Inspection Results » Regency Albany

Health Inspection on May 1, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-06-14)

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 2018-06-14)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-14)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-14)

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

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-06-14)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-14)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-14)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-06-14)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-06-14)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-06-14)

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

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-14)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-14)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-06-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-14)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-14)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-14)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-06-14)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-06-14)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-14)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-14)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-14)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-14)