Inspection Reports for Regent Park Assisted Living & Memory Care

This revisit inspection was conducted to verify that previously reported deficiencies at Regent Park Assisted Living and Memory Care have been corrected.

All previously cited deficiencies were found to be corrected as of the revisit date, with corrective actions completed and documented.

The inspection was a resurvey with multiple complaints (#185341, 185782, 185994, 187086, 187941, and 189211) at an assisted living facility, focusing on allegations including neglect and compliance with care and safety regulations.

The facility failed to protect a cognitively impaired resident (R104) from elopement due to unsecured exit doors and inadequate staff interventions, failed to identify hospice providers in service agreements, did not respond timely to resident call lights resulting in falls, lacked tuberculosis screening documentation for residents, and had exit door alarms that were inaudible to staff in the memory care unit, putting residents at risk.

The visit was triggered by multiple complaints alleging neglect and safety issues including elopement, inadequate care, and infection control.

The document is a plan of correction responding to findings from a resurvey conducted with complaints #185341, 185782, 185994, 187086, 187941, and 189211 at the assisted living facility on 12/04/24, 12/09/24, and 12/10/24.

The plan of correction addresses citations resulting from a resurvey triggered by multiple complaints at the assisted living facility conducted over three days in December 2024.

The resurvey was conducted in response to complaints #185341, 185782, 185994, 187086, 187941, and 189211.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 07/10/23.

All deficiencies have been corrected as of the compliance date of 07/24/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with complaints #180883 and #181085 at Regent Park Assisted Living and Memory Care conducted on 06/29/23, 07/05/23, 07/06/23, and 07/10/23.

The facility failed to fully develop negotiated service agreements (NSA) for several residents, including missing service details and signatures. Additionally, the facility did not comply with tuberculosis screening guidelines for new employees, with delays in TB symptom screening and testing.

The inspection was triggered by complaints #180883 and #181085.

The document is a plan of correction related to a resurvey conducted with complaints #180883 and #181085 at an assisted living facility on 06/29/23, 07/05/23, 07/06/23, and 07/10/23.

The plan of correction addresses findings from the resurvey conducted in response to the complaints mentioned, but specific deficiencies or findings are not detailed in this document.

The resurvey was conducted following complaints #180883 and #181085.

An offsite revisit survey was conducted on 08/22/2022 to verify correction of all previous deficiencies cited on 07/27/2022.

All previously cited deficiencies have been corrected as of the compliance date of 08/22/2022, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a licensure resurvey with attached complaint investigations for multiple complaint numbers conducted over several days in July 2022.

The facility failed to comply with tuberculosis (TB) guidelines for adult care homes as four of five newly hired employees lacked documentation of the required two-step TB test within seven days of employment.

The inspection included attached complaint numbers 172725, 172425, 171292, 170431, 169499, 167462, 168337, 168479, 168374, and 167849.

The document is a Plan of Correction responding to findings from a licensure resurvey and attached complaint investigations conducted on 07/25/22, 07/26/22, 07/27/22, and 07/28/22 at the facility.

The Plan of Correction addresses citations representing findings from the licensure resurvey and multiple complaint numbers associated with the facility during the specified dates.

The plan references complaint numbers 172725, 172425, 171292, 170431, 169499, 167462, 168337, 168479, 168374, and 167849 associated with the licensure resurvey.

This revisit report documents the correction of deficiencies previously reported during an earlier survey, verifying that corrective actions have been completed.

All previously cited deficiencies identified by regulation or LSC provision numbers have been corrected as of the revisit date.

The inspection was conducted as a resurvey and complaint investigation for complaints #155400 and #152607 at Regent Park Assisted Living and Memory Care.

The facility failed to provide adequate supervision for a resident who eloped, failed to accurately reflect residents' functional capacities and medication management in service agreements, failed to ensure signatures on negotiated service agreements, failed to properly delegate medication administration tasks to certified medication aides, and failed to secure hazardous chemicals, posing safety risks.

