Regency Care of Copley: Maggot Investigation Failures - OH
The incident involving Resident #4 was discovered on the night of July 16 into the early morning of July 17. Eight staff members worked that shift: two nurses and six certified nurse aides. The facility's subsequent investigation produced three witness statements. None of them came from anyone who worked that night.
One statement was written by LPN #366, who was not on duty during the incident. A second came from a respiratory therapist who also was not working that night and told investigators she had no knowledge of any maggots. The third was LPN #366 again, documenting an interview with a nurse who had worked the day shift the following morning. The nurse who first found and reported the maggots, LPN #325, was never interviewed. The investigation file showed a single undated note referencing an unsuccessful attempt to reach her, with no time, no date, and no details recorded.
The investigation itself never mentioned the word maggots.
It also never addressed why Resident #4 had no window screen. Maintenance worker #362 told inspectors during an interview on August 12 that new windows had been installed throughout the facility in March 2025, and that Resident #4's room did not have a screen before the maggot incident. The facility ordered two replacement screens on July 18, the day after the discovery, and paid for them on July 28. That gap, and what it meant for the resident in the weeks after the new windows went in, does not appear anywhere in the investigation file.
The Licensed Nursing Home Administrator confirmed to inspectors on July 24 that the folder handed over to the surveyor represented the complete investigation, including all witness statements. During that same interview, the administrator acknowledged uncertainty about whether a full assessment had been completed and documented for other residents with tracheostomies or for residents with conditions that made them vulnerable to skin breakdown. Both trach residents were checked, the administrator said, but the documentation question remained open.
LPN #366, who conducted the investigation, told inspectors in a phone interview on August 11 that her role included talking with the respiratory therapist, assisting with nursing re-education, and reviewing policies. She also confirmed that nursing in-services listed as completed were handled by handing nurses copies of policies when they came in for their shifts. There was no return demonstration of trach care and suctioning. She also acknowledged, during that call, that she had conducted other interviews beyond the two documented in the file. Those interviews are not in the investigation materials the facility gave to inspectors.
Resident #23, who inspectors identified as a resident who warranted follow-up, had no comprehensive assessment documented. There was no evidence that any other residents had been interviewed or that their skin had been checked for excess moisture or the presence of maggots.
The former Director of Nursing, DON #399, had left the facility before the investigation was complete and without conducting a proper inquiry, the administrator confirmed. The current DON performed a head-to-toe assessment on Resident #4 after the facility filed its state reportable incident, but the timing and scope of assessments for other at-risk residents remained unclear as of the inspection date.
Inspectors noted that the facility's own internal procedure on incidents requiring immediate notification described incident reports as crucial for documenting events and facilitating investigations, and listed all relevant details about the incident, witnesses, and actions taken as essential. The investigation file for the maggot incident contained none of that for the eight people who were present when it happened.
Resident #4 had been living without a window screen for months before flies reached his tracheostomy wound. The facility took eleven days to pay for replacements.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Regency Care of Copley from 2025-08-12 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 5, 2026 · Our methodology
REGENCY CARE OF COPLEY in AKRON, OH was cited for violations during a health inspection on August 12, 2025.
The incident involving Resident #4 was discovered on the night of July 16 into the early morning of July 17.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.