Regency Park Oak Knoll

Postural Supports. A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.This requirement was not met evidenced by: Based on observation during visit conducted on 4/15/25, the bed in room 118 had a three-quarter rail. No physician order was on file or provided to LPA.This posed a potential health, safety or personal rights risk to resident in care.

Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met as evidenced by: Based on observation, the bed in room 118 had a quarter/full bed rail. Resident (R1) is not presently receiving hospice care. This poses an iimmediate health, safety or personal rights risk to resident in care.

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis...This requirement is not met as evidence by: Based on interviews conducted licensee did not ensure that staff would call 911 for R1 after sustaining a fall and complaining of pain which poses an immediate risk to the health, safety, or personal rights of the residents in care.

87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidence by: Based on observations and interviews conducted licensee did not ensure R1's room was sanitary at all times which poses a potential health, safety, or personal rights risk to the persons in care.

Based on record review, the licensee did not comply with the section cited above in 5 out of 8 staff, staff #3-#8 (except staff#6) do not have 20 hours of training including the topics above which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in passageway exit from the egress exit door of laundry towards the kitchen ending at the parking lot was observed blocked with laundry cart, food tray cart, and trash cans which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 4 out of 9 resident's bathrooms water temperature was tested as follow; room #246 tested at 121.1, room #223 tested at 121.2, room #231 tested at 122.1, room #104 tested at 120.2 degrees F., which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in common shower does not have a skid mat/strip which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements: (a) Each licensee shall furnish... (1) A written report shall be submitted...within seven days of the occurrence of (D) Any incident which threatens the welfare, safety or health of any resident. This requirement was not met as evidence by: Based on documents reviewed licensee did not ensure to report scabies cases to the CLLD and PDPH in a timely manner which poses a potential health, safety, or personal right risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in resident #2 and #5 beds were observed with half bed rails and a physician's request was not on file which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in resident #1,#2, and #5 do not have a current medical assessesment which poses/posed a potential health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (a) ... Section 87468.1, Personal Rights of Residents...(4) To care, supervision,... meet their individual needs...by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidence by: Based on documents review facility did not ensure R1 did not leave the facility unattended which is an immediate risk to the health, safety, or personal rights to the persons in care.

87211 Reporting Requirements:(a)...licensee shall furnish...reports as the Department ...require,...:(2)Occurrences, such as epidemic outbreaks,... which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile... This requirement is not met as evidence by: Based on documents reviewed, and observation licensee failed to report CCLD, LTCO of COVID 19 cases prior 1/21/22 which poses a potential health, safety, or personal rights risk to persons in care.