Inspection Reports for
Regina Health Center
5232 BROADVIEW ROAD, RICHFIELD, OH, 44286-9608
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% better than Ohio average
Ohio average: 4.6 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 1
Date: Jun 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to ensure menus were followed for nutritional adequacy.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00165764.
Findings
The facility failed to follow the menu spreadsheet for serving scoop sizes, resulting in residents receiving less food than indicated. This affected four residents directly and had the potential to affect all 54 residents served from the 2B kitchenette/dining area.
Deficiencies (1)
F0803: Ensure menus meet nutritional needs, are prepared in advance, followed, updated, and reviewed by a dietician. The facility failed to ensure the menu was followed for nutritional adequacy, serving incorrect portion sizes to residents.
Report Facts
Census: 90
Residents affected: 4
Potentially affected residents: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #3 | Interviewed regarding resident diet orders and portion requests | |
| Dietary Aide (DA) #7 | Observed serving incorrect portion sizes | |
| Dietary Aide (DA) #8 | Interviewed and verified incorrect serving sizes | |
| Chef #2 | Interviewed and verified residents received less food than indicated | |
| Registered Dietitian (RD) #6 | Interviewed and verified expectation to follow menu spreadsheet |
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 1
Date: Apr 29, 2025
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to accommodate Resident #40's bathing preferences, specifically the preference for tub baths over showers.
Complaint Details
The complaint was substantiated based on interviews with Resident #40, her daughter, staff, and review of records showing the resident's preference for tub baths was not honored. The daughter reported the resident had not taken showers due to discomfort and poor attention from nursing aides.
Findings
The facility failed to ensure Resident #40's preference for tub baths was honored, resulting in the resident often refusing showers and not receiving tub baths. Interviews and record reviews confirmed the resident's dissatisfaction with showering and lack of communication about her preferences.
Deficiencies (1)
F 0558: The facility failed to reasonably accommodate Resident #40's bathing preferences. Resident #40 preferred tub baths but was given showers, which she often refused, and there was no evidence she received tub baths.
Report Facts
Facility census: 85
Bathtubs available: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Social Worker (LSW) #203 | Interviewed regarding Resident #40's bathing preferences and care conference | |
| Director of Nursing (DON) | Interviewed regarding knowledge of Resident #40's bathing preferences and availability of bathtubs |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 21, 2024
Visit Reason
The inspection was conducted to investigate a complaint regarding the misappropriation of Resident #10's oxycodone narcotic pain medications and failure to report the incident to the State Survey Agency.
Complaint Details
This deficiency represents noncompliance investigated under Complaint Number OH00160593. The complaint involved misappropriation of Resident #10's oxycodone narcotic pain medications by an agency nurse and failure to report the incident to the State Survey Agency.
Findings
The facility failed to prevent the misappropriation of 14 oxycodone tablets by an agency Licensed Practical Nurse (LPN Agency #809) and failed to report the incident to the State Survey Agency as required. The investigation confirmed tampering with the narcotic medication card and substitution of oxycodone with Topamax migraine medication.
Deficiencies (2)
F 0602: The facility failed to protect Resident #10 from misappropriation of narcotic pain medications. Fourteen oxycodone tablets were replaced with Topamax migraine medication by an agency nurse, compromising medication integrity.
F 0609: The facility failed to timely report suspected abuse, neglect, or theft of Resident #10's oxycodone narcotic pain medications to the State Survey Agency as required by policy.
Report Facts
Oxycodone tablets misappropriated: 14
Total oxycodone tablets on narcotic card: 25
Number of shifts worked by LPN Agency #809: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN Agency #809 | Licensed Practical Nurse (Agency) | Named as the individual who misappropriated 14 oxycodone narcotic pain medications. |
| LPN Agency #808 | Licensed Practical Nurse (Agency) | Noticed the tampering of Resident #10's oxycodone narcotic card during narcotic count. |
| RN Supervisor #803 | Registered Nurse Supervisor | Reported the narcotic card discrepancy and oversaw narcotic counts during shift change. |
| RN Assistant Director of Nursing (ADON) #806 | Registered Nurse Assistant Director of Nursing | Confirmed misappropriation and reported failure to notify State Survey Agency. |
| LPN #804 | Licensed Practical Nurse | Interviewed regarding the misappropriation incident on 1C Hall medication cart. |
Inspection Report
Routine
Census: 88
Deficiencies: 3
Date: May 22, 2024
Visit Reason
The inspection was conducted to assess compliance with infection prevention and control, vaccination policies, and medication administration practices at the facility.
