Regency Rehab And Skilled Nursing

1600 MCPHERSON
Council Bluffs, IA 51501
(712) 322-9285
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 160
Number of Residents: 75
Percent of Occupied Beds: 47%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? Yes
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 1 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080804 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20081104
20080804 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Immediate jeopardy to resident health or safety 20081104
20080804 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Isolated Minimal harm or potential for actual harm 20080909
20080804 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20080909
20080804 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080909
20080804 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20080909
20090128 Health Administration Deficiencies Keep accurate and appropriate medical records. Widespread Potential for minimal harm 20090318
20090128 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Widespread Minimal harm or potential for actual harm 20090318
20090128 Health Administration Deficiencies Follow all laws and professional standards. Pattern Potential for minimal harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Widespread Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Hire enough skilled workers to carry out dietary service. Widespread Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Make sure that residents are well nourished. Widespread Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Provide food in a way that meets a resident's needs. Isolated Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies Make sure that the attending doctor orders special diets. Pattern Minimal harm or potential for actual harm 20090318
20090128 Health Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Widespread Potential for minimal harm 20090612
20090128 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20090318
20090128 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm 20090318
20090128 Health Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated Minimal harm or potential for actual harm 20090318
20090128 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20090318
20090128 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20090318
20090128 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090318
20090128 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 20090318
20090128 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Pattern Minimal harm or potential for actual harm 20090318
20090212 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090318
20090212 Health Environmental Deficiencies Provide clean bed and bath linens that are in good condition. Widespread Potential for minimal harm 20090318
20090212 Health Resident Rights Deficiencies Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. Pattern Potential for minimal harm 20090318
20090212 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 20090318
20090212 Health Administration Deficiencies post nurse staffing information. Widespread Potential for minimal harm 20090318
20090212 Health Administration Deficiencies Follow all laws and professional standards. Isolated Minimal harm or potential for actual harm 20090318
20090312 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Pattern Minimal harm or potential for actual harm 20090415
20090312 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090415
20090327 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 20090429
20090327 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Pattern Minimal harm or potential for actual harm 20090429
20090327 Health Administration Deficiencies 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. Widespread Potential for minimal harm 20090429
20090327 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20090429
20090519 Health Administration Deficiencies Follow all laws and professional standards. Isolated Minimal harm or potential for actual harm 20090612
20090519 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20090612
20090519 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 20090612
20090519 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Pattern Minimal harm or potential for actual harm 20090612
20090519 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20090612
20090519 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 20090612
20090519 Health Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Widespread Potential for minimal harm 20090612
20090519 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Widespread Potential for minimal harm 20090612
20090519 Health Nutrition and Dietary Deficiencies Make sure that residents are well nourished. Widespread Potential for minimal harm 20090612
20090723 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20091223
20091001 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20091029
20091001 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern Potential for minimal harm 20091016
20091001 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20091029
20091001 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20091223
20091001 Health Administration Deficiencies Follow all laws and professional standards. Pattern Minimal harm or potential for actual harm 20091016
20091001 Health Administration Deficiencies Get proof that a nurse aide has the training and skills that the State requires. Pattern Minimal harm or potential for actual harm 20091016
20091020 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20091029
20100324 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20100407
20100324 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100411
20100324 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20100407
20100324 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. Isolated Minimal harm or potential for actual harm 20100407
20100324 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm 20100407
20100422 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100524
20101130 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 20101228
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 89
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 84
Percent of long-stay residents whose need for help with daily activities has increased: 15
Percent of long-stay residents who have moderate to severe pain: 8
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: 2
Percent of long-stay residents who are more depressed or anxious: 24
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 55
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 11
Percent of long-stay residents who spend most of their time in bed or in a chair: 0
Percent of long-stay residents whose ability to move about in and around their room got worse: 8
Percent of long-stay residents who had a urinary tract infection: 11
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 70
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 74
Percent of short-stay residents who have delirium: 12
Percent of short-stay residents who had moderate to severe pain: 19
Percent of short-stay residents who have pressure sores: 7
# of Residents: 75
# RN Hours per Resident: 0.54
# LPN Hours per Resident: 0.79
# CNA Hours per Resident: 2.57
Total Staff Hours per Resident: 1.33