Inspection Results » Regency Care of Silver Spring, LLC

Health Inspection on April 16, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-04)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-06-04)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-06-04)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-04)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Respond appropriately to all alleged violations. (Corrected 2018-06-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-25)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-06-04)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-06-25)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-25)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-06-25)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-04)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-06-25)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-06-04)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-06-25)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-06-04)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-04)

5. Widespread: No actual harm with potential for minimal harm

   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-06-04)
   • Have enough backup water supply for essential areas of the nursing home. (Corrected 2018-06-04)

6. Pattern: No actual harm with potential for minimal harm

   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-04)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-25)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-06-04)
   • Post nurse staffing information every day. (Corrected 2018-06-04)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-06-04)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-04)