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Inspection visit

Health inspection

REGENCY CARECMS #1461391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

146139 01/14/2025 Regency Care 2120 West Washington Springfield, IL 62702
F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to follow Physician orders for 1 of 4 (R4) reviewed for indwelling catheter care in the sample of 8. Findings include: On 1/8/25 at 4:03 PM, R4 stated her catheter bag is always emptied so it never gets to full. R4 stated she is not sure how often they actually change the actual urinary catheter. R4 stated that she has a leg bag on right now and that there is barely any urine in it. R4 requested that the indwelling urinary catheter is not observed. On 1/8/25 at 4:09 PM, V5, Registered Nurse, stated that (indwelling urinary) catheters are changed every 30 days and as needed. On 1/13/25 at 1:20 PM, V2, Director of Nurses, stated that indwelling urinary catheters are changed every thirty days or as needed. On 1/13/25 at 4:35 PM, V2 stated, On November 18 is when it (R4's indwelling urinary catheter) was supposed to be changed. The nurse that night discontinued the order and then told a night nurse on the 21st to change it which it was done. For some reason, the order was changed to have the indwelling urinary catheter changed the next time on 12/31/24. Which made it 10 days late. R4's Face Sheet, print date of 1/13/25, documents that R4 was admitted on [DATE] and has a diagnosis of Hydronephrosis with renal and ureteral calculous obstruction. R4's Minimum Data Set, dated [DATE], documents that R4 is cognitively intact and has an indwelling urinary catheter. R4's Physician Orders, dated 12/1/2024, documents, Change (indwelling urinary) catheter monthly and as needed every night shift every 30 day(s.) R4's Nurses Note, dated 11/21/2024 01:33, documents, New (indwelling urinary) catheter Fr (french) 18 inserted aseptically. Clear yellow urine in return. Procedure well tolerated. R4's December 2024 Treatment Record documents that R4's indwelling urinary catheter was changed on 12/31/24. Page 1 of 2 146139 146139 01/14/2025 Regency Care 2120 West Washington Springfield, IL 62702
F 0690 Level of Harm - Minimal harm or potential for actual harm The policy Catheter Protocol, dated 2/10, documents, Catheters shall be changed per MD (Medical Doctor) order. Change of catheter is recorded on the Treatment Sheets and may also be placed in the Nurse's Notes if needed. Residents Affected - Few 146139 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0690GeneralS&S Dpotential for harm

    F690 - Incontinence

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

FAQ · About this visit

Common questions about this visit

What happened during the January 14, 2025 survey of REGENCY CARE?

This was a inspection survey of REGENCY CARE on January 14, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at REGENCY CARE on January 14, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, an..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.