Inspection Reports for
Regency Palms Senior Living

The complaint alleged that staff fail to ensure residents receive their mail promptly. The investigation included interviews with staff and residents, review of documents, and observation of mail distribution. Staff explained that mail for Memory Care Unit residents is held securely and released only to responsible parties. The accumulation of mail was due to the Power of Attorney not picking it up. The allegation was unsubstantiated.

The investigation found that staff have established procedures to ensure residents receive their mail in a timely manner. Interviews with staff and residents confirmed that mail is distributed promptly, and the allegation was deemed unsubstantiated due to insufficient evidence.

The complaint alleged that staff fail to ensure residents receive their mail promptly. Interviews with staff and residents confirmed that mail is sorted and distributed timely, with special procedures for Memory Care Unit residents. Mail accumulation was due to the Power of Attorney not picking up mail despite staff efforts. The allegation was deemed unsubstantiated.

The investigation included interviews with staff and residents, document reviews, and observation of mail distribution procedures. The allegation was found to be unsubstantiated due to insufficient evidence to prove the alleged violation occurred.

The complaint alleged that staff did not check or change residents' diapers during the night and did not assist residents with repositioning for meals. The investigation included observations, record reviews, staff and resident interviews. The allegations were found unsubstantiated due to lack of evidence.

The investigation found no preponderance of evidence to support the allegations. Staff were observed assisting residents with incontinence care and repositioning, and training records and resident interviews supported proper care practices. The allegations were unsubstantiated and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included staff not ensuring residents' incontinence needs were met and not assisting residents with repositioning. Investigators observed staff practices, reviewed resident service plans and training records, and interviewed staff and residents. Findings showed staff checked and assisted residents regularly, and residents confirmed care was provided. No violations were found.

The investigation found no preponderance of evidence to support the allegations. Staff were observed assisting residents appropriately with incontinence care and repositioning, and interviews with staff and residents confirmed proper care practices. The allegations were unsubstantiated and no deficiencies were cited.

The complaint alleged that staff did not release Resident #1’s records to a third party with verbal consent from the Power of Attorney. The investigation included review of relevant documents and interviews with staff, residents, and witnesses. It was found that no written consent was provided by the Power of Attorney to release records, and staff indicated a release form is required. Four out of five residents interviewed were unable to confirm if the facility would release their medical records to self, family, or third parties. The allegation was unsubstantiated due to lack of sufficient evidence.

The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation occurred, resulting in the allegation being unsubstantiated.

The complaint alleged that staff were not releasing resident's records to their responsible party as required. The investigation included interviews with staff, residents, and review of relevant documents. The allegation was found unsubstantiated due to lack of preponderance of evidence.

The investigation found that although there was an allegation that staff did not release Resident #1's records to a third party with verbal consent from the Power of Attorney, there was insufficient evidence to prove the violation occurred. The allegation was therefore unsubstantiated.

The complaint alleged that staff did not provide adequate supervision resulting in resident physical abuse and that staff wrongfully evicted a resident. Both allegations were investigated through interviews and document reviews and were found to be unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents confirmed adequate supervision and denied wrongful eviction. The resident's eviction was due to violations of facility policies, including unauthorized video surveillance and violent behavior. No citations were issued.

The complaint alleged that staff did not provide adequate supervision resulting in resident physical abuse, and that staff wrongfully evicted a resident. Both allegations were investigated through interviews and document reviews and were found to be unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents confirmed adequate supervision and denied wrongful eviction. The resident was found to have violated facility policies leading to a lawful eviction. No citations were issued.

The complaint involved two allegations: 1) Staff did not prevent a resident from developing multiple pressure injuries while in care, and 2) Staff do not assist the resident with obtaining medical care, specifically dental care. After interviews, record reviews, and observations, both allegations were found to be unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied concerns regarding pressure injury care and dental assistance. Records showed ongoing wound care and repositioning protocols, and dental care was managed by the family due to the resident's hospice status. Therefore, both allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to prevent multiple pressure injuries and failure to assist with obtaining medical care. Interviews with staff, residents, and the responsible party, as well as record reviews, did not provide sufficient evidence to prove the allegations.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied concerns regarding pressure injury care and dental assistance. Records showed ongoing wound care and repositioning for the resident, and dental care was managed by the family with the resident on hospice care. Both allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included inadequate food service, failure to safeguard residents' personal items, and unmet incontinence needs. Multiple staff and resident interviews, record reviews, and observations found no evidence to support these allegations.

