Regina Senior Living

In the surveyor’s words

From the most serious findings on record at Regina Senior Living, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Oct 6, 2023

  Based on interview and record review, the facility failed to implement interventions to prevent pressure ulcer development for 1 of 1 resident (R1) reviewed for pressure ulcers. R1 admitted to the facility without pressure ulcers, subsequently developed an unstageable pressure ulcer related to necrotic (death of tissue). The facility failed to provide ongoing comprehensive skin assessments, monitor for signs of infection/deterioration, and notify R1's provider of changes, resulting in R1 being hospitalized . The immediate jeopardy began on 8/15/23, when a pressure ulcer was noted to R1's buttocks without proper assessment, physician notification, and documentation of interventions and was identified on 10/4/23. […]

• Immediate jeopardy, isolatedF689May 17, 2022

  Based on interview and document review, the facility failed to use the appropriate sized mechanical lift sling for 1 of 3 residents (R1) reviewed for falls. This resulted in an immediate jeopardy (IJ) for R1 who fell during a mechanical lift transfer and hit their head. The IJ began on 5/5/22, at 9:00 a.m. when facility staff utilized improper sized mechanical lift sling. R1 fell , after being suspended in the air, and hit their head. The administrator and assistant director of nursing (ADON) were notified of the IJ on 5/17/22, at 3:35 p.m. The facility implemented corrective action on 5/6/22, and the IJ was issued as past non-compliance. […]

• Actual harm, isolatedF684Jul 15, 2025

  Based on interview and document review, the facility failed to assess and evaluate the appropriateness of the colostomy care supplies and ensure proper fitting of the wafer to prevent leakages and failed to provide physician-ordered care for colostomy care for one resident (R1). This failure caused psychosocial harm to R1 when his colostomy care was delayed, and he suffered emotional distress and suicidal ideation. Findings include:On 7/15/25, at 10:21 a.m., R1 stated he had several episodes of his colostomy leaking in the first few weeks at the facility. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observation and interview, the facility failed to clean and sanitize food-contact equipment, remove a paper bowl used as a scoop in a sugar container and keep food boxes off walk-in freezer unit floor. Findings include: During the initial kitchen tour on 2/23/26 at 12:15 p.m., with the culinary director (CD), the following was identified: seven boxes were stored on the Walk-in freezer floor, a brown paper bowel used as scoop left in the sugar container and the can opener part that meets the top of the can (blade and gear) was covered with dark dry substance. CD confirmed the scoop in the sugar container, is not the usual practice indicated it could cause for cross contamination. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, interview, and document review, the facility failed to ensure food stored in the refrigerators and dry storage were labeled, dated and discarded properly. In addition, the facility failed to consistently track and monitor dishwasher temperatures for both the wash and rinse cycles, and take timely action to correct the temperatures, for 1 of 1 dishwasher observed, and failed to monitor sanitation level of the three-compartment sink and cleaning of food equipment. […]