Regina Senior Living
REGINA SENIOR LIVING in HASTINGS, MN — inspection on February 26, 2026.
Found 7 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
During R29's podiatry treatment, nursing staff and cleaning staff were walking through the day room.
Upon completion, R29 was taken back to her room by facility staff.R29's quarterly Minimum Data Set (MDS)assessment, dated 1/8/26, indicated R29 had severe cognitive impairment.
Further, R29 was dependent on facility staff for all cares. R29's diagnosis included neurocognitive disorder with Lewy-bodies Dementia (progressive neurodegenerative disease caused by abnormal protein deposits that destroy brain cells), chronic pain syndrome, and cognitive communication deficit.
During an interview on 2/23/26 at 4:48 p.m., family member (FM)-A stated R29 would not have wanted to have her podiatry treatment performed with other residents around to watch. FM-A stated she has a lot of pain in her feet and would have wanted to have her podiatry treatments in private.R54R54's quarterly MDS assessment, dated 11/12/25, indicated R54 had no cognitive impairment.
Further, R54 was independent with ambulation, toileting, and hygiene. R54's diagnosis included cellulitis (bacterial infection) of left lower limb, cellulitis of right second toe, and amputation of right lesser toe.
During an interview on 2/23/26 at 5:10 p.m., R54 stated he would prefer to have his podiatry treatments done in his room.R57R57's comprehensive MDS assessment, dated 11/26/25, indicated R57 had limited cognitive impairment.
Further, R57 required a wheelchair for mobility, set-up assistance for hygiene/oral care, and was independent with eating. R57's diagnosis included prostate cancer, chronic kidney disease, and difficulty walking.During an interview on 2/23/26 at 5:57 p.m., R57 stated he would prefer to do his podiatry treatments in a private space.
During an interview on 2/23/26 at 1:34 p.m., MA-A stated the podiatry team comes to the facility every 9 weeks. MA-A stated the services provided include callus shaving and nail clipping.
Podiatry treatments are done in the day room, unless the residents are not able to get out of bed then the podiatrist will go to the residents room.
During an interview on 2/23/26 1:41 p.m., medical doctor (MD)-A stated he provided podiatry services roughly every 9 weeks.
The services he provided were callus shaving and nail clipping, occasionally helping with ingrown toenails if this can be treated safely at the facility.
When asked how treatments are handled in the clinic setting the MD-A stated the treatments would be done in a private room at his clinic.
The facility staff bring in multiple residents at a time.
During an interview on 2/25/26 9:19 a.m., director of nursing (DON), administrator, and regional director of clinical services (RDCS) confirmed medical procedures or treatments such as wound care, optometry, dental, or podiatry should be done in private.
Administrator confirmed the podiatry treatments done on 2/23/26 were conducted in the day room.
Further, stating multiple residents can be in the day room during podiatry treatments. DON and RDCS confirmed the importance of completing podiatry treatments in a private setting to ensure resident privacy.An undated facility policy titled Resident Rights and Notification of Resident Rights, the facility will ensure a residents right to privacy and confidentiality.
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033
During an interview on 2/26/26 at 8:36 a.m., the hospice registered nurse (HRN) stated R10 enrolled in hospice 1/20/26 and is seen weekly by nursing staff. HRN confirmed R10 is receiving scheduled and as needed haloperidol.
She stated hospice manages the medication however it is the facility's responsibility to determine if the resident is having breakthrough issues.
The haloperidol is ordered every two weeks based on a mutual discussion between herself, facility staff, and if needed, the hospice medical provider.
Hospice providers are involved in the interdisciplinary meeting to recertify a resident every 90 days, however, do not begin seeing residents until after their second 90 day recertification. At that time, the hospice provider will see the resident face to face every 8 weeks.
Hospice providers do not see the resident face to face to re-order as needed antipsychotic medications.
During a joint interview on 2/26/26 at 10:54 a.m., with the facility director of nursing (DON) and the Regional Director of Clinical Services (RDCS), the DON stated PRN antipsychotic medications are good for 14 days and the facility will automatically put a stop date.