After extensive interviews, record reviews, and facility tours, the department found no evidence to support the allegations. Staff and residents consistently denied the claims, and documentation showed adequate food service, safeguarding of personal items, and incontinence care. Therefore, all allegations were unsubstantiated.

The complaint alleged that staff transferred funds from resident R1's bank account without consent. After reviewing records and interviewing staff and residents, the allegation was found to be unsubstantiated.

The investigation found that the resident had signed an authorization form allowing the facility to withdraw funds, and the allegation was unsubstantiated based on interviews and documentation. No deficiencies were cited during the visit.

The allegation was that staff transferred funds from a resident's bank account without consent. The investigation included interviews with staff and residents and review of relevant financial and admission documents. The allegation was found to be unsubstantiated based on the preponderance of evidence standard.

The investigation found that the resident had signed an authorization form allowing the facility to withdraw funds from their bank account. Interviews and documentation did not support the allegation, and the complaint was found to be unsubstantiated. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated. Allegations included failure to provide timely bathing services and locking residents out of their rooms. Interviews with staff and residents, and review of documentation, did not support the allegations.

The investigation included interviews with staff and residents, review of resident records and shower schedules, and found no preponderance of evidence to substantiate the allegations. The complaint was determined to be unsubstantiated.

The complaint alleged that staff did not provide timely bathing services and locked residents out of their rooms. Interviews with staff and residents, as well as document reviews, did not substantiate these allegations. The resident involved did not wish to be interviewed. The complaint was unsubstantiated.

The investigation included interviews with staff and residents, review of resident records and shower schedules, and found no preponderance of evidence to substantiate the allegations. The complaint was determined to be unsubstantiated.

The visit was triggered by a complaint related to personal rights for Resident 2. The investigation was ongoing at the time of the report.

The Licensing Program Analyst conducted a health and safety check, toured the shared bedroom of Resident 1 and Resident 2 with staff present, and obtained physician reports for both residents. Additional time was needed to complete the investigation.

The complaint alleged that the facility was in disrepair due to no hot water on the 3rd floor, including the kitchen, laundry, and a resident's room. Interviews with staff and residents uniformly denied the allegation. The department conducted tours and inspections confirming the facility was in good repair and water temperatures were adequate. The allegation was unsubstantiated.

The investigation included multiple interviews, record reviews, and facility tours. The department found no evidence to support the allegation of disrepair or lack of hot water. The facility was observed to be clean, sanitary, and in good repair with water temperatures properly measured between 105°F and 120°F in all inspected areas. The allegation was determined to be unsubstantiated.

The complaint investigation involved three allegations: 1) staff engaged in an argument with a family member in front of a resident, 2) staff locked residents out of their rooms, and 3) due to lack of supervision, a resident defecated in the corner of the kitchen. Each allegation was investigated through interviews with staff, residents, and witnesses, as well as record reviews. All allegations were found unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegations that staff engaged in an argument with a family member in front of residents, locked residents out of their rooms, or failed to supervise a resident who defecated in the kitchen. All allegations were determined to be unsubstantiated based on interviews, record reviews, and observations.

The complaint investigation was triggered by allegations received on 12/09/2024 regarding inadequate food service, failure to safeguard personal items, and unmet incontinence needs. The investigation included interviews with multiple staff and residents, review of medical and hospice records, and facility observations. The allegations were found to be unsubstantiated.

After extensive interviews with staff and residents, review of records, and facility tour, the department found no evidence to support the allegations. All allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff arguing with a family member in front of residents, locking residents out of their rooms, and lack of supervision leading to a resident defecating in the kitchen. Interviews with staff, residents, and witnesses, as well as record reviews, did not provide sufficient evidence to prove the allegations.

The investigation found insufficient evidence to substantiate the allegations that staff engaged in an argument with a family member in front of residents, locked residents out of their rooms, or failed to supervise a resident who defecated in the kitchen. All allegations were determined to be unsubstantiated after interviews and record reviews.

The complaint alleged that staff unlawfully evicted Resident 1 (R1). Interviews with the administrator, staff, and review of records including eviction notices and resident agreements were conducted. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegation that staff unlawfully evicted a resident. The eviction notice was issued for violation of facility policies, including unauthorized use of video surveillance with audio, and was found to be in compliance with Title 22 regulations.

