Regent Park Rehabilitation And Healthcare

Review of the email communication chain lacked mention of the SNF ABN or the estimated cost to continue the therapy services should the resident wish to do so. On 02/10/26 at 02:10 PM, Social Services X stated the ABN should be provided to the resident or resident's representative prior to discharge.

Social Services X said she provided the form, but the resident did not sign or return the form as he wanted to review it with his representative.

Social Services X verified she was unable to show the resident was provided with the ABN Form CMS-10055; she did not have a copy. A policy dated 12/01/17 stated that for residents admitted based on Medicare reimbursement, and the Medicare coverage ends, the facility will follow regulations and policies regarding appropriate notification of discharge from Medicare services, including the right to appeal. If the residents continued to need long-term care services, the facility designee will assist in discharge planning.

The appropriate notification of discharge from Medicare services was not provided.

175527 02/11/2026

Regent Park Rehabilitation and Healthcare 10604 East 13th Street N Wichita, KS 67206

Findings included:- R49's Electronic Medical Record (EMR) revealed the following diagnoses: hemiplegia and hemiparesis (weakness and paralysis on one side of the body) following a stroke (a sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) affecting the left nondominant side and contracture (abnormal permanent fixation of a joint or muscle) to the left hand. R49's admission Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition.

The MDS recorded R49 had hemialgia and a contracture of the left hand. R49's Functional Abilities (Self-Care and Mobility) Care Area Assessment (CAA) documented R49 had impaired physical functioning related to a past stroke with left sided weakness. R20's Care Plan, dated 10/03/25, directed staff to place a clean, dry, rolled washcloth between R49's fingers and palm and ensure good hygiene. R49's Physician's Orders documented an order to place a clean, dry, rolled washcloth between fingers and palm and ensure good hygiene every day and night shift, ordered on 09/26/25. R49's February 2026 Medication Administration Record (MAR) from 09/26/25 to 02/11/26 documented the rolled washcloth it was in place every day and night with no refusals noted. R49's Progress Note lacked documentation R49 refused this treatment or that it was not completed. On 02/09/26 at 10:00 AM, R49 sat at the dining room table in her wheelchair.

The wheelchair had a partial padded tray attached to it. R49's left arm was not on the tray.

Her hand hung down, in a loose fist, and was swollen.

She had nothing in hands to address the contracture. On 02/10/26 at 02:00 PM, R49 was in bed with the head of the bed elevated. R49's left elbow was on a pillow with her hand dangling.

Her hand was swollen and in a loose fist, but she did not have a rolled cloth or any device in her hands. On 02/10/26 at 03:03 PM, R49 laid in bed. R49 stated she worked with therapy, and they gave her something to wear in her hand, she said it was a pool noodle with a strap to keep it in her hand and to prevent her hand from contracting.

Observation revealed it was across the room, on her dresser.

When asked when she was supposed to wear it, she stated she should be wearing it at that time. On 02/10/26 at 02:48 PM, Consultant Staff GG stated he completed an evaluation on 10/02/25 for a request for therapy from the provider for a left-hand contracture. He evaluated R49 and found she did not have a contracture at that time but did have tone which indicated some resistance. He provided her with a simple resting hand splint to be worn, or they could use a rolled-up hand towel.

Consultant Staff GG said R49's left arm was completely flaccid (weak and flabby) which increased the risk for contractures. On 02/11/26 at 09:38 AM, Licensed Nurse (LN) H stated the nurse was to place a clean towel or splint in R49's hand and confirmed it should be there all the time. LN H stated the nurses verified and documented its placement on the MAR. On 02/11/26 at 10:39 AM, Administrative Nurse D stated she expected the nurse to place the splint on R49's hand to prevent contractures, and to document it correctly in the MAR.

The facility's REST Initiative/Restorative Nursing Documentation policy documented the goals for all elders receiving restorative nursing services will include goals to prevent contractures.

175527 02/11/2026

Regent Park Rehabilitation and Healthcare 10604 East 13th Street N Wichita, KS 67206

Based on observation, interview, and record review, the facility failed to provide care

place.

Findings included:- R49's Electronic Medical Record (EMR) revealed the following diagnoses: pneumonia (an infection in the lungs), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), hemiplegia and hemiparesis (weakness and paralysis on one side of the body) following a stroke (a sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain). R49's admission Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition.

The MDS recorded R49 received oxygen. R49's Functional Abilities (Self-Care and Mobility) Care Area Assessment (CAA) documented R49 had impaired physical functioning related to a past stroke with left sided weakness.

She required staff assistance with all care. R49's Care Plan, dated 09/26/25, documented R49 was on oxygen related to ineffective gas exchange. R49 was to be on two liters of oxygen continuously. R49's Physician's Orders documented an order to monitor oxygen saturation and oxygen at two liters every day and night shift, ordered on 09/25/25. On 02/09/26 at 10:00 AM, R49 sat at the dining room table in her wheelchair with an oxygen tank attached to the back of the wheelchair in a bag. A bag was attached by the oxygen tank with the nasal cannula tubing partially in the bag.

The cannula's nasal prongs were out of the bag and hanging freely. R49 was not wearing or receiving her oxygen. On 02/09/26 at 10:05 AM, Licensed Nurse (LN) I came up to R49 and placed the nasal cannula on the resident. LN I then attempted to turn on the oxygen, but the tank was empty. LN I verified that R49 was supposed to have continuous oxygen and took her back to the room to place the resident on oxygen via a concentrator. On 02/11/26 09:35 AM, Certified Medication Aide (CMA) S stated she thought R49 was supposed to have oxygen all the time. On 02/11/26 at 09:38 AM, Licensed Nurse (LN) H stated R49 required oxygen all the time. On 02/11/26 at 10:39 AM, Administrative Nurse D stated she expected the nurse to follow the orders for oxygen.

The facility's Oxygen Therapy policy documented that residents would use oxygen from a portable source when they are off the main concentrator.