Regency Manor Rehabilitation And Subacute Center

2000 REGENCY MANOR CIRCLE
Columbus, OH 43207
(614) 445-8261
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 275
Number of Residents: 242
Percent of Occupied Beds: 88%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? Yes
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 2 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20081202 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Pattern Minimal harm or potential for actual harm 20081223
20081202 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern Minimal harm or potential for actual harm 20081223
20081202 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Immediate jeopardy to resident health or safety 20081222
20081202 Health Resident Assessment Deficiencies Make sure that doctors visit residents regularly, as required. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Administration Deficiencies Quickly tell the resident's doctor the results of lab tests. Isolated Minimal harm or potential for actual harm 20081223
20081202 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20081223
20090407 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20090504
20090604 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20090625
20090604 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Actual harm 20090625
20090604 Health Quality Care Deficiencies Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm 20090625
20090604 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20090625
20091110 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm 20091222
20091110 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20091222
20091110 Health Quality Care Deficiencies Provide activities to meet the needs of each resident. Isolated Minimal harm or potential for actual harm 20091222
20091110 Health Environmental Deficiencies Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated Minimal harm or potential for actual harm 20091222
20091222 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20100315
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 76
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 73
Percent of long-stay residents whose need for help with daily activities has increased: 10
Percent of long-stay residents who have moderate to severe pain: 5
Percent of high-risk long-stay residents who have pressure sores: 10
Percent of low-risk long-stay residents who have pressure sores: 1
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 10
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 33
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 6
Percent of long-stay residents who spend most of their time in bed or in a chair: 2
Percent of long-stay residents whose ability to move about in and around their room got worse: 6
Percent of long-stay residents who had a urinary tract infection: 8
Percent of long-stay residents who lose too much weight: 4
Percent of short-stay residents given influenza vaccination during the flu season: 36
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 36
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 10
Percent of short-stay residents who have pressure sores: 23
# of Residents: 242
# RN Hours per Resident: 0.42
# LPN Hours per Resident: 0.97
# CNA Hours per Resident: 2.11
Total Staff Hours per Resident: 1.39