The complaint alleged that staff unlawfully evicted Resident 1 (R1). Interviews with the administrator, staff, and review of records including eviction notices and resident agreements were conducted. The allegation was determined to be unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegation that staff unlawfully evicted a resident. The eviction notice was issued for violation of facility policies, including unauthorized video surveillance, and was found to be in compliance with Title 22 regulations.

The complaint alleged that staff did not provide adequate supervision resulting in resident physical abuse, and that staff wrongfully evicted a resident. Both allegations were investigated through interviews, document reviews, and observations. The allegations were found to be unsubstantiated due to lack of evidence.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied the claims of inadequate supervision and wrongful eviction. Records and interviews confirmed adequate staffing and proper eviction procedures in compliance with regulations.

The complaint investigation addressed two allegations: 1) staff smoking marijuana while working, and 2) staff being rough and rude with residents. Both allegations were investigated through interviews and record reviews and were found to be unsubstantiated due to lack of evidence.

The investigation included interviews with staff, residents, and review of records. No evidence was found to support the allegations, and both were determined to be unsubstantiated.

The complaint investigation was initiated due to allegations that staff failed to adequately feed and hydrate Resident 1. After interviews with 9 staff members, 7 residents, and a witness, as well as review of multiple documents and direct observation, the allegations were found to be unsubstantiated.

The investigation found the allegations to be unsubstantiated based on interviews with staff and residents, review of resident records and physician reports, and direct observation during the visit. Staff and residents confirmed adequate feeding and hydration practices, and no evidence of dehydration or weight loss was found for the resident in question.

The complaint alleged that staff did not ensure that a resident was adequately fed or hydrated. The investigation found that meals and hydration were provided, meal replacements were offered when residents refused to eat, and staff encouraged residents to drink water regularly. Observations and documentation supported that the resident was provided food and water, though one witness reported an isolated oversight. Overall, the allegations were unsubstantiated.

The investigation included interviews with staff, residents, and a witness, review of resident records and shift notes, and direct observation. The allegations were found to be unsubstantiated as evidence did not prove the alleged violations occurred.

The complaint alleged that staff unlawfully evicted Resident 1 for failure to comply with facility policies and state or local law. The allegation was unsubstantiated after interviews and record reviews, including eviction notices and resident agreements.

The investigation found insufficient evidence to substantiate the allegation that staff unlawfully evicted a resident. Interviews with staff and the administrator denied the allegation, and records showed the eviction notice complied with regulations.

The complaint alleged that the facility attempted to evict Resident 1 for failure to comply with facility policies and state or local law. The allegation was unsubstantiated after interviews and record reviews.

The investigation found insufficient evidence to substantiate the allegation that staff unlawfully evicted a resident. Interviews with staff and the administrator denied the allegation, and records reviewed showed the eviction notice complied with regulations.

The allegation stated that the string from a resident’s emergency pull cord had been cut and tied tightly around the button, making it unable to be pulled. The investigation found all tested emergency pull cords operational, staff and residents confirmed functionality, and a prior repair was documented. The allegation was unsubstantiated due to lack of evidence.

The investigation included testing emergency pull cords, interviewing staff and residents, and reviewing documentation. No evidence was found to support the allegation, and no deficiencies were observed or cited during the visit. The allegation was determined to be unsubstantiated.

The complaint was unsubstantiated due to lack of sufficient evidence to prove the alleged violations. Staff intervened appropriately during the resident altercation, and the incident was self-reported. Residents interviewed denied the allegations.

The investigation found insufficient evidence to substantiate the allegations. Staff confirmed the existence of a dementia care plan and zero-tolerance policy for aggression. Staff intervened during the resident altercation, and no injuries occurred. The incident was self-reported timely to authorities. No deficiencies were cited.

The complaint involved two allegations: 1) Staff did not ensure a resident was allowed visitors, and 2) Staff verbally threatened a resident's personal representative to evict the resident. Both allegations were investigated through interviews and record reviews and were found unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied the allegations, and records showed visiting hours were posted and enforced. The allegations were determined to be unsubstantiated, and no deficiencies were cited.

Complaint #11-AS-20250619142057 was received on 2025-06-19, with two allegations substantiated.

Two of the allegations from the complaint were substantiated, and civil penalties were assessed for deficiencies cited related to the complaint.

The complaint alleged that the facility elevators were in disrepair and residents were unable to use them. The allegation was unsubstantiated after investigation, including interviews and record reviews. The elevator company was notified immediately on 2025-07-01, and repairs were completed the same day.

