Regency Park Health and Rehab: Infection Control Failure - GA
The patient, identified in inspection records only as Resident 3, is cognitively intact. He knows what is happening around him. He was admitted to the facility with a list of diagnoses that included MRSA, osteomyelitis of the ankle and foot, acute respiratory failure with hypoxia, traumatic hemorrhage of the cerebrum, and a neurogenic bladder requiring a permanent indwelling catheter. Because of the catheter and his MRSA status, his care plan identified him as being at elevated risk for multi-drug-resistant organisms and called for Enhanced Barrier Precautions.
On the morning of August 14, 2025, at 11:11 a.m., a certified nursing assistant the report identifies as CNA AA performed perineal and catheter care for him. She removed a soiled pair of gloves after cleaning the perineal area. Then she put on a new pair without washing her hands. She wiped the area again and disposed of the soiled cleaning wipes. Then she removed those gloves and put on a third pair, again without washing her hands. She finished by adjusting his incontinence brief and concluded the procedure. No hand hygiene at any point between glove changes.
The problem with skipping hand hygiene between glove changes is not theoretical. Gloves pick up pathogens during care. When a worker removes a contaminated glove, her hands can become contaminated in the process. Putting on a fresh glove without washing transfers whatever is on her hands directly to the new glove, which then touches the patient. For a resident already carrying MRSA and tethered to a catheter, a direct pathway for bacteria into the urinary tract is not a minor procedural lapse.
Inspectors interviewed CNA AA the same morning. She confirmed that she had not performed hand hygiene between glove changes.
The Director of Nursing was interviewed at 10:35 a.m. that day. She said it was her expectation that staff perform hand hygiene between glove changes.
The facility's own Hand Hygiene policy, revised as recently as March 20, 2024, states explicitly that hand hygiene must be performed after removing gloves. The policy lists alcohol-based hand rub and soap and water as acceptable methods. CNA AA used neither.
The inspection was triggered by a complaint. CMS rated the violation at the "minimal harm or potential for actual harm" level, meaning inspectors concluded no documented injury had yet occurred. That rating does not mean the practice was without consequence — it means the consequences had not yet been recorded.
What the record does show is a patient who came to this facility already fighting multiple serious conditions, who had a care plan specifically designed to protect him from the additional threat of drug-resistant infection, and who received catheter care in which the most basic protection against pathogen transfer was skipped. Twice. In a row. While an inspector stood in the room.
Regency Park's own written policy required hand hygiene after glove removal. The Director of Nursing expected it. The CNA confirmed she didn't do it. Those three facts were all documented on the same morning.
Resident 3 understood everything that was happening. His cognitive assessment showed a perfect score for mental clarity. Whether anyone told him what the inspector had observed, or what the facility planned to do differently, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Regency Park Health and Rehabilitation from 2025-08-14 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
REGENCY PARK HEALTH AND REHABILITATION in DALTON, GA was cited for violations during a health inspection on August 14, 2025.
The patient, identified in inspection records only as Resident 3, is cognitively intact.
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.