Inspection Reports for
Regent Park Assisted Living & Memory Care

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

The resurvey was conducted following complaints #185341, 185782, 185994, 187086, 187941, and 189211 related to resident neglect, wandering, and safety concerns.

The facility failed to protect a resident from neglect related to unsecured exit doors and inadequate interventions for wandering behavior. Additional deficiencies included incomplete negotiated service agreements, failure to provide care according to service agreements, inadequate infection control compliance with tuberculosis screening, and insufficient alarm audibility in the memory care unit.

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

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 (TB) guidelines for new employees, with delays in required TB symptom screenings and tests.

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

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

The administrator failed to ensure the facility's compliance with tuberculosis (TB) guidelines for adult care homes, specifically the required two-step TB test within seven days of employment for four of five newly hired employees.

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

The inspection was triggered by complaints #155400 and #152607. The investigation substantiated issues including inadequate supervision leading to elopement, inaccurate functional capacity screenings, incomplete negotiated service agreements, improper delegation and documentation of medication administration tasks, and unsecured hazardous chemicals.

The facility failed to provide adequate supervision for a resident who eloped, failed to accurately reflect residents' functional capacity and medication management in screening and service agreements, failed to ensure proper 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.

All previously cited deficiencies identified by regulation numbers 26-41-201(c), 26-41-202(d), 26-41-202(h), 26-41-205(g)(3), 26-41-102(d), and 26-41-104(d) were corrected as of the revisit date.

The inspection was triggered by complaint investigations #116777 and #128806.

The facility failed to conduct annual Functional Capacity Screenings and review/revise Negotiated Service Agreements for residents. Negotiated Service Agreements and revisions were not signed by all parties on the day of agreement or change. Over-the-counter medications were not labeled with the full name of residents. The facility lacked evidence of verifying licenses and nurse aide registry checks for certain staff. Emergency preparedness training was not provided quarterly to employees and residents.

The report shows that all previously cited deficiencies identified by regulation numbers 26-41-101 (f)(1) and 26-41-204 (a) were corrected and completed by 07/26/2016. No uncorrected deficiencies remain.

The complaint involved allegations of abuse and neglect for residents #1000 and #1200. The allegations were not substantiated due to failure to report and investigate properly.

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 investigations were in progress.

The investigation was triggered by complaints #93723, #95054, and #95841. The complaint was substantiated as the facility failed to prevent neglect of a cognitively impaired resident who eloped and failed to provide adequate licensed nursing oversight for companion care services.

The facility failed to ensure that a cognitively impaired resident with a known risk for elopement was properly monitored, resulting in the resident leaving the facility unnoticed and being found 0.7 miles away. Additionally, the facility failed to ensure licensed nursing oversight and coordination of necessary health care services for residents receiving companion care, with deficiencies in care plans and companion care service descriptions.

All deficiencies previously reported were corrected as of the revisit date. The report lists specific regulation numbers with correction completion dates.

Complaint investigations #86860 and #91681 focused on allegations of abuse/neglect and compliance with negotiated service agreements and health care services. The complaints were substantiated with findings of failure to report abuse, inadequate investigations, and deficient care.

The facility failed to report allegations of abuse/neglect timely, conduct thorough investigations, and implement corrective actions. Resident care plans lacked adequate interventions for falls and companion care. Health care services were not properly coordinated, resulting in multiple falls and injuries. The facility also failed to maintain a safe and sanitary environment, particularly in the kitchen and food service areas.