Regents Park Of Jacksonville

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and facility policy and procedure review, the facility failed to develop a care plan for infection and/or antibiotics for Resident #85, and failed to implement a care plan related to use of bed rails for Resident #1, from a total survey sample of 43 residents. Failure to develop and implement a care plan placed residents at risk for missed care, increased risks, and potentially a decline in quality of life. The findings include: 1. A review of the clinical record revealed that Resident #85 was admitted on [DATE] with a re-entry on 10/20/24. His diagnoses included quadriplegia, pressure ulcer of the left buttock stage 4, chronic pain syndrome, osteomyelitis, spinal stenosis, acute kidney failure, and retention of urine. A review of the quarterly minimum data set (MDS) with an assessment reference date (ARD) of 5/4/25 revealed that Resident #85 had a brief interview for mental status (BIMS) score of 15/15, indicating he was cognitively intact. He was noted to have a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to administer oxygen at the ordered flow rate for one (Resident #155) of two residents reviewed for respiratory care, from a total of 43 sampled residents. The findings include: On 05/27/25 at 2:15 PM, Resident #155 was observed resting in bed with eyes closed and with respirations. Observation of the flow rate meter ball revealed it was between 2.5 and 3 liters. (Photographic evidence obtained) On 05/28/25 at 12:05 PM, Resident #155 was observed resting in bed with eyes closed and with respirations. Observation of the flow rate meter ball revealed it was was between 2.5 and 3 liters. (Photographic evidence obtained) On 05/30/25 at 9:33 AM, Resident #155 was observed resting in bed with eyes closed and with respirations. Observation of the flow rate meter ball revealed it was between 2.5 and 3 liters. (Photographic evidence obtained) A review of the clinical record revealed Resident #155 was an [AGE] year old male admitted on [DATE] with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to maintain sanitary conditions in the main kitchen by following proper sanitation and food handling practices to prevent the outbreak of foodborne illness. Unsafe food handling practices represent a potential source of pathogen exposure. Failure to maintain sanitary food preparation can potentially put the residents at risk for foodborne illness. The findings include: During observations of the kitchen and lunch meal service on 11/07/23 from 10:35 am to 12:55 pm, the following was observed: Employee H was observed on the clean side of the dish machine emptying trays of clean dishes as they came out of the dish machine, she had no gloves on. The dish machine was observed to be a low temperature dish machine with chlorine bleach as the sanitizing agent. From 10:35 am to 11:00 am, Employee H went back and forth between the clean and dirty side of the dish room loading and unloading the trays without washing her hands. As the dishes were cleaned…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility's kitchen, by failing to complete the temperature log for the three-compartment sink; properly clean and sanitize the kitchen ice machine, upper-level of convection oven, can opener, and oven tray lines; date mark several open packages of bread on the bread rack, and in the refrigerator. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 7/23/2023 at 11:15 a.m. During the tour, the July 2023 Sanitizer Solution Log for the three-compartment sink was incomplete; only 7/1/2023 was logged. No date markings were observed in the refrigerator on one open, wrapped bag of greens,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident observation and interview, record review, staff interviews, and a review of the facility's policy and procedure, the facility failed to honor food preferences and alert kitchen and facility staff of major food allergies for one (Resident # 3) of fourteen residents observed for dining, from a total sample of 19 residents. Resident #3 is allergic to seafood, peanut butter and jelly. This was not listed on her dietary meal tray slip to alert staff to these food allergens when serving her meals and providing substitutions to pre-selected meal choices. Failure to identify and respect resident food allergens/intolerances could result in mild to acute, and potentially life-threatening allergic responses. The findings include: An interview was conducted with Resident #3 on 7/23/2023 at 1:29 PM, while she was observed eating lunch in her bed in an upright seated position. When asked how her lunch was, she reported her food preferences were not being met and the facility staff were not using the menus.