Regents Point - Windcrest

In the surveyor’s words

From the most serious findings on record at Regents Point - Windcrest, in the surveyor’s own words.

• Actual harm, isolatedF692Jan 27, 2023

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure one of 14 final sampled residents (Resident 13) maintained acceptable parameters of nutritional status when: 1. The facility failed to implement interventions to maintain Resident 13's nutritional status when Resident 13 experienced the following weight loss: - a significant unplanned monthly weight loss of 9.2 lbs (5.3%) from 8/15/22 to 9/15/22 - a significant unplanned monthly weight loss of 8.8 lbs (5.4%) from 11/3/22 to 12/8/22 - a severe unplanned three-month weight loss of 13.1 lbs (7.8%) from 9/8/22 to 12/8/22 - a severe unplanned six-month weight loss of 19.5 lbs (11%) from readmission weight on 8/15/22 to 12/8/22 2. […]

• No harm, potential for more than minimal, widespreadF812Jan 27, 2023

  Based on observation and interview, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the cutting boards were in sanitary condition. * The facility failed to ensure the kitchen equipment was clean. * The facility failed to ensure the food items in the storage bins were properly labeled and dated. * The facility failed to ensure the food items in the residents' refrigerator were properly labeled and dated. * The facility failed to ensure the expired food items in the resident nourishment refrigerator were properly disposed. These failures had the potential to cause foodborne illness in a medically vulnerable resident population who consumed food prepared in the kitchen. […]

• No harm, potential for more than minimal, patternF689Jun 10, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary care and services to ensure the residents received adequate fall prevention interventions identified for three of three residents reviewed for falls (Residents 9, 40, and 52). * Resident 9 had unwitnessed fall incidents on 2/24, 3/13, and 3/17/26. Resident 9's post-fall neurological assessments were incomplete and inaccurate, and the facility failed to document a COC form. In addition, the facility failed to ensure Resident 9 was provided appropriate care after his fall incident on 2/24/26. * The facility failed to implement the floor mattress as ordered by the physician as a fall risk precaution for Resident 40. […]

• No harm, potential for more than minimal, patternF725Jun 10, 2026

  Based on observation, interview, medical record review, facility P&P review, facility document review, and the California Code of Regulations, the facility failed to ensure a staff member was onsite who could provide respiratory services to the residents, in accordance with the residents' plan of care. * For the past year, during the night shift on Fridays and Saturdays, the facility failed to ensure a staff member was on site at the facility, who could provide respiratory services to the residents with oxygen titration orders. This failure had the potential to result in negative health outcomes for the residents. Review of California Code of Regulations, title 16, section 1399.365, showed the respiratory care services LVNs may perform in the long-term care setting. […]

• No harm, potential for more than minimal, patternF812Jun 10, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the cutting boards were maintained in sanitary condition and had smooth, clean surfaces. * The facility failed to ensure the heavy-duty blenders used for puree preparation were air dried prior to storage. * The facility failed to maintain the hood over the stove in a clean and sanitary condition. * The facility failed to ensure the kitchen utensils had smooth, cleanable surfaces and were maintained in good repair. * The facility failed to ensure the kitchenware and kitchen utensils were clean and free of food particles or residue. […]