The investigation found insufficient evidence to substantiate the allegation that the facility elevators were in disrepair. Interviews with staff, residents, and the Regional Director indicated the elevator was repaired on the same day the issue was discovered, and residents and families were notified. No deficiencies were cited.

The allegation was that staff did not safeguard a resident's personal belongings, specifically that the facility staff lost a resident's belonging. The allegation was unsubstantiated due to lack of evidence.

The investigation found no preponderance of evidence to support the allegation that staff lost a resident's belongings. The facility's policies and resident agreements indicated management was not responsible for lost or stolen items unless included in an inventory. Interviews with staff and residents did not reveal missing items, and no deficiencies were cited during the visit.

The complaint alleged that facility staff failed to reassess resident (R#1) properly. The allegation was found to be unsubstantiated based on evidence gathered, interviews conducted, and records reviewed.

The investigation found that the LIC 602A form was completed and signed by the resident's primary care physician, not by the facility staff, and the service plan was not signed by the resident's Power of Attorney. Interviews and record reviews did not find sufficient evidence to support the allegation, resulting in an unsubstantiated finding.

The complaint alleged that staff were not taking universal precautions to ensure COVID-19 was not spread. The investigation found no substantiated violation; residents and staff denied the allegation, and infection control measures were in place and followed.

The investigation included interviews with residents and staff, review of infection control plans, incident reports, and communications with health authorities. The findings showed that staff and residents were observed wearing masks, infection control training was provided, and COVID-19 protocols were followed. The allegation was unsubstantiated due to lack of preponderance of evidence.

Allegation: Resident sustained unexplained injuries while in care. Interviews with 6 residents and 5 staff denied the allegation. Resident notes indicated self-inflicted bruising. Responsible party reported no current safety concerns. The allegation was unsubstantiated.

The investigation included interviews with residents and staff, review of resident records, and a facility tour. The allegation was unsubstantiated due to lack of preponderance of evidence, with multiple residents and staff denying the allegation and documentation indicating the resident's bruising was self-inflicted.

The complaint alleged that a resident (R1) had unexplained bruising under the left eye. Interviews with staff, residents, and the administrator, as well as a review of incident reports and resident records, were conducted. One staff member confirmed the allegation, six were unaware, and one did not confirm or deny. One resident acknowledged the bruise but was unaware of how it occurred. The allegation was determined to be unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegation that staff failed to prevent a resident from sustaining an unexplained injury. Interviews, records review, and observations did not provide a preponderance of evidence to prove the alleged violation occurred.

The complaint alleged that staff retaliated against Resident #1 resulting in eviction and that the eviction was illegal due to a defective notice. The investigation included interviews with staff, the resident, and a witness, and review of relevant documents. The allegations were found to be unsubstantiated due to lack of evidence.

The investigation found no evidence to support the allegations of staff retaliation or illegal eviction. Interviews with staff, the resident, and a witness, as well as review of records, showed that the eviction notice was invalidated and there was no mistreatment or retaliation against the resident. The allegations were determined to be unsubstantiated.

The complaint alleged that the licensee initiated eviction in retaliation against a resident. The investigation included interviews with three staff members and two residents, review of facility records, and progress notes. The allegation was found unsubstantiated due to lack of preponderance of evidence.

Based on interviews with staff and residents, and review of records including reassessments and progress notes, there was insufficient evidence to substantiate the allegation. The eviction was determined to be due to the resident requiring a higher level of care and supervision. No deficiencies were cited.

The allegation was that staff did not assist a resident with putting bottoms on while in bed until hours later. Interviews with staff and residents, as well as record reviews, showed that assistance was typically timely. One resident reported a delay due to a low battery in the pendant. The allegation was unsubstantiated due to lack of evidence.

The investigation found no preponderance of evidence to support the allegation. Observations and interviews indicated that staff generally assisted residents in a timely manner, and no deficiencies were cited during the visit.

The allegation was that the licensee initiated eviction in retaliation against the resident. The investigation was unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to support the allegation of retaliatory eviction. The facility followed proper procedures for eviction based on the resident's increased care needs, and no deficiencies were cited.

The complaint alleged that the main elevator, washer and dryer, and refrigerator were not working. The investigation found the elevator operational with monthly maintenance, washers and dryers working though dryers take longer, and refrigerators functioning properly. The allegation was unsubstantiated due to lack of evidence.

The investigation included interviews with staff and residents, facility tour, and document review. The elevators were found operational, refrigerators were working with temperatures within acceptable ranges, and the third-floor refrigerator had been replaced after a work order. Staff and residents acknowledged occasional elevator issues but confirmed current functionality. No evidence was found to substantiate the complaint.