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The findings include: On 10/18/21 at 1:30 p.m., an observation of the low-temperature dishwasher machine was made. The dishwasher temperature log was observed with no area to record sanitizer strength on it. The Certified Dietary Manager (CDM) was asked about the log at this time, and he stated he had just started working here three weeks ago. He never noticed that the log had no area to document the sanitation of the dishwasher. An observation of lunch service was made on 10/18/21. Meal plates had plastic and metal covers that were not sitting directly on the plates. The plate coverings had slipped off the plates during transport from the kitchen to the resident rooms while in the food cart. At this time, it was also observed that not all residents had an insulated dome plate cover. Some residents' plates had metal plate covers, while others had no plastic bottom or metal pellet and only had an…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure each resident was treated with respect, dignity and care in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for two (Residents #45 and #136) of 31 sample residents. Specifically, the facility failed to properly assist Resident #45 through the facility in her Geri chair or ensure call lights were answered timely for Resident #136. The findings include: 1. A review of Resident #45's medical record revealed she was admitted to the facility on [DATE]. Her primary diagnoses were muscle wasting and atrophy. Additional diagnoses included encephalopathy, hypertension, restlessness and agitation, chronic embolism and thrombosis of other specified veins, angina pectoris, panic disorder, major depressive disorder, protein-calorie malnutrition, and dysphagia. A review of the 9/2/2021 Minimum Data Set (MDS) assessment, Resident #45 was cognitively intact with a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and staff and resident interviews, the facility failed to ensure enteral feeding orders were followed per the physician's orders for two (Residents #78 and #45) of two residents sampled for enteral feedings, from a total sample of 31 residents. The findings include: 1. A record review for Resident # 78 revealed a [AGE] year-old female admitted on [DATE] with diagnoses including cerebral vascular accident with left side hemiparesis, aphasia, dysphagia and diabetes. She was alert and oriented with a Brife Interview for Mental Status (BIMS) score of 14 out of a possible 15 points. She required extensive assistance with transfers, dressing , bathing, and toileting, and she was dependent for meals/nutrition due to use of a feeding tube. A review of the October 2021 Physician's Order Sheets, revealed the current enteral feeding orders included: Every shift Glucerna 1.2 continuous via tube at a rate of 55 ml/hour (milliliters per hour) for 22 hours a day. Total volume of 1210 ml…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to provide appropriate oxygen therapy to one (Resident #34) of 33 residents sampled, per the physician's orders, that would include the type of oxygen delivery system; administration instructions, such as continuous or intermittent, and/or the equipment settings for the prescribed flow rates. The findings include: A review of the medical record revealed that Resident #34 was admitted into the facility on 1/8/2016. Her last readmission was on 11/13/2017. Diagnoses for Resident #34 included muscle wasting and atrophy; chronic obstructive pulmonary disease; heart failure; atherosclerotic heart disease of native coronary artery without angina pectoris; cognitive communication deficit; congestive heart failure; hypertensive heart disease with heart failure; presence of cardiac pacemaker; major depressive disorder, and metabolic encephalopathy. A review of the quarterly Minimum Data Set (MDS) assessment, dated 08/15/2021, revealed that Resident #34 scored 14 out of a possible 15 points on the Brief Interview for Mental…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and staff and resident interviews, the facility failed to serve food that was palatable and at an appetizing temperature for three (Residents #67, #71 and #136) of 33 sampled residents. The findings include: During an interview with Resident #67 on 10/18/21 at 11:43 a.m., she said, The food here leaves much to be desired, has no taste, there is no seasoning in the food at all, and no condiments or salt and pepper are on the trays. She further stated the food was always served cold and there was no way to get it warmed up. She stated part of the problem was that the trays sat in the food carts for long periods of time before the staff started giving them out. The metal lids that covered the plates didn't fit and were usually half of the plate, so the food was cold before you received it. During an observation of the lunch meal on 10/18/21 at 12:45 p.m., the food cart arrived at 12:50 p.m., however no staff was present at the time. At 1:00 p.m., the first staff arrived and pushed the cart down the hall. When the certified nursing assistant (CNA) opened the food…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and staff and resident interviews, the facility failed to provide rehabilitative services to maintain/restore the highest level of physical, mental, functional and psychosocial well-being for one (Resident #78) of two residents sampled for rehabilitative services, from a total of 31 sampled residents. The findings include: A record review for Resident #78 revealed a [AGE] year-old female admitted on [DATE] with diagnoses including cerebral vascular accident, left sided hemipareisis, aphasia, dsyphagia, diabetes and gastrostomy tube. She was alert and oriented and able to make her needs known. She had a Brief Interview for Mental Status (BIMS) score of 13 out of a possible 15 points, indicating intact cognition. A review of the Minimum Data Set (MDS) assessment, dated 6/27/21, revealed she required extensive assistance of one person with bed mobility, transfers, bathing, dressing and toileting. She was not steady and only able to stabilize herself with staff assistance. She…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.