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Regency Care Of Silver Spring, Llc

Inspection Results


Nursing Homes Maryland Silver Spring Regency Care Of Silver Spring, Llc

Regency Care Of Silver Spring, Llc has been cited for a total of 88 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Regency Care Of Silver Spring, Llc.

There are 231 nursing homes in Maryland with a total of 11,564 deficiencies resulting in an average of 50.06 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
11-23-2020

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
07-12-2019

Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
07-12-2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
07-12-2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
07-12-2019

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
07-12-2019

Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-12-2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
F
Corrected:
07-12-2019

Observe each nurse aide's job performance and give regular training.
Category:
Nursing and Physician Services Deficiencies
Scope:
C
Corrected:
07-12-2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
07-12-2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
07-12-2019

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
07-12-2019

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
07-12-2019

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-12-2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
07-12-2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
07-12-2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-20-2020

Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
06-04-2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Category:
Resident Rights Deficiencies
Scope:
B
Corrected:
06-04-2018

Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Category:
Resident Rights Deficiencies
Scope:
B
Corrected:
06-04-2018

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
06-04-2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
06-25-2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
06-04-2018

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
06-25-2018

Plan the resident's discharge to meet the resident's goals and needs.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
06-25-2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
06-25-2018

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
06-25-2018

Assist a resident in gaining access to vision and hearing services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
06-04-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
06-04-2018

Post nurse staffing information every day.
Category:
Nursing and Physician Services Deficiencies
Scope:
B
Corrected:
06-04-2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
06-25-2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-04-2018

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Category:
Nutrition and Dietary Deficiencies
Scope:
C
Corrected:
06-04-2018

Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category:
Administration Deficiencies
Scope:
F
Corrected:
06-04-2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
06-04-2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
E
Corrected:
06-04-2018

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
06-04-2018

Have enough backup water supply for essential areas of the nursing home.
Category:
Environmental Deficiencies
Scope:
C
Corrected:
06-04-2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
06-25-2018

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
06-04-2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
06-04-2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-31-2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
03-31-2019

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
03-31-2019

Honor the resident's right to manage his or her financial affairs.
Category:
Resident Rights Deficiencies
Scope:
B
Corrected:
Not Listed

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Category:
Resident Rights Deficiencies
Scope:
B
Corrected:
Not Listed

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
E
Corrected:
10-31-2018

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
10-31-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-31-2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
07-03-2017

Protect each resident from mistreatment, neglect and misappropriation of personal property.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
07-03-2017

Ensure each resident receives an accurate assessment by a qualified health professional.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
07-03-2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
07-03-2017

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
07-03-2017

Provide necessary care and services to maintain or improve the highest well being of each resident .
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-03-2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Category:
Quality of Life and Care Deficiencies
Scope:
B
Corrected:
07-03-2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-03-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
07-03-2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Category:
Administration Deficiencies
Scope:
D
Corrected:
07-03-2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
E
Corrected:
07-03-2017

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
07-31-2019

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
07-31-2019

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
07-31-2019

Install smoke barrier doors that can resist smoke for at least 20 minutes.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-31-2019

Ensure that testing and maintenance of electrical equipment is performed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
C
Corrected:
07-31-2019

Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
B
Corrected:
07-31-2019

Establish an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Develop and maintain an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Develop a communication plan.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Provide primary/alternate means for communication.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
06-15-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
D
Corrected:
06-15-2018

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
06-15-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
06-15-2018

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
B
Corrected:
06-15-2018

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
06-15-2018

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
C
Corrected:
06-15-2018

Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
B
Corrected:
06-15-2018

Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
07-31-2017

Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Category:
Egress Deficiencies
Scope:
D
Corrected:
07-31-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-31-2017

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
07-31-2017

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
07-31-2017

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
07-31-2017

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
07-31-2017



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