Cape Regency Rehabilitation & Health Care Center

120 S Main Street
Centerville, MA 02632
Barnstable County
Phone: 508-778-1835
Provider Number: 225338
Last Inspection: 11/06/2013

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
120
Number of Residents
Number of
Residents
113
Number of Beds Available
Beds Available
7
Percent Occupancy
Percent Occupancy
94%
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
  • MA
  • USA
  • 48
  • 13
  • 10
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2013
  • 2012
  • 2011
  • 48
  • 6
  • 6
Lower Numbers are Better

Details by Inspection Date

 

11/6/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 12/20/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/20/2013
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/20/2013
Failed To: Let residents choose a personal doctor. Pattern : Minimal 4 12/20/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/20/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/20/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/20/2013
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 12/20/2013
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/20/2013
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 12/20/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/20/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 12/20/2013
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Isolated : Minimal 3 12/20/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/20/2013
 

8/15/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/31/2012
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/31/2012
 

6/28/2011 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/10/2011
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 8/10/2011


 

Complaint Investigation Deficiencies

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

 

5/27/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop 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. Isolated : Minimal 3 7/5/2014
 

6/19/2012 Investigation

 
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 8/8/2012

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 113 102.41 99.19
Registered Nurses 0.90 1.02 0.91
Licensed Practical / Vocational Nurses 0.42 0.63 0.80
Certified Nursing Assistants 2.15 2.28 2.35
Total Staff Hours 3.47 3.93 4.06

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 0 3 4
Long Stay Residents Experiencing One or More Falls with Major Injury 2 3 2
Long Stay Residents Who Have Depressive Symptoms 1 3 3
Long Stay Residents Who Lose Too Much Weight 8 5 6
Long Stay Residents Who Received an Antipsychotic Medication 13 16 20
Long Stay Residents Who Self Report Moderate to Severe Pain 5 6 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 1 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 12 3 4
Long Stay Residents Who Were Physically Restrained 0 1 1
Long Stay Residents Whose Need for Help with ADLs has Increased 19 15 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 2 2
Long Stay Residents With a Urinary Tract Infection 4 5 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 60 52 51
Short Stay Residents Who Newly Received an Antipsychotic Medication 3 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 20 21 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 9 15
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 18 9 12
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0