Allegation: Staff neglect resulted in resident falling. The allegation was unsubstantiated after review of records, interviews with staff and residents, and facility observations.

The investigation found no sufficient evidence to support the allegation of staff neglect causing resident falls. Interviews with staff and residents all denied any falls due to staff neglect, and no special incident reports of falls were found. The allegation was determined to be unsubstantiated.

The facility was found to be in compliance with all applicable regulations, with no deficiencies observed. Resident rooms, bathrooms, medication administration, kitchen, safety equipment, and grounds were all inspected and found satisfactory.

The complaint alleged that staff were cussing at residents and handling residents roughly. Interviews with 12 staff and 10 residents found no evidence to support these allegations. Staff acknowledged inappropriate language among themselves but not directed at residents. The allegations were determined to be unsubstantiated due to lack of evidence.

The investigation included interviews with staff and residents, review of relevant documents, and facility tour. No evidence was found to substantiate the allegations; staff and residents uniformly denied inappropriate behavior or rough handling. No deficiencies were observed or cited during the visit.

The allegation was that the facility failed to obtain the resident’s representative admission agreement signature at the time of and as a condition of admission. The allegation was unsubstantiated due to lack of evidence.

The investigation found that the resident’s admission agreement was signed by the resident’s fiduciary Power of Attorney, who was responsible for handling finances and fees. There was no preponderance of evidence to prove the allegation, and therefore it was unsubstantiated. No deficiencies were observed or cited during the visit.

The complaint involved two allegations: 1) failure to follow a resident's advance health care directive, specifically regarding notification of agents, and 2) falsification of communication records by staff. Both allegations were found to be unsubstantiated after review of records, interviews with staff and residents, and file examination.

The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents confirmed proper notification of agents on the advance health care directive and denied any falsification of records. No deficiencies were observed or cited during the visit.

The allegation was that Resident R1’s jewelry and other personal items remained unaccounted for after the death of R1. The investigation reviewed admission agreements, personal property forms, and interviewed staff and residents. Staff and residents reported no observation or loss of jewelry. The allegation was unsubstantiated due to lack of evidence.

The investigation found no evidence to substantiate the allegation that Resident R1's jewelry and personal items were unaccounted for after their death. No deficiencies were observed or cited during the visit.

The complaint alleged staff neglect in properly cleaning resident R1 during incontinent care and failure to follow medical orders related to wound care. The investigation included interviews with staff, residents, witnesses, and review of training and care plans. The findings were unsubstantiated.

The investigation found the allegations to be unsubstantiated based on interviews, observations, and review of training and care records. Staff were trained and followed medical orders regarding incontinent care and wound care, and residents expressed satisfaction with the services provided.

The inspection found the facility to be clean, well-maintained, and in compliance with all applicable regulations. No deficiencies or citations were observed during the visit.

The complaint alleged that staff did not provide meals to a resident in care. The allegation was unsubstantiated after investigation, with residents and staff denying the claim and ample food supply observed.

The investigation included interviews with residents, staff, and a witness, as well as a review of facility documents and observation of the kitchen. The allegation was found to be unsubstantiated due to lack of sufficient evidence.

The complaint investigation addressed eight allegations involving Resident #1 and Resident #2, including fractured hip, multiple falls, improper restraint, safeguarding of belongings, restriction from leaving with family, improper assistance with transfers and ADLs, and resident threatening a visitor. All allegations were found to be unsubstantiated after review of medical records, interviews with staff, residents, witnesses, and conservators, and examination of facility policies and documentation.

The investigation found all allegations, including neglect, improper restraint, failure to safeguard personal belongings, restriction of resident movement, improper assistance with transfers and ADLs, and resident threats, to be unsubstantiated based on evidence, interviews, and record reviews.

The complaint investigation was unsubstantiated. Allegations included insufficient staffing to prevent falls, answer call buttons timely, meet incontinence care needs, and meet showering needs. Interviews with staff and review of rosters supported staffing adequacy. Attempts to interview residents were limited due to mental health issues. The anonymous complainant could not be interviewed.

The investigation found no preponderance of evidence to substantiate the allegations regarding staffing insufficiencies related to resident falls, call button response, incontinence care, and showering needs. Staff interviews and roster reviews supported adequate staffing ratios and care provision.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. No deficiencies were cited during this inspection visit.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. No deficiencies were cited during this inspection visit.