The DON stated hospice is the one managing R10's PRN haloperidol and would be the ones to see R10 in person.
The DON and RDCS reviewed R10's medical records and could not provide documentation R10 received a face-to-face visit by a provider every 14 days. A policy titled Psychotropic Medication Use dated 9/7/23 indicated parameters required for antipsychotic medications that included PRN anti-psychotic orders are limited to 14 days and cannot be renewed unless the attending provider evaluates the resident for the appropriateness of that medication. It continued Documentation will reflect implementation of the above [referring to the list of required parameters].
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033
During an interview on 2/24/26 at 10:17 a.m., nursing assistant (NA)-A stated she is unsure why R24
numbers and miscellaneous. NA-A stated she was unsure what end-of life preferences R24 wanted.
During an interview on 2/24/26 at 10:51 a.m., director of nursing (DON) and regional director of clinical services (RDCS) stated after the resident chooses a hospice company, the hospice banner is added in the electronic medical record (EMR), hospice contact information is added to the resident profile, and the resident care plan.
The hospice care plan would include the hospice company information, hospice diagnosis, and any known resident choices and preferences. DON confirmed R24 was admitted to hospice on 2/13/26 and R24's care plan did not have a hospice care plan. DON and RDCS stated the hospice care plan is important, so all staff are aware of the resident status and how to care for them during the end-of-life stage.
A facility policy titled Comprehensive Assessments and Care Planning dated 9/27/23, the facility will provide a comprehensive person-centered interdisciplinary care plan.
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033
During a joint interview on 2/25/2026 at 2:08 p.m., director of nursing (DON), administrator, and regional director of clinical services (RDCS), DON stated new orders are typically ordered by the health unit coordinator (HUC) and a nurse verifies the orders.
Further to this, orders should be completed and ready within 24 hours. RDCS stated the initial urea lotion order was received on 2/12/26 and confirmed there were issues with processing due to order clarification. DON stated the medication was reordered on 2/23/26 and was not available for use. DON stated it is important to obtain medications when ordered so residents can begin treatments as expected.
A facility policy titled Medication Ordering and Receiving from Pharmacy dated 12/17, medications and related products are received from the dispensing pharmacy on a timely basis.
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033
During an interview on 2/26/2026 at 8:10 a.m., the director of nursing (DON) confirmed R47 taking melatonin 5 mg by mouth at bedtime for sleep. DON stated, sleep tracking was only initiated when ordered by the prescribing provider. DON also stated, sleep tracking would have been available in progress if it was ordered.
Progress note review from 12/01/25 to 02/26/26 showed no sleep tracking notes. A facility policy on monitoring sleep was requested and not received.
During a follow up kitchen tour 2/25/26 at 7:52 a.m., the can opener blade and gear remained covered with the dark dry substance and additionally a red paste was noted on the blade.
Head cook (HC) indicated it was used and must have gotten dirty yesterday.In the walk-in freezer, five food boxes remained on the floor. HC stated the boxes were not supposed to be on the floors and were delivered the day prior.
During an interview on 2/25/26 at 8:46 a.m., CD stated, the expectation was for the can opener to be cleaned weekly, when asked about the substance covering the can opener blade and gear-can remove this. CD confirmed, (could remove this also) and the boxes in the walk-in freezer should not be on the floor. A facility policy on food safety procedures was requested and not received.
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
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033
During an interview on 2/25/26 at 9:40 a.m., DON and regional director of clinical services (RDCS) indicated R33 was not to be on EBP.
Indicated, EBP is only required for Chronic wounds, diabetic wounds, and Pressure Ulcers per the facility policy.
The facility policy titled: Enhanced [NAME] Precautions, reviewed on 3/28/24, indicates enhanced barrier precautions to be used for chronic wound care and defines chronic wound care as any skin opening requiring a dressing (excludes- shorter-lasting wounds, such as skin breaks or skin tears covered with adhesive bandage.
245254 02/26/2026
Regina Senior Living 1175 Nininger Road Hastings, MN 55033