Regency Care Center
Regency Care Center in Norwalk, IA — inspection on August 20, 2025.
Found 6 citations. 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 MAR for August of 2025 revealed Resident #12 was given the following medications and had the following orders:1.Empagliflozin Oral Tablet 10 MG (Empagliflozin) Give 1 tablet by mouth in the morning for DM2 -Start Date 07/10/2025.2.
Check Blood Glucose BID two times a day for Blood Glucose -Start Date 07/29/2025 -D/C Date 08/06/2025.3.
HumaLOG KwikPen Subcutaneous Solution Peninjector 100 UNIT/ML (Insulin Lispro) Inject as per sliding scale: if 141 - 180 = 2 units; 181 220 = 4 units; 221 - 260 = 6 units; 261 - 300 = 8 units; 301 - 350 = 10 units; 351 - 400 = 12 units >400 14 units and call provider, subcutaneously before meals and at bedtime for diabetes -Start Date 07/30/2025.4. 472=16 units as one time order. one time only for high blood sugar until 08/06/2025 23:59 -Start Date08/06/2025 1245
During an interview 8/19/25 at 1:30 PM, the Director of Nursing (DON) stated when a resident has a diagnosis of diabetes, she would expect this to be in the MDS as a diagnosis.
During an interview 8/20/25 at 11:30 AM, the MDS coordinator acknowledged the alarm section of the MDS for Residents #6, #7 and #9 should have been marked for using the wander alarm, as all three residents had a wander guard.
The MDS coordinator acknowledged she did not mark this section accurately.
The MDS coordinator stated Section E for behaviors is completed by the Social Worker, the facility has a newly hired social worker.
During an interview 8/20/25 at 12:35 PM, the DON acknowledged the MDS assessments should have been coded for alarms for Resident #6, #7 and #9, and should have been marked for behaviors if they were exhibited.
The DON stated the facility follows the Resident Assessment Instrument (RAI) Manual for completing the MDS and follows standards of practice.
The facility does not have a specific policy for MDS assessments.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care Center
815 High Road Norwalk, IA 50211
SUMMARY STATEMENT OF DEFICIENCIES
10/23/19, documented each resident will have a person centered plan of care to identify problems, needs, strengths, preferences, and goals that will identify how the interdisciplinary team will provide care.
Contains services provided, preference, ability, and goals for admission, desired outcomes, and care level guidelines.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care Center
815 High Road Norwalk, IA 50211
SUMMARY STATEMENT OF DEFICIENCIES
resident should have been completed by or around the 20th of June 2025, and acknowledged this was not completed at that time.
The DON stated they follow the Resident Assessment Instrument (RAI) Manual for completing the MDS and follow standards of practice for the Elopement Risk Evaluations.
The DON stated she started another elopement risk evaluation for Resident #7 on 8/18/25 and will submit this today, 8/20/25.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care Center
815 High Road Norwalk, IA 50211
SUMMARY STATEMENT OF DEFICIENCIES
During an observation 8/6/25 at 4:20 PM, observed the door at the end of hall 6, the door was alarmed.
The door is located through the therapy room, at the back of the therapy room.
During an interview 8/11/25 at 6:50 AM, Staff Q, LPN, stated she did work the night of 6/4/25, from 6:00 PM to 6:00 AM.
She worked on the Ambassador side, the back halls.
Staff Q stated Resident #9 was a resident who wandered, he would wander through the building the majority of the day. He was not aggressive, but he would get frustrated when redirected and would be verbally aggressive. He would wander into other resident's rooms and up and down the hallways, he would go to the doors to try to get outside.
There were numerous times he would go into the therapy room at the end of hall 6 and try to get out the door in the ther[TRUNCATED]
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care Center
815 High Road Norwalk, IA 50211
SUMMARY STATEMENT OF DEFICIENCIES
does not believe any resident waited longer than 20 minutes for a call light response that day.
The DON stated the facility does not have a policy for staffing or call lights, the facility follows standards of practice for call light response time, which should be within 15-minutes.
The facility document titled Regency Care Center Facility Assessment 2025, revised 11/2024, outlined the following staffing guidelines: 2-4 nurses working 12-hour shifts on the day shift or a combination of nurses and Certified Medication Aides (CMA)2 nurses are scheduled on the night shift with additional staff for treatment and medication pass from 6:00 PM to 10:00 PM3 Certified Nurses Aide (CNA) for the Royal nursing unit and 4-5 CNAs for the Ambassador nursing unit during the day shift (6:00 AM to 2:00 PM). A bath aide and restorative aide may be additional2-3 CNAs for the Royal nursing unit and 4-5 CNAs for the Ambassador nursing unit during the evening shift (2:00 PM to 10:00 PM)No staffing assignments documented for the night shift (10:00 PM to 6:00 AM)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Care Center
815 High Road Norwalk, IA 50211
SUMMARY STATEMENT OF DEFICIENCIES
During an interview 8/5/25 at 9:50 AM, Staff F, CNA, stated during training, no one trained her on cleaning the equipment after each transfer.
Staff F stated there are no cleaning/sanitizing wipes on the mechanical lift in this hallway.
Staff F stated even if a resident is on Enhanced Barrier Precautions (EBP) or Transmission Based Precautions (TBP), she had not wiped down the shared mechanical lift equipment after using it, and had used the mechanical lift equipment from resident to resident without sanitizing it.
During an observation 8/5/25 at 10:30 AM, Staff H, CNA, and Staff I, CNA, performed a mechanical lift transfer for Resident #2, a resident on EBP.
Observed the EBP signage by the door to the resident's room.
Observed fluids on the floor, dripping from the resident while he was being transferred to the bed, fluids came from his seated area which appeared to be urine.
The lift wheels went through the fluid.
After the transfer was completed, Staff I moved the mechanical lift equipment into the hallway without cleaning or sanitizing the equipment and placed it in the hallway.
The mechanical lift did not have a sanitizing agent in the basket attached to the lift.
Observed the mechanical lift in the hallway until 11:15 AM, when staff I then moved it into room [ROOM NUMBER] without sanitizing or cleaning the equipment.
During an interview 8/5/25 at 10:45 AM, Staff I, CNA, stated the shared mechanical lift equipment is not sanitized or cleaned in between resident use every time.
Staff I stated there used to be sanitizing wipes in a basket on the mechanical lifts, however now none of the lifts have sanitizer wipes.
Staff I stated she has not observed staff cleaning the shared mechanical lifts and she has not cleaned them, even if it has been used for a resident on EBP.
During an interview 8/6/25 at 8:00 AM, the Director of Nursing (DON) stated an expectation the mechanical lifts be cleaned and sanitized after each use and prior to being used for another resident.
Review of the facility policy Total Lift Transfer, with a review date of 11/28/22, and the facility Hospital Clean policy, undated, documented to disinfect lift surfaces and allow them to dry and non-critical medical equipment is cleaned and disinfected between residents.
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