Inspection Reports for The Palm at Regency Square

The document serves as a renewal application for the nursing home license of The Palm at Regency Square and includes related licensing and occupancy permits.

The documents certify that The Palm at Regency Square meets statutory requirements for SNF/NF dual certification and includes renewal of licensure and occupancy permits with no deficiencies or inspection findings noted.

The document is related to the issuance of a new Skilled Nursing Facility license for The Palm At Regency Square due to a change of ownership.

The Palm At Regency Square meets statutory requirements for Skilled Nursing Facility licensing and is authorized to operate with a licensed capacity of 72 beds. The license is effective as of August 2, 2023, and expires on March 31, 2024.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to protect residents from abuse.

The facility was found to have protected residents from abuse. Investigations of allegations were conducted, staff were suspended during investigations, and staff demonstrated knowledge of abuse reporting. The facility was determined to be in compliance with relevant regulatory requirements.

The complaint alleged the facility failed to protect residents from abuse. The complaint was investigated and found to be unsubstantiated as the facility was in compliance.

This document serves as a renewal license application and verification for Regency Square Care Center, an assisted-living facility, to continue its licensure through the indicated expiration date.

The facility is licensed as an assisted-living facility with a total licensed capacity of 38 beds. The renewal application certifies compliance with Nebraska Department of Health and Human Services rules and regulations. An occupancy permit issued by the Nebraska State Fire Marshal confirms the maximum occupancy of 38 beds as of 2018.

This document is a Nursing Home Licensure Renewal Application for Regency Square Care Center, submitted to renew the facility's license.

The document certifies that Regency Square Care Center meets statutory requirements for skilled nursing facility licensure renewal and includes information about services provided and ownership.

An unannounced visit was conducted to investigate a complaint and annual survey at Regency Square Care Center on December 11, 2017-December 14, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility failed to submit investigations within 5 working days for 4 of 8 investigations reviewed, resulting in a deficiency at F609. The facility failed to maintain a medication error rate of less than 5%, with a 10.7% error rate found during medication pass observations, resulting in a deficiency at F759. The facility was found to be in compliance with protecting residents from abuse, housekeeping, and fall interventions. Several life safety code deficiencies were identified including smoke barrier penetrations, sprinkler head dust accumulation, corridor door gaps, and fire drill deficiencies.

The complaint investigation included allegations that the facility failed to submit investigations within 5 working days, failed to protect residents from abuse, failed to immediately report allegations of abuse, failed to follow the Five Rights for medication administration, failed to ensure appropriate housekeeping and maintenance, failed to provide medications according to practitioner orders, failed to provide care and assistance for bowel and/or bladder elimination, and failed to use fall interventions to prevent injuries. The facility was found to be out of compliance with reporting investigations timely and medication administration errors, but in compliance with abuse protection, housekeeping, bowel/bladder care, and fall prevention.

The document serves as a licensure renewal verification for Regency Square Care Center, an assisted-living facility, confirming that the facility is licensed through the date indicated on the renewal card.

The document confirms that Regency Square Care Center meets statutory requirements as an assisted-living facility and is licensed for 38 beds. It includes ownership information and certification signatures but does not report any inspection deficiencies or findings.

The document is a Nursing Home Licensure Renewal Application and related certification materials for Regency Square Care Center, verifying the facility's license renewal through the indicated date.

The documents confirm that Regency Square Care Center meets statutory requirements for Skilled Nursing Facility/Nursing Facility dual certification and is licensed through the renewal date. The occupancy permit certifies a maximum capacity of 72 beds.

An unannounced visit was conducted to investigate a complaint and annual survey at Regency Square Care Center on December 11, 2016-December 14, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found the facility was in compliance with medication administration, protection from abuse, notification of family of change in condition, care for bladder elimination, availability of activities, call light response, pest control, and staffing. However, deficiencies were identified related to dialysis communication, psychoactive medication monitoring, medication labeling, fire safety code violations including fire door issues, fire alarm system notification, portable fire extinguisher inspections, fire drill scheduling, emergency generator remote stop switch, electrical receptacles lacking GFCI protection, use of extension cords, and oxygen cylinder labeling.

