REGENCY CARE OF ROGUE VALLEY

Nursing Home Inspector

1710 NE FAIRVIEW AVENUE
GRANTS PASS, OR 97526
Josephine County
Phone: 541-479-2606
Provider Number: 385064
Last Inspection: 03/09/2017

About the Nursing Home

Number of Beds: 102
Number of Residents: 45
Beds Available: 57
Percent Occupancy: 44%
Insurance Accepted: Medicare & Medicaid
Types of Councils: None
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

23

Facility
21

County
24

OR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
13

2016
13

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 4/10/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 4/10/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 4/10/2017
 
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 4/10/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/10/2017
 
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 4/10/2017
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 4/10/2017
 

1/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 2/19/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 2/19/2016
 
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 2/19/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/19/2016
 

11/21/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 12/31/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/31/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/31/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/31/2014
 

Complaint Investigation Deficiencies

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

6/21/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 7/21/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 7/21/2017
 
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 7/21/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/21/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OR State Avg
Number of Residents 45 62.75 53.13
Registered Nurses 0.65 0.63 0.86
Licensed Practical / Vocational Nurses 0.93 0.88 0.75
Certified Nursing Assistants 3.03 3.19 3.13
Total Staff Hours 4.61 4.70 4.75

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OR State Avg%
of high risk long-stay residents with pressure ulcers 2 7 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 98 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89 87 92
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 0 3 3
of long-stay residents who lose too much weight 8 11 7
of long-stay residents who received an antianxiety or hypnotic medication 10 15 15
of long-stay residents who received an antipsychotic medication 10 12 14
of long-stay residents who self-report moderate to severe pain 6 11 11
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 21 18
of long-stay residents whose need for help with daily activities has increased 11 12 12
of long-stay residents with a catheter inserted and left in their bladder 0 1 3
of long-stay residents with a urinary tract infection 0 4 4
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 58 51
of short-stay residents who had an outpatient emergency department visit 11 93 80
of short-stay residents who made improvements in function 76 15 14
of short-stay residents who newly received an antipsychotic medication 0 69 70
of short-stay residents who self-report moderate to severe pain 13 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 19 19
of short-stay residents who were rehospitalized after a nursing home admission 15 82 78
of short-stay residents who were successfully discharged to the community 70 20 19
of short-stay residents with pressure ulcers that are new or worsened 1 65 67