14/23 that revealed a urinary tract infection. The provider ordered to wait for the culture and sensitivity (C&S) results then update them with the results. […]

• No harm, potential for more than minimal, widespreadF880Jul 20, 2022

  Based on observations, clinical record reviews, photos, staff interviews, community transmission rates, and facility policy review, the facility failed to maintain infection control practices during a clinical isolation period from 4/28/22 to present 7/20/22. The facility's anticipated to end their outbreak status as of 8/2/22. The facility reported a census of 43 residents. Findings include: According to the Testing/PPE (personal protective equipment) Requirements Based on Community Transmission Rates form dated 4/19/22 if the community transmission rate is high and substantial the facility staff are required to follow the following guidelines for PPE: a. Residents with suspected or confirmed [CONDITION(S)]-COV-2 (COVID) infection - gown, gloves, eye protection and N95 masks. b. […]

• No harm, potential for more than minimal, patternF812Dec 31, 2025

  Based on observations, staff interviews and policy review, the facility failed to prepare and serve food under sanitary conditions to reduce the risk of contamination and food borne illness. The facility identified a census of 43 residents. Findings include: On 12/30/25 at 10:52 AM, observed the Dietary Manager puree a grilled turkey [NAME] sandwich while wearing gloves. When finished with pureeing the sandwich, the Dietary Manager removed her gloves and then proceeded to wash out the dishes used to puree the sandwich in the sink, put the dirty dishes in the dishwasher and then continued to puree the next food items without washing her hands. On 12/30/25 at 11:30 AM, observation revealed the Dietary Manager wore gloves to get the room trays ready to be delivered to the unit. […]

• No harm, potential for more than minimal, patternF812Jan 15, 2025

  Based on observation, staff interview, and policy review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility reported a census of 42. Findings include: A direct observation on 01/12/2025 at 10:23 AM of the kitchen revealed an open container of cottage cheese with a discard date of 01/11/2025. It also revealed an unmarked, undated meat product stored in the freezer in a single sheet of plastic cling wrap. The Dietary Manager identified the item as roast beef, and stated it had been prepared within a day or two of the observation. […]

• No harm, potential for more than minimal, patternF658Nov 13, 2023

  Based on clinical record review, staff interviews, and facility policy review, the facility failed to provide care and services according to accepted standards of clinical practice for 4 out of 14 residents reviewed (Resident #29, #18, #30, #37). The facility reported a census of 38 residents. Findings includes: 1. Resident #29's Minimum Data Set (MDS) assessment dated [DATE] identified Brief Interview for Mental Status (BIMs) score of 7, indicating moderately impaired cognition. The MDS identified Resident #29 required substantial/maximal assistance with bed mobility, transfers, and toilet use. Resident #29's MDS included diagnoses of anemia, heart failure, hypertension, diabetes mellitus, non-alzheimer's dementia, anxiety disorder and post traumatic stress disorder. […]