The complaint allegations included failure to provide medications as ordered, failure to protect residents from adverse behaviors and abuse, failure to notify family of change in condition, failure to provide care for bladder elimination, failure to ensure activities, failure to answer call lights promptly, failure to ensure pest control, and failure to ensure sufficient staffing. The facility was found in compliance with all these complaint allegations.

An unannounced visit was conducted to investigate a complaint at Regency Square Care Center from October 6, 2016 to October 12, 2016, including review of resident records, observation of care, and interviews with residents, family, and staff.

The facility was found compliant with regulatory guidelines for identifying changes in condition, providing care and assistance for ADLs, responding promptly to calls for assistance, treating residents with respect and dignity, preventing skin breakdown, and ensuring meals were attractive and palatable. However, the facility failed to provide medications according to practitioner's orders, resulting in a significant medication error related to insulin administration for Resident 1.

The complaint investigation included allegations that the facility failed to identify change in condition, failed to provide medications according to practitioner's orders, failed to provide care and assistance for ADLs, failed to ensure prompt response to calls for assistance, failed to ensure residents are treated with respect and dignity, failed to provide care to prevent skin breakdown, and failed to ensure meals are attractive and palatable. The facility was found compliant on all allegations except medication administration.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents are free from abuse.

The facility was found to ensure residents were free from abuse based on review of four resident records, observations of care, staff interviews, and resident and family interviews. No abuse was documented or observed, and employee background checks were verified.

The complaint alleged the facility failed to ensure residents are free from abuse. The allegation was not substantiated as no abuse was found.

An unannounced visit was conducted to investigate a complaint at Regency Square Care Center on June 1-2, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility to be in compliance with all related regulatory requirements across multiple allegations including medication administration, staffing sufficiency, fall interventions, response to calls for assistance, timely investigations, family notification of condition changes, food and fluid assistance, safe environment maintenance, pain management, bowel care, weight loss interventions, grievance resolution, and ensuring residents are free from abuse.

The complaint investigation addressed multiple allegations including failure to provide medications according to providers' orders, insufficient staffing, failure to implement fall interventions, delayed response to calls for assistance, failure to submit investigations timely, failure to notify family of condition changes, failure to assist with food/fluid intake, unsafe environment, failure to change fall interventions, failure to follow practitioner's orders for braces, failure to provide pain management, failure to provide bowel care, failure to address weight loss, failure to resolve grievances, and failure to ensure residents are free from abuse. All allegations were found to be unsubstantiated with the facility in compliance.

The inspection was an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities.

The facility was found deficient in multiple areas including failure to provide residents with notice of rights, failure to ensure privacy during treatments, failure to report allegations of abuse, failure to respect resident bathing preferences, inadequate oral care and toileting assistance, unsafe medication practices, unsanitary food preparation, medication labeling errors, and infection control violations.

An unannounced visit was conducted to investigate a complaint at Regency Square Care Center from August 6, 2015 to August 13, 2015.

The facility was found to be in compliance with all related regulatory requirements for all allegations investigated, including ensuring residents were free from abuse, answering call notification systems promptly, maintaining an adequate pest control program, assisting residents in changing clothing regularly, and ensuring appropriate fall interventions.

The complaint allegations included failure to ensure residents are free from abuse, failure to answer call notification systems promptly, failure to maintain an adequate pest control program, failure to protect residents from abuse, failure to assist residents in changing clothing regularly, and failure to ensure appropriate fall interventions. All allegations were found to be unsubstantiated and the facility was in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Regency Square Care Center on December 1-4, 2014. The complaint alleged insufficient staff to meet residents' needs and failure to implement appropriate interventions to prevent falls.

The facility ensured sufficient staff to meet residents' needs and implemented appropriate fall prevention interventions. Observations, record reviews, and interviews confirmed timely call light responses and knowledgeable staff. The census was 68.

The complaint alleged insufficient staff to meet residents' needs and failure to implement appropriate interventions to prevent falls. The investigation found no violation related to staffing or fall prevention.

The Compliance Inspection was conducted to assess the facility's compliance with regulations governing licensure of Assisted-Living Facilities.

