Regent Park Rehabilitation and Healthcare

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 10, 2024

  The facility identified a census of 66 residents. The facility had two kitchens. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to food labeling, storage, and preparation. This placed all residents who ate food from the facility at risk for food-borne illness. Findings included: - During the initial tour on 04/08/24 at 07:13 AM, observation revealed the following: Mixed fruit in a white container in the small refrigerator with no label or date. A small steam table pan containing fruit in the refrigerator with no label or date. A large white canister of flour had no label or date. The freezer in the kitchen area contained opened fish, sausage, potatoes, and chicken. […]

• No harm, potential for more than minimal, patternF689Apr 10, 2024

  The facility had a census of 66 residents. The sample included 17 residents with two reviewed for accidents. Based on observation, record review and interview, the facility failed to secure pressurized oxygen cylinders in a safe, locked location and out of reach of the six cognitively impaired independently mobile residents. The facility additionally failed to maintain Resident (R)11's bed at a safe height while she was unsupervised in her room. These deficient practices placed the residents at risk for preventable accidents and injuries. Findings Included: - On 04/08/24 at 07:03 AM a walkthrough of the facility was completed. Upon inspection of the facility's Clean Room in between the 100 and 200 hallways, the entry door was propped open. […]

• No harm, potential for more than minimal, patternF761Apr 10, 2024

  The facility identified a census of 66 residents. The sample included 17 residents, four medication carts, and four medication rooms. Based on observation, record review, and interviews, the facility failed to properly label and store medications in one of four medication carts and one medication room. This placed the residents at risk for adverse outcomes or ineffective medication regimens. Findings included: - Observation on 04/08/24 at 07:06 AM Licensed Nurse (LN) I walked away from the nurse's station on the 100-hallway and left the medication cart unlocked. LN I returned and secured the cart upon request. […]

• No harm, potential for more than minimal, isolatedF552Feb 11, 2026

  The facility reported a census of 61 residents; the sample included 15 residents. Based on interview and record review, the facility failed to inform Resident (R) 12, R7, and R4 and/or their representative regarding the risks related to psychotropic (alters mood or thoughts) medications. Findings included:- Review of both Electronic Health Record (EHR) and paper records revealed the following: 1. R12's EHR under the Orders tab revealed orders for the following: Mirtazapine (antidepressant medication used to treat mood disorders), 15 mg to be given orally at bedtime for depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), dated 08/15/23. […]

• No harm, potential for more than minimal, isolatedF582Feb 11, 2026

  The facility identified a resident census of 61. The sample included 15 residents, with three reviewed for beneficiary notifications. Based on interviews and record review, the facility failed to provide the Skilled Nursing Facility (SNF) Advance Beneficiary Notice of Notice of Non-coverage (ABN) Form CMS-10055, for Resident (R) 22.Findings included: -R22's facility provided documentation noted his Medicare Part A last covered day was 01/28/26. The resident remained in the facility for long-term care. Upon request, the facility was unable to provide evidence that Form CMS-10055 was provided to R22. A Social Service Note, dated 01/30/26 at 05:02 PM, documented the social worker provided the SNF ABN. […]