F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, record review, and facility policy review, the facility failed to provide adequate and
timely activities of daily living (ADL) care for dependent residents. This affected one resident (#42) of three
residents observed and reviewed for ADL care. The facility census was 51.Findings include: Review of
Resident #42 ' s medical record revealed an admission date of 10/25/24. Diagnoses included quadriplegia,
muscle weakness, and anoxic brain injury.Review of the Minimum Data Set (MDS) assessment dated
[DATE] revealed Resident #42 had no cognition score as the resident was noted to be rarely/never
understood. Resident #42 was dependent with toileting and bed mobility and was incontinent of bowel and
bladder.Review of the care plan dated 07/14/25 revealed Resident #42 was dependent with bathing and
care. Interventions included to turn and reposition as needed and to provide two staff assistance with
bathing.Observation on 12/01/25 at 8:41 A.M. reveled Resident #42 was in bed on her left side. Resident
#42 was non-verbal and unable to be interviewed. Observation on 12/01/25 at 11:46 A.M. revealed
Resident #42 was in same position as the previous observation.Observation and interview on 12/01/25 at
1:25 P.M. revealed Resident #42 had remained in same position as previous observations. Interview with
Certified Nursing Assistant (CNA) #400 at the time of observation revealed CNA #400 confirmed she had
not provided Resident #42 with ADL care, including hygiene or turning and repositioning, since the start of
her shift at 7:00 A.M. CNA #400 further stated Resident #42 required total care which included turning and
repositioning at least every two hours. At 1:40 P.M. CNA #400 had returned to Resident #42's room and
had proceeded to provide incontinence care. Observation further revealed Resident #42's hair was severely
matted and appeared to be greasy and unkempt. CNA #400 stated Resident #42 ' s showers were
scheduled on night shift and she was unaware when Resident #400 had last received a shower or her hair
had been washed. Review of the facility policy titled Activities of Daily Living (ADL) undated revealed care
and services will be provided that included bathing and grooming.Review of the facility policy titled Turning
and Repositioning revised 10/01/22 revealed turning and repositioning is a primary responsibility of nursing
staff and routine repositioning schedules consisted of every 2-4 hours.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
365320
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365320
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/02/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care of Copley
2631 Copley Road
Akron, OH 44321
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
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
observation, interview, record review, and facility policy review, the facility failed to provide timely
incontinence care to residents. This affected two residents (#27 and #42) of three residents observed and
reviewed for incontinence care. The facility census was 51.Findings include:1.Review of Resident #27's
medical records revealed an admission date of 11/14/24. Diagnoses included stroke with left-sided
weakness, muscle weakness, and need for personal care assistance.Review of the Minimum Data Set
(MDS) assessment dated [DATE] revealed Resident #27 had impaired cognition. Resident #27 was
dependent on staff for toileting and was noted to be incontinent of bowel and bladder.Review of the care
plan dated 11/17/25 revealed Resident #27 had activities of daily living deficits. Interventions included to
provide toileting assistance as required.Observation on 12/01/25 at 8:45 A.M. revealed Resident #27's call
light was active. Upon entering Resident #27's room, an odor of stool was detected and observation reveled
a large dried brown stain underneath Resident #27. Resident #27 was not interviewable. Observation on
12/01/25 at 9:37 A.M. revealed Resident #27 remained incontinent of stool. At the time of observation,
Certified Nursing Assistant (CNA) #400 approached and asked what type of assistance was required as
Resident #27 was not her assigned resident. At the time of interview, CNA #400 had entered Resident
#27's room and confirmed the odor of stool and the large dried stool on Resident #27's sheets. CNA #400
had exited Resident #27's room to obtain supplies to provide incontinence care. At 9:55 A.M., CNA #400
had returned and proceeded to provide Resident #27 with incontinence care. Continued observation
revealed Resident #27 was incontinent of a large amount of green and black colored liquid stool. Further
observation revealed an incontinence pad underneath Resident #27 that had dark colored urine that had
extended up to the middle of Resident #27's back. Interview with CNA #400 at the time of observation
confirmed the observations and stated she was unsure when Resident #27 had last received incontinence
care. 2. Review of Resident #42's medical record revealed an admission date of 10/25/24. Diagnoses
included quadriplegia, muscle weakness, and anoxic brain injury.Review of the Minimum Data Set (MDS)
assessment dated [DATE] revealed Resident #42 had no cognition score as the resident was noted to be
rarely/never understood. Resident #42 was dependent with toileting and bed mobility and was incontinent of
bowel and bladder.Review of care plan dated 07/14/25 revealed Resident #42 was dependent on staff for
bathing and care and was incontinent of bowel and bladder. Interventions included to turn and reposition as
needed and to provide incontinence care as needed.Observation on 12/01/25 at 11:46 A.M. revealed
Resident #42 was in bed and had an odor or urine. Resident #42 was non-verbal and unable to be
interviewed.Observation on 12/01/25 at 1:25 P.M. revealed Resident #42 had remained in same position as
previous observation and still had an odor of urine. Interview with CNA #400 at the time of observation
revealed she had not provided Resident #42 with incontinence care since the start of her shift at 7:00 A.M.
CNA #400 further stated she had another resident she had to provide care for and then she would provide
Resident #42 with care. At 1:40 P.M. CNA #400 had returned to Resident #42's room and had proceeded to
provide incontinence care. Observation further revealed Resident #42's incontinence brief was heavily
saturated with dark, pungent urine.Review of facility policy titled Incontinence revised 02/01/25 revealed all
residents that are incontinent will receive appropriate treatment and services.
Event ID:
Facility ID:
365320
If continuation sheet
Page 2 of 2