The facility was found to be in compliance with the applicable regulations, and the results of the inspection were commendable.

An unannounced visit was conducted to investigate a complaint survey at Regency Square Care Center on October 14-15, 2014, triggered by multiple allegations including failure to protect residents from misappropriation and failure to report injuries of unknown origin.

The facility was found to have failed in immediately reporting allegations of misappropriation, submitting investigations within five working days, notifying appropriate agencies related to misappropriation, and reporting injuries of unknown origin. However, the facility was compliant in protecting residents from misappropriation and abuse, ensuring appropriate use of positioning devices, and ensuring medications were swallowed.

The complaint investigation was triggered by multiple allegations including failure to protect residents from misappropriation, failure to immediately report allegations of misappropriation, failure to submit investigations within five working days, failure to notify appropriate agencies related to misappropriation, failure to report allegations of abuse, failure to ensure positioning devices were appropriate, failure to protect residents from abuse, failure to ensure medications were swallowed, failure to report injuries of unknown origin, and failure to investigate injuries of unknown origin. The facility was found non-compliant in reporting and notification aspects but compliant in protection and care aspects.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including care planning, resident safety, and life safety code standards.

The facility was found deficient in developing comprehensive care plans for residents at risk of aspiration, failure to revise care plans for skin issues, inadequate monitoring of dialysis access sites and bruising, incomplete monitoring and evaluation of discontinuation of suicide precautions, failure to provide proper separation of hazardous areas with self-closing doors, and failure to conduct active fire drills on all shifts.

The inspection was conducted to evaluate compliance with federal regulations governing skilled nursing facilities, including care planning, skin integrity, medication management, safety, and life safety code standards.

The facility was found deficient in multiple areas including failure to revise comprehensive care plans for skin integrity, failure to monitor and obtain timely physician orders for skin tears, unsecured housekeeping chemicals accessible to residents, duplicate drug therapy and lack of evaluation for hypnotic use, medication errors exceeding 5%, failure to maintain fire safety and life safety code standards including self-closing doors, emergency lighting testing, exit signage, fire drills, sprinkler clearance, and electrical safety.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities, including investigation/reporting of allegations, resident safety, and physician visit frequency.

The facility failed to report an allegation of neglect to Adult Protective Services within 24 hours, failed to assess residents' risk for burns from hot liquids and implement interventions, and failed to ensure residents were seen by their physician within required timeframes. The facility took corrective actions including resident assessments, staff education, and implementation of a physician visit tracking tool.

A survey was conducted on January 24, 2012, by the Nebraska Department of Health and Human Services to determine compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs. The survey found the facility was not in substantial compliance and posed immediate jeopardy to resident health and safety.

The facility was found to be in immediate jeopardy due to noncompliance with participation requirements. The immediate jeopardy was addressed before the exit conference, resulting in the deficiency being lowered to a 'D' level on the enforcement grid. Consequently, a denial of payment for new Medicare and Medicaid admissions was imposed effective February 25, 2012, until substantial compliance is achieved.

The inspection was a routine survey to assess compliance with federal and state regulations including resident record keeping, life safety code, fire safety, and facility maintenance.

The facility was found deficient in maintaining accurate resident possession records at discharge, life safety code violations including missing ceiling tiles, unsealed smoke barriers, inaccessible exits, blocked sprinkler heads, missing sprinkler escutcheon rings, inadequate kitchen hood inspections, lack of oxygen use signage, misuse of electrical power strips, and an open electrical panel slot.

The inspection and complaint investigation were conducted following allegations regarding the facility's compliance with licensure regulations for Assisted-Living Facilities, specifically to investigate claims of resident abuse and to assess medication administration policies.

The facility was found to be in compliance with regulations related to the abuse allegations, with no evidence of residents being fearful or abused. However, an unrelated violation was found regarding the lack of written evidence that a Registered Nurse reviewed medication administration policies and procedures annually.

The complaint investigation found the facility in compliance with allegations that it failed to protect residents from abuse; no violation was cited related to this issue.

This Notice of Disciplinary Action was issued due to the facility's failure to identify residents at risk for hot liquid spills and implement interventions to prevent injuries, resulting in injury to one resident.

