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Regency Healthcare & Rehab Center

Details

Type of Ownership For profit - Individual
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 100
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 05/02/2011

Date of last standard health inspection: 05/02/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in DE: 7
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DE: 0 - 15

Inspection, 02/09/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/09/2010 02/08/2001 Few complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/09/2010 01/06/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/09/2010 01/06/2012 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2010 01/06/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2010 01/00/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2010 02/08/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2010 02/08/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/04/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/04/2008 00/09/2010 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/04/2008 02/02/2012 2 Some
Post nurse staffing information/data on a daily basis. 01/04/2008 00/09/2010 1 Many
Keep accurate 01/04/2008 02/02/2012 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/04/2008 00/09/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2008 00/09/2010 3 Few
Have a program that investigates, controls and keeps infection from spreading. 01/04/2008 00/09/2010 2 Few
Provide housekeeping and maintenance services. 01/04/2008 00/09/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2008 00/09/2010 3 Few
Have a program that investigates 01/04/2008 00/09/2010 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/04/2008 00/09/2010 2 Few
1) Hire only people with no legal history of abusing 01/04/2008 00/09/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/04/2008 00/09/2010 2 Some
Ensure that residents are safe from serious medication errors. 01/04/2008 00/09/2010 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/04/2008 00/09/2010 2 Some
Ensure that residents are safe from serious medication errors. 01/04/2008 00/09/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2008 00/09/2010 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/04/2008 00/09/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2008 00/09/2010 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/04/2008 00/09/2010 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2008 00/09/2010 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2008 00/09/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/04/2008 00/09/2010 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2008 00/09/2010 2 Some
Immediately tell the resident 01/04/2008 00/09/2010 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2008 00/09/2010 2 Some

Inspection, 02/05/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/05/2007 00/03/2012 1 Some
Provide adequate and comfortable lighting levels in all areas. 02/05/2007 02/08/2010 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2007 02/04/2011 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/05/2007 02/04/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/05/2007 02/08/2010 2 Some
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/05/2007 02/04/2011 2 Few
Store, cook, and serve food in a safe and clean way. 02/05/2007 02/08/2010 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/05/2007 02/04/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/05/2007 02/08/2010 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/05/2007 02/08/2010 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/05/2007 02/08/2010 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/05/2007 02/08/2010 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/05/2007 02/08/2010 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/05/2007 02/08/2010 2 Few
Ensure residents maintain acceptable nutritional status. 02/05/2007 02/08/2010 2 Few
Provide routine and 24-hour emergency dental care for each resident. 02/05/2007 02/08/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/05/2007 02/04/2011 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/05/2007 02/04/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 02/05/2007 02/08/2010 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2007 02/04/2011 2 Some
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 02/05/2007 02/04/2011 2 Some
Give notice to the resident before a room or roommate change. 02/05/2007 02/08/2010 1 Some

Inspection, 00/02/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Dispose of garbage and refuse properly. 00/02/2005 01/05/2006 1 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/02/2005 01/05/2006 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/02/2005 01/05/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/02/2005 01/05/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/02/2005 01/05/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/02/2005 01/05/2006 2 Few

Inspection, 02/00/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2004 02/00/2007 3 Few
Have a program that investigates 02/00/2004 01/02/2007 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2004 01/02/2007 2 Few

Inspection, 01/05/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2002 01/00/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/05/2002 01/00/2005 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 01/05/2002 01/00/2005 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2002 01/00/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/05/2002 01/00/2005 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in DE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 87 96
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 4 hours 28 minutes 1 hour 43 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 3 hours 32 minutes 55 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 3 hours 27 minutes 47 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 5 hours 9 minutes 2 hours 40 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 05/02/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/02/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in DE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DE: 0 - 0

Inspection, 00/09/2008

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/09/2008 00/05/2009 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/09/2008 00/05/2009 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/09/2008 00/05/2009 2 Many

Inspection, 00/02/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2005 02/07/2005 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/02/2005 02/07/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/02/2005 02/07/2005 1 Some
 

801 N. Broom Street
Wilmington, DE 19806

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