Regent Park Care Center

In the surveyor’s words

From the most serious findings on record at Regent Park Care Center, in the surveyor’s own words.

• Actual harm, isolatedF692Mar 4, 2026

  Based on record review and interviews, the facility failed to ensure four (#4, #8, #9 and #10) of six residents out of 10 sample residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being.Specifically, the facility failed to ensure Resident #4, Resident #8, Resident #9 and Resident #10's weights were documented accurately, which resulted in the residents experiencing severe weight loss.Resident #4 was admitted to the facility on [DATE]. The resident was identified as having a nutritional problem related to a decreased ability to feed herself due to dementia and visual and cognitive deficits. […]

• No harm, potential for more than minimal, patternF761Nov 7, 2024

  Based on observations, record review and interviews, the facility failed to ensure all drugs and biologicals were properly stored and labeled in accordance with professional standards in one of one medication storage rooms. Specifically, the facility failed to: -Maintain the emergency medication kit with medications that had not expired; and, -Ensure the emergency medication kit did not have two different expiration dates on individual packages which were prepared by the pharmacy. Findings include: I. Facility policy and procedure The Medication Labeling and Storage policy, revised February 2023, was provided by the director of nursing (DON) on 11/6/24 at 3:35 p.m. […]

• No harm, potential for more than minimal, patternF578Jul 21, 2022

  Based on record review and interviews the facility failed to ensure residents had the right to formulate advance directives for four (#1, #2, #3, and #4) out of six sample residents. Specifically, the facility failed to ensure: -The medical orders for scope and treatment (MOST) forms were completed accurately and thoroughly for Residents #1, #2, #3 and #4; and, -The legal paperwork for the resident's power of attorney was in the record for Resident #4. Findings include: I. Professional reference The Colorado Advance Directives Consortium, Guidance for Health Care Professionals website, dated [DATE], retrieved on [DATE] from http://www.coloradoadvancedirectives.com/wp-content/uploads/[DATE]-MOST-Booklet-REV-2015.pdf read in pertinent part, If the individual resides in a nursing facility,… […]

• No harm, potential for more than minimal, patternF842Jul 21, 2022

  Based on observations, record review and interviews, the facility failed to ensure medical records were kept in a secure and confidential manner and the medical record was complete and accurate in keeping with accepted standards of practice for four (#2, #3, #4 and #5) out of six sample residents. Specifically, the facility failed to: -Laboratory results were in the medical record for Resident #2; -Ensure there was not missing documentation in the resident's record for Resident #4, #5 and #3; and, -Ensure resident's records were not accessible to others not authorized to view that information. Findings include: I. […]

• No harm, potential for more than minimal, isolatedF602Mar 4, 2026

  Based on record review and interviews, the facility failed to protect one (#2) of three residents reviewed for misappropriation of property out of 10 sample residents.Specifically, the facility failed to ensure Resident #2's recliner lift chair, purchased with funds from the resident' personal funds account, was delivered to and was kept in Resident #2's room.Findings include:I. Facility policy and procedureThe Abuse policy, revised 9/4/25, was provided by the nursing home administrator (NHA) on 3/4/26 at 3:06 p.m. It read in pertinent part, Residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. […]