Regency Albany

Inspectors wroteBased on observation, interview and record review the facility failed to ensure dietary staff wore appropriate hair restraints, stored iced in a sanitary manner and maintained cleanliness for 1 of 1 facility kitchen reviewed for sanitation. This placed residents at risk for cross contamination and food-borne illness.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician orders for 2 of 4 sampled residents (#s 4 and 7) reviewed for medications and hearing. This placed residents at risk for unmet care needs.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure staff used appropriate infection control practices for residents on contact precautions and failed to disinfect glucometers according to manufacturer recommendations for 2 of 3 halls reviewed for infection control and medications. This placed residents at risk for exposure to infections and blood borne pathogens.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident rights to a dignified existence for 1 of 1 sampled resident (#44) reviewed for dignity and respect. This placed residents at risk for diminished quality of life.

Inspectors wroteBased on observation and interview the facility failed to provide a functional toilet and safe furniture for 3 of 5 sampled residents (#s 31, 38 and 40) reviewed for physical environment. This placed residents at risk for injury and lack of homelike environment.

Inspectors wroteBased on interview and record review it was determined the facility failed to implement a gradual dose reduction of a psychotropic medication in a timely manner for 1 of 6 sampled residents (#42) reviewed for medications. This placed residents at risk for adverse side effects of psychotropic medication.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide personal hygiene for 1 of 2 sampled residents (#9) reviewed for ADLs. This placed residents at risk for lack of personal hygiene.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide equipment and services for 2 of 2 sampled residents (#s 9 and 20) reviewed for mobility. This placed residents at risk for further decrease in range of motion.

Inspectors wroteBased on interview, and record review it was determined the facility failed to protect the resident's right to be free from sexual abuse by another resident for 1 of 3 sampled residents (#101) reviewed for abuse. This placed residents at risk for abuse.

Inspectors wroteBased on interviews and record review it was determined the facility failed to report an allegation of sexual abuse and an allegation of verbal abuse to the State Survey Agency within two hours of the allegations for 1 of 3 (#101) sampled residents reviewed for abuse. This placed residents at risk for further unreported abuse.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure transmission based precautions were implemented, to preoprly sanitize resident care equipment and provide wound care in a sanitary manner for 6 of 6 sampled residents (#s 10, 19, 20, 27, 30 and 195) reviewed for clostridium difficile colitis (C-Diff, a bacterium that causes an infection of the colon with symptoms including: inflammation of the colon, diarrhea, and life-threatening damage to the colon), wound care and medication administration. This deficient practice was determined to be an immediate jeopardy (IJ) situation. Resident 30 admitted to the facility with C-Diff, but the facility failed to protect this and other residents and timely implement appropriate contact precautions and properly sanitize once the resident was deemed clear of C-Diff.

Inspectors wroteBased on interview and record review it was determined the facility failed to protect residents from verbal abuse by staff for 2 of 2 sampled residents (#s 1 and 18) reviewed for abuse. Resident 18 experienced psychosocial harm.

Inspectors wroteBased on interview and record review it was determined the facility failed to obtain information related to advance directives and health care decisions for 4 of 5 sampled residents (#s 8, 20, 30 and 32) reviewed for advance directives. This placed residents at risk for not having their health care decisions honored.

Inspectors wroteBased on observation and interview the facility failed to provide a homelike dining environment for 3 of 3 dining rooms reviewed for dining. This placed residents at risk for living in an institutional environment.

Inspectors wroteBased on observation, interview and record review it was determined facility staff failed to follow professional standards of practice for medication administration and wound care for 4 of 7 sampled residents (#s 9, 10, 19, and 33) reviewed medication administration and wound care. This placed residents at risk for unsafe medication administration and cross contamination.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a medication error rate of less than five percent. There were seven errors out of 37 medication administration opportunities resulting in an 18.92 percent error rate. This placed residents at risk for an ineffective and unsafe medication regimen and risk of administering a BID medication to soon from the first dose

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were treated with respect and dignity for 1 of 3 sampled residents (#1) reviewed for dignity. This placed residents at risk for lack of dignity.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to assess for and provide an appropriate call light system of 1 of 1 sampled resident (#11) reviewed for hydration. This placed residents at risk for unmet needs and lack of ability to call for assistance.

Inspectors wroteBased on interview and record review it was determined the facility failed to timely report to the State Survey Agency (SSA) an allegation of abuse for 1 of 2 sampled residents (#18) reviewed for abuse. This placed residents at risk for abuse.

Inspectors wroteBased on interview and record review it was determined the facility failed to accurately assess 1 of 5 sampled residents (#25) reviewed for discharge. This placed residents at risk for unmet and unidentified needs.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents identified with serious mental illness were evaluated and received care and services to meet their needs for 1 of 1 sampled resident (#25) reviewed for PASRR. This placed residents at risk for unassessed and unmet mental health needs.

Inspectors wroteBased on interview and record review it was determined the facility failed to provide activities of choice for 1 of 2 residents (#18) reviewed for activities. This placed residents at risk for diminished quality of life.

Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for insulin administration for 1 of 5 residents (#15) reviewed for medications. This placed residents at risk for unstable blood sugars.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to properly assess and treat pressure ulcers for 2 of 2 sampled residents (#s 8 and 10) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the environment was free from accident hazards for 2 of 2 sampled resident (#s 17 and 37) reviewed for accidents. This placed residents at risk for injury.

Inspectors wroteBased on interview and record review it was determined the facility failed to provide care and services related to catheterization for 1 of 1 resident (#32) reviewed for catheterization. This placed residents at risk for a delay in treatment for UTIs.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide respiratory care and services for 2 of 2 sampled residents (#s 17 and 28) reviewed for respiratory services. This placed residents at risk for respiratory infections.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure medications were properly discarded when expired for 2 of 2 medication carts reviewed during medication storage. This placed residents at risk for receiving medications with decreased efficacy.

Inspectors wroteBased on observation and interview it was determined the facility failed to ensure residents were provided a dignified dining experience for 1 of 3 dining rooms reviewed. This placed residents at risk for a lack of personal choices and a dignified dining experience.

Inspectors wroteBased on interview and record review it was determined the facility failed to notify a family member of a fall for 1 of 2 sampled residents (#292) reviewed for accidents. This placed residents and their families at risk for not being fully informed.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide services to maintain adequate personal hygiene for 1 of 5 sampled residents (#9) reviewed for ADLs. This placed residents at risk for food borne illnesses and inadequate personal hygiene.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication pass error rate of less than 5%. There were three errors in 26 opportunities resulting in an 11.54% error rate. This placed residents at risk for reduced medication efficacy and adverse medication side effects.

Inspectors wroteBased on interview and record review it was determined the facility failed to include an outdoor water feature in their water management plan for 1 of 1 water feature reviewed for Legionella bacteria. This placed residents at risk for infection through inhalation of water contaminated with legionella bacteria.