Regency Heights Of Windham, Llc

595 Valley St
Willimantic, CT 06226
Windham County
Phone: 860-450-7060
Provider Number: 075425
Last Inspection: 05/30/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
124
Number of Residents
Number of
Residents
95
Number of Beds Available
Beds Available
29
Percent Occupancy
Percent Occupancy
77%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • CT
  • USA
  • 43
  • 15
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 43
  • 43
  • 30
Lower Numbers are Better

Details by Inspection Date

 

5/30/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 7/11/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/11/2014
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 7/11/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/11/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/11/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/11/2014
Failed To: Offer other nutritional food to each resident who will not eat the food served. Isolated : Minimal 3 7/11/2014
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 7/11/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/11/2014
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 7/11/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 7/11/2014
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 7/11/2014
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 7/11/2014
 

7/10/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 8/19/2013
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 8/19/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 8/19/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 8/19/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 8/19/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/19/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/19/2013
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Actual 4 8/19/2013
Failed To: Ensure 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. Isolated : Minimal 3 8/19/2013
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 8/19/2013
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 8/19/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/19/2013
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 8/19/2013
 

6/7/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 7/19/2012
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 7/19/2012
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 7/19/2012
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 7/19/2012
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 7/19/2012
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 7/19/2012
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Minimal 3 7/19/2012
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/19/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/19/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

11/6/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) 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. Isolated : Minimal 3 12/9/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/9/2013
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 12/9/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/9/2013
 

8/1/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/17/2012

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg CT State Avg
Number of Residents 95 88.50 105.73
Registered Nurses 0.56 0.99 0.91
Licensed Practical / Vocational Nurses 0.94 0.73 0.75
Certified Nursing Assistants 2.33 2.67 2.45
Total Staff Hours 3.83 4.38 4.10

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% CT State Avg%
High Risk Long Stay Residents With Pressure Ulcers 1 3 4
Long Stay Residents Experiencing One or More Falls with Major Injury 3 3 2
Long Stay Residents Who Have Depressive Symptoms 1 1 3
Long Stay Residents Who Lose Too Much Weight 3 4 6
Long Stay Residents Who Received an Antipsychotic Medication 18 16 20
Long Stay Residents Who Self Report Moderate to Severe Pain 5 5 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 12 2 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 16 3 5
Long Stay Residents Who Were Physically Restrained 2 1 0
Long Stay Residents Whose Need for Help with ADLs has Increased 15 16 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 4 2 2
Long Stay Residents With a Urinary Tract Infection 4 6 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 31 37 43
Short Stay Residents Who Newly Received an Antipsychotic Medication 5 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 32 15 19
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 47 10 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 40 11 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0