Findings
The facility failed to implement a comprehensive water management plan, did not ensure proper signage and PPE for residents on Enhanced Barrier Precautions, and observed improper medication handling by nursing staff. Additionally, the facility failed to provide education and obtain proper consents or refusals for influenza, pneumonia, and COVID-19 vaccinations for Resident #9.
Deficiencies (3)
F 0880: The facility failed to provide and implement a comprehensive infection prevention and control program, including a water management plan and proper use of Enhanced Barrier Precautions for residents with indwelling devices. Medication administration practices were not followed, with staff touching medications directly before administration.
F 0883: The facility failed to develop and implement policies and procedures to ensure Resident #9 was offered and educated about influenza and pneumonia vaccinations, with no evidence of vaccine offer or education documented.
F 0887: The facility failed to educate Resident #9 and staff on COVID-19 vaccination, offer the vaccine to the resident, and properly document vaccination status or refusals.
Report Facts
Facility census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #86 | Registered Nurse | Observed improperly handling medications for Residents #16 and #72 |
| RN #164 | Registered Nurse | Interviewed regarding medication handling practices of RN #86 |
| RN #52 | Registered Nurse | Responsible for obtaining vaccine consents and providing education; interviewed about vaccination education and documentation |
| ICP #52 | Infection Control Preventionist | Verified lack of Enhanced Barrier Precautions signage and PPE outside resident rooms |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 11, 2023
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to conduct a thorough investigation of a fall involving Resident #27.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00141478.
Findings
The facility failed to complete the incident report fully and did not obtain witness statements from all staff involved in Resident #27's fall, resulting in an incomplete investigation. Resident #27 had moderate cognitive impairment and required extensive assistance or total dependence for activities of daily living.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. The fall investigation for Resident #27 was incomplete due to missing witness statements and an incomplete incident report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed and verified the fall investigation was incomplete. |
Inspection Report
Complaint Investigation
Census: 79
Deficiencies: 1
Date: Apr 21, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding the failure to provide scheduled doses of anticoagulant medication to a resident.
Complaint Details
The complaint was substantiated as the facility failed to administer scheduled anticoagulant medication to Resident #322 due to medication unavailability. The Director of Nursing confirmed the issue during interview.
Findings
The facility failed to ensure one resident (Resident #322) received scheduled doses of Heparin Sodium Solution due to unavailability of the medication from the pharmacy. The Director of Nursing confirmed the medication was not administered because it was not available in the automated dispensing machine or from the pharmacy.
Deficiencies (1)
F 0755: The facility failed to provide pharmaceutical services to meet the needs of each resident by not administering scheduled doses of anticoagulant medication to Resident #322 due to medication unavailability. The facility's policy requires notification of the prescriber and documentation when vital medications are withheld or unavailable.
Report Facts
Residents reviewed for unnecessary medications: 5
Census: 79
Missed doses: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed medication was not administered due to unavailability |
Inspection Report
Annual Inspection
Census: 88
Deficiencies: 3
Date: Apr 25, 2019
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with Medicare/Medicaid regulations and facility policies.
Findings
The facility failed to provide written notification to residents or their representatives regarding Medicare coverage and potential financial liability. Additionally, catheter care was not performed thoroughly for one resident, and the facility failed to maintain appropriate refrigerator temperatures and proper labeling of opened food containers in the activity room refrigerators.
Deficiencies (3)
F 0582: The facility failed to provide written notification to residents or their representatives regarding Medicare coverage and potential financial liability. This affected two residents out of three reviewed.
F 0690: The facility failed to ensure thorough catheter care for Resident #51, including failure to cleanse labial skin surfaces in contact with the catheter as required by policy.
F 0812: The facility failed to maintain appropriate refrigerator temperatures and failed to date opened containers in the activity room refrigerators, potentially affecting 30 residents.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 30
Facility census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Admissions Coordinator #501 | Named in failure to mail Medicare Non-Coverage notices | |
| State Tested Nursing Assistant #503 | Named in inadequate catheter care observation | |
| Registered Nurse #502 | Confirmed inadequate catheter care technique | |
| Director of Nursing | Confirmed catheter care deficiency | |
| Activity Director #507 | Interviewed regarding refrigerator temperature and food labeling | |
| Dietary Manager #505 | Interviewed regarding refrigerator temperature and food labeling |
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