Regency Park Health And Rehabilitation
REGENCY PARK HEALTH AND REHABILITATION in DALTON, GA — inspection on August 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the electronic medical record (EMR) for R3 revealed that he was admitted to the facility with diagnoses that included but were not limited to osteomyelitis of ankle and foot, methicillin resistant staphylococcus aureus infection (MRSA), acute respiratory failure with hypoxia, traumatic hemorrhage of the cerebrum, and neuromuscular dysfunction of bladder.
Review of the physician's orders revealed that there was an order for indwelling Foley catheter for diagnoses of neurogenic bladder.
Review of the Minimum Data Set (MDS) assessment dated [DATE] a Brief Interview for Mental Status (BIMS) score of 13, which means that he is cognitively intact.
Review of section H (Bladder and Bowel) revealed that he has an indwelling catheter.
Review of the care plan for R3 revealed that he is at risk for a multi-drug-resistant organism (MDRO) related to the presence of a foley catheter and Enhanced Barrier precautions (EBP) were implemented for that risk.An observation of perineal and catheter care occurred on 8/14/2025 at 11:11 am.
Certified Nursing Assistant (CNA) AA provided catheter and perineal care for R3. CNA AA removed a soiled pair of gloves after cleaning the resident's perineal area.
Without performing hand hygiene, she then put on a new pair of gloves and continued care by wiping and then disposing of the soiled cleaning wipes.
She then removed her gloves a second time and donned (put on) another pair without performing hand hygiene.
She concluded the procedure by adjusting the resident's incontinence brief and completed care without any visible hand hygiene between glove changes.An interview on 8/14/2025 at 10:25 am with CNA AA confirmed that she did not perform hand hygiene between glove changes.An interview with the Director of Nursing (DON) on 8/14/2025 at 10:35 am revealed that it was her expectation that hand hygiene was performed between glove changes.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.