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Regency Manor Rehab & Subacute Ctr

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About Regency Manor Rehab & Subacute Ctr

General Information

Legal Business NameRegency Leasing Co LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 17, 1980 (37 years)
Capacity275
Residents177
Percent Occupied64%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Regency Manor Rehab & Subacute Ctr

Regency Manor Rehab & Subacute Ctr
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Ohio Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 5, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaintHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
FManyPotential for HarmComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
FManyPotential for HarmComplaintHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.

July 28, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaintMaintain comfortable and safe temperature levels.
JFewImmediate JeopardyComplaint1) Hire only people with 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.
JFewImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
JFewImmediate JeopardyComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
ESomePotential for HarmComplaintKeep residents' personal and medical records private and confidential.
ESomePotential for HarmComplaintProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmComplaintMake sure that a working call system is available in each resident's room or bathroom and bathing area.

June 9, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMaintain comfortable sound levels.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

April 29, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure residents maintain acceptable nutritional status.

April 12, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint1) Hire only people with 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.
ESomePotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

March 30, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint1) Hire only people with 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.

November 9, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

June 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep residents' personal and medical records private and confidential.

April 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

March 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

January 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

December 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

November 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 43 days
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

September 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

September 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

August 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMaintain comfortable and safe temperature levels.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

August 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

July 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 18 days
JFewImmediate JeopardyComplaintKeep each resident free from physical restraints, unless needed for medical treatment.
ESomePotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.
ESomePotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Regency Manor Rehab & Subacute Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
1hr 60min
ReportedExpected
CNA
60min
35min
ReportedExpected
LPN
30min
1hr 5min
ReportedExpected
RN
3hr 30min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.1%
95.2%
95.2%
95.2%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
41.4%
47.8%
45.5%
34.0%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
22.4%
21.8%
22.1%
14.8%
42.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of low risk long-stay residents who lose control of their bowels or bladder
30.1%
34.4%
30.4%
29.3%
24.8%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antianxiety or hypnotic medication
41.1%
19.6%
16.5%
13.2%
18.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose ability to move independently worsened
17.1%
16.3%
18.9%
22.7%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antipsychotic medication
29.7%
22.1%
13.8%
21.0%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose need for help with daily activities has increased
3.1%
3.3%
4.4%
10.0%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who self-report moderate to severe pain
8.6%
5.2%
5.2%
8.7%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who lose too much weight
10.2%
14.3%
7.3%
2.2%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of high risk long-stay residents with pressure ulcers
0.7%
1.4%
2.0%
0.0%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who have depressive symptoms
3.8%
0.6%
0.6%
1.3%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a urinary tract infection
3.2%
4.3%
3.6%
3.2%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents experiencing one or more falls with major injury
0.7%
1.1%
1.1%
0.7%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

56.6%
66.7%
57.7%
55.8%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
66.7%
65.7%
65.7%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
58.5%
63.0%
63.9%
55.4%
62.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who made improvements in function
29.3%
32.1%
33.3%
37.9%
17.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who self-report moderate to severe pain
2.0%
2.0%
4.3%
4.3%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who newly received an antipsychotic medication
4.7%
1.0%
0.0%
0.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents with pressure ulcers that are new or worsened