Regency Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Apr 19, 2025

  Based on observation, interviews, and record reviews the facility failed to immediately inform the resident's physician of a significant change in a resident's physical condition for one of five residents (Resident #1) reviewed for notification of change. -The facility failed to ensure Resident #1 received podiatry services on 3/29/24 and failed to ensure staff accurately and thoroughly reported Resident #1's change in condition to his third toe on his right foot, to his physician on 04/01/24. NP A was asked by Resident #1 to assess his right foot when he reported pain on 04/04/24. Resident #1 was sent to the hospital on 04/04/25 and had the third toe of his right foot amputated on 04/07/24 and the remaining toes on his right foot amputated on 5/12/24. […]

• Immediate jeopardy, isolatedF684Apr 19, 2025

  Based on observation, interviews, and record reviews the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for one of five residents (Resident #1), reviewed for Quality of Care. -The facility failed to ensure Resident #1 received podiatry services on 3/29/24 and failed to ensure staff accurately and thoroughly reported Resident #1's change in condition to his third toe on his right foot, to his physician on 04/01/24. NP A was asked by Resident #1 to assess his right foot when he reported pain on 04/04/24. Resident #1 was sent to the hospital on 04/04/25 and had the third toe of his right foot amputated on 04/07/24 and the remaining toes on his right foot amputated on 5/12/24. […]

• Immediate jeopardy, isolatedF689Apr 19, 2025

  Based on observation, interviews, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents (Resident # 2) reviewed for adequate supervision. --The facility failed to provide adequate supervision and put measures in place to prevent residents from eloping. Resident #2 had a history of exit seeking behaviors and wandering and eloped from the facility on 3/15/25. He was found walking on the street in front of the facility. The resident discharged to home 3/21/25. This noncompliance was identified as Past Non-Compliance. The IJ began on 3/15/25 and ended on 3/15/25. […]

• Actual harm, isolatedF600Mar 2, 2024

  Based on observations, interviews, and record review, the facility failed to ensure a resident was free from abuse, neglect, and exploitation for 1 of 6 residents (Resident #27) reviewed for abuse and neglect. The facility failed to prevent and correct alleged violation of abuse regarding Resident #27 that was reported on 2/21/2024. It was alleged that on 2/20/2024 a charge nurse witnessed Resident #27's family member shaking the resident hard by her shoulders and was screaming at her. Resident #27 family member was instructed to leave the facility. […]

• Actual harm, isolatedF610Mar 2, 2024

  Based on observations, interviews, and record review, the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress for 1 of 6 residents (Resident #27) reviewed for abuse and neglect. The facility failed to prevent and correct alleged violation of abuse regarding Resident #27 that was reported on 2/21/2024. It was alleged that abused occurred on 2/20/2024 when a charge nurse witnessed Resident #27's family member shaking her hard by her shoulders and was screaming at her. Resident #27 was heard saying that resident #27 yelled saying her family member was trying to kill her. Resident #27 family member was instructed to leave the facility. […]