The Department determined the facility violated licensure regulations related to accidents and placed the license on probation for 180 days starting February 21, 2012, requiring submission of a Plan of Correction and ongoing reports documenting implementation of corrective processes.

This document serves as a licensure renewal application and verification for Regency Square Care Center's Skilled Nursing Facility license, including renewal fee information and occupancy permit details.

The documents confirm the facility's licensure renewal status, licensed capacity of 72 beds, and approval of occupancy by the Nebraska State Fire Marshal. No inspection findings or deficiencies are reported.

The documents pertain to the renewal of the nursing home license for Regency Square Care Center and verification of occupancy permit by the Nebraska State Fire Marshal.

The documents confirm the facility's licensure renewal application, ownership information, and certification status, along with the issuance of an occupancy permit for 72 beds by the State Fire Marshal.

This document serves as a Nursing Home Licensure Renewal Application for Regency Square Care Center and includes related licensing and occupancy permits verifying the facility's licensure and maximum occupancy.

The documents confirm the renewal of the Skilled Nursing Facility license, the licensed bed capacity of 72 beds, and the occupancy permit issued by the Nebraska State Fire Marshal with a maximum occupancy of 72 beds.

The documents pertain to the renewal of the nursing home license for Regency Square Care Center, including verification of licensure status and occupancy permit details.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal and occupancy permit issuance with no noted compliance issues.

This document set includes a license renewal verification card and renewal application for Azria Health Regency Square, confirming licensure through the renewal date and application for continued licensure.

No inspection findings or deficiencies are reported; the documents serve to verify licensure status and renewal application details.

This document serves to verify the licensure renewal of Regency Square Care Center as an assisted-living facility and includes the renewal application and occupancy permit.

The documents confirm that Regency Square Care Center meets statutory requirements for licensure renewal as an assisted-living facility with a maximum occupancy of 38 beds.

This document serves as a licensure renewal application and verification for the assisted-living facility Regency Square Care Center, confirming its licensed status and renewal fees.

The documents confirm the facility meets statutory requirements for assisted living, with no inspection findings or deficiencies reported.

This document serves as a licensure renewal application and verification of licensure and occupancy permits for Azria Health Regency Square nursing home facility.

The documents confirm the facility's licensure renewal status, ownership verification, and occupancy permit with a maximum capacity of 72 beds. No inspection findings or deficiencies are reported.

This document serves to verify the renewal of the SNF/NF dual certification license for The Palm at Regency Square and includes the Nursing Home Licensure Renewal Application.

The document confirms that The Palm at Regency Square meets statutory requirements for licensure renewal and provides ownership, facility, and certification details. It also includes an occupancy permit indicating a maximum occupancy of 72 beds.

This document serves as a renewal application and verification of licensure for the assisted-living facility Regency Square Care Center, including confirmation of compliance with statutory requirements and occupancy permit details.

The documents confirm that Regency Square Care Center is licensed as an assisted-living facility with a maximum occupancy of 38 beds, and the renewal application was submitted with no noted deficiencies or inspection findings.

This document serves as a renewal application for the assisted-living facility license for Azria Health Regency Square and includes related licensing and occupancy permits.

The document certifies that Azria Health Regency Square meets statutory requirements as an assisted-living facility and is licensed through the renewal date indicated. It includes ownership information and a fire marshal occupancy permit.

This document serves to verify the renewal of the assisted-living facility license and confirm the occupancy permit for Azria Health Regency Square.

The documents confirm that Azria Health Regency Square is licensed as an assisted-living facility with a total licensed capacity of 38 beds and holds a valid occupancy permit issued on 2/1/2023.

The documents serve to verify and renew the assisted-living facility license for The Palm at Regency Square and include an occupancy permit.

The facility meets statutory requirements for licensure as an assisted-living facility with a licensed capacity of 38 beds. The occupancy permit confirms the maximum occupancy and compliance with fire marshal codes.

This document serves as a renewal application and verification that The Palm at Regency Square assisted-living facility is licensed through the date indicated on the renewal card.

The document confirms the facility meets statutory requirements as an assisted-living facility and includes licensing renewal details, ownership information, and occupancy permit data.