The initial pre‑licensing visit to Regency Place on November 2, 2021 confirmed that the facility met all safety, health, and administrative requirements. The licensing analyst noted adequate resident capacity, fully stocked emergency supplies, compliant fire and medical evacuation plans, and a properly organized resident record system. No deficiencies were identified, and the facility was cleared for operation.

A routine annual inspection on November 5, 2022 uncovered several compliance gaps. Hot‑water temperatures in two resident bathrooms exceeded the regulated maximum of 120 °F, posing immediate health risks. The five‑year riser fire‑system inspection was out of date, and no current service sticker could be located, violating fire‑safety regulations. Additionally, physician reports for four of the five residents reviewed were outdated, and the facility lacked an annual medical assessment for residents diagnosed with dementia. The licensing analyst issued a plan of correction, giving the facility a due date for each deficiency.

Subsequent unannounced Plan‑of‑Correction (POC) visits in mid‑November and late‑November confirmed that Regency Place had addressed all cited deficiencies. Updated physician reports, current fire‑system documentation, and corrected hot‑water settings were verified, and the required medical reassessments for dementia residents were performed. The facility received a POC‑cleared letter, and the licensing analysts documented that all issues had been resolved within the mandated timeframe.

These reports illustrate a pattern of initial compliance followed by identification and prompt rectification of safety and documentation deficiencies. Regency Place maintained a consistent capacity of 61 residents, with 46 currently censused, and demonstrated ongoing adherence to health‑and‑safety standards through timely corrective action and verification visits.