The visit was complaint-related, investigating complaints #155400 and #152607 regarding resident supervision and care.

The special infection control survey for COVID-19 was conducted at the facility on 7-14-2020.

The survey resulted in findings of no deficiency citations.

This is a revisit inspection conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date, with completion dates documented for each.

The inspection was conducted as a resurvey and complaint investigation for the facility based on complaints #116777 and #128806 on 6/5/18, 6/6/18, and 6/7/18.

The facility was found deficient in multiple areas including failure to conduct annual Functional Capacity Screenings for residents, failure to review and revise Negotiated Service Agreements annually, failure to ensure all parties signed the agreements timely, improper labeling of over-the-counter medications without full resident names, lack of verification of licenses and registry checks for staff, and failure to provide quarterly emergency preparedness training to employees and residents.

The inspection was triggered by complaints #116777 and #128806. The findings included substantiated deficiencies related to resident care, medication management, staff qualifications, and emergency preparedness.

This revisit inspection was conducted to verify that previously reported deficiencies at Regent Park Assisted Living and Memory Care were corrected and to document the dates such corrective actions were accomplished.

The report confirms that the deficiencies previously cited under regulation numbers 26-41-101 (f) (1) and 26-41-204 (a) were corrected as of 07/26/2016. No other deficiencies or uncorrected issues are noted.

The inspection was a revisit for a notice of assessment related to allegations of resident abuse at the assisted living facility.

The administrator failed to report allegations of resident abuse involving two residents to the department within 24 hours and failed to thoroughly investigate and take measures to prevent further potential abuse while the investigation was in progress.

The complaint involved allegations of abuse for residents #1000 and #1200. The administrator did not report the allegations to the department within 24 hours and did not conduct thorough investigations or take preventive measures during the investigations.

The inspection was an abbreviated survey conducted for the investigation of complaints #93723, #95054, and #95841 at Regent Park Assisted Living and Memory Care on multiple dates from 2016-05-31 to 2016-06-08.

The facility failed to ensure that cognitively impaired resident #851 was properly monitored, resulting in elopements and immediate jeopardy due to neglect when a companion was not assigned. Additionally, the facility failed to ensure licensed nurse coordination of necessary health care services for residents #851 and #854, with inadequate documentation and supervision of companion care services.

The investigation was triggered by complaints #93723, #95054, and #95841. The complaint was substantiated as evidenced by findings of neglect and failure to provide coordinated health care services for residents.

This visit was conducted as a follow-up to verify correction of previously reported deficiencies at Regent Park Assisted Living and Memory Care.

All previously reported deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.

Resurvey with complaints #86860 and #91681 conducted over multiple days in October 2015 to investigate allegations of abuse/neglect and compliance with negotiated service agreements and health care services.

The facility failed to report allegations of abuse/neglect timely, conduct thorough investigations, and implement corrective actions. Resident #600 experienced multiple falls resulting in injuries including fractures and lacerations, with inadequate health care coordination and fall risk interventions. Resident #200 did not receive 24-hour companion care as required by the negotiated service agreement, and outside services were not properly monitored. The facility also failed to maintain a safe and sanitary environment in the kitchen and food service areas.

Complaint investigation involved allegations of abuse/neglect related to falls and injuries of residents #600 and #200. The investigation found failures in timely reporting, investigation, and corrective actions. Resident #200 lacked required 24-hour companion care and monitoring of outside services was inadequate.

The licensure resurvey of the assisted living facility was conducted on 6/19/14 and 6/23/14 as part of the renewal process.

The inspection resulted in no deficiency citations being found at the facility.

This document is a Plan of Correction related to a prior inspection event identified by ASPEN Event ID MIDT12 and State ID N087069.

No specific deficiencies or findings are detailed in this Plan of Correction document; it serves as a record for corrective actions related to the referenced inspection.