Regency Care Of Copley
REGENCY CARE OF COPLEY in AKRON, OH — inspection on August 12, 2025.
Found 2 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 SRI investigation revealed only three witness statements, including an undated statement from LPN #366 who was not on duty the night of the alleged incident but noted an unsuccessful attempt to contact LPN #325, a statement from respiratory Therapist (RT) #385, who was not on duty on 07/16/25 or 07/17/25 and had not observed or include knowledge of any maggots, and a third statement, also written by LPN #366, detailing an interview conducted with LPN #321, who was on duty for day shift on 07/17/25.
There was no witness statements obtained from any staff scheduled from 7:00 P.M. on 07/16/25 to 7:00 A.M. on 07/17/25 and no notes indicating attempts were made to contact any of the scheduled staff except LPN #325 (no date, time, or details were documented).
The investigation included no mention of maggots and no mention of Resident #4's room missing a screen and what facility follow-up was regarding the screen.
Additionally, there was no evidence Resident #23 had a comprehensive assessment or that any other resident had been interviewed or their skin was assessed for excess moisture or the presence of maggots.
Telephone interview on 08/11/25 at 5:06 P.M. with LPN #366 confirmed the investigative role involved talking with RT #385 and nurses, assisting with nursing re-education, and policy reviews. LPN #366 further confirmed the current DON performed a head-to-toe assessment on Resident #4 after the facility filed the SRI.
According to LPN #366, nursing in-services that were marked as reviewed over the phone included nurses being provided copies of the policies when they returned to the facility for their shifts and did not include a return demonstration of trach care and suctioning.
During the interview, LPN #366 confirmed there were other interviews she conducted, other than the one nurse (LPN #321) and RT #385.
Interview on 08/11/25 at 5:40 P.M. with the LNHA confirmed the information in the folder provided to the surveyor to be reviewed on site was the complete investigation conducted by the facility, including all witness statements.
During the interview, the LNHA confirmed both trach residents were checked, but the LNHA verbalized uncertainty as to whether a full assessment was completed and documented of any like residents (other resident(s) with a trach) or any other resident susceptible to altered skin integrity.
Interview on 08/12/25 at 10:10 A.M. with Maintenance #362 confirmed the facility installed new windows in March 2025, and Resident #4 did not have a screen prior to the incident with the maggots around his trach on 07/17/25.
Review of the purchase order for Quality Glass & Mirror, Incorporated, revealed an order was placed for two window screens measuring approximately 29.5 inches by 17 5/16 inches on 07/18/25 and a receipt for the total price charged for the two screens dated 07/28/25.
Review of the undated procedure titled Incidents Requiring Immediate Notification revealed facility incident reports were crucial for documenting the event and facilitating investigations.
Further review of the procedure revealed all relevant details about the incident, witnesses, and actions taken were considered essential documentation.
This deficiency represents noncompliance investigated under Incident Number 2579881 and Complaint Number 2579936.
365320 08/12/2025
Regency Care of Copley 2631 Copley Road Akron, OH 44321
During the interview, LPN #325 stated the initial attempts to reach the Nurse Practitioner on-call and the DON were unsuccessful so video was taken to show the DON what the concern was so Resident #4 could get cleaned up and appropriate orders could be obtained.
Interview on 08/11/25 at 4:10 P.M. with CNA #324 confirmed Resident #4 did not have a screen in the window and CNA #324 had observed the window being left open with no screen.
Telephone interview on 08/11/25 at 5:06 P.M. with LPN #366 confirmed the investigative role involved talking with RT #385 and nurses, assisting with nursing re-education, and policy reviews.
According to LPN #366, nursing in-services that were marked as reviewed over the phone included nurses being provided copies of the policies when they returned to the facility for their shifts and did not include a return demonstration of trach care and suctioning.
Interview on 08/11/25 at 5:59 P.M. with CNA #302 confirmed she visualized the maggots around Resident #4's trach the night of 07/16/25 to 07/17/25. CNA #302 further confirmed Resident #4's trach pad (she described as the gauze around the stoma) and trach ties typically got easily saturated and nurses would change the gauze when notified of it being soiled but had not personally observed trach ties being changed during the night shifts.
During the interview, CNA #302 confirmed Resident #4 did not have a screen in the window for several months and that there were occasions it was cracked open and had to be shut upon CNA #302s arrival.
Interview on 08/12/25 at 10:10 A.M. with Maintenance #362 confirmed the facility installed new windows in March 2025 and Resident #4 did not have a screen prior to the incident with the maggots around his trach on 07/17/25.
Interview on 08/12/25 at 10:24 A.M. with the DON confirmed Resident #4 had orders changed to increase the frequency of trach care to twice a day after an incident involving maggot around his trach.
During the interview, the trach care policy was reviewed and the DON confirmed that the facility policy was to provide trach care at least two times a day.
The DON further confirmed that when wet or moist trach ties were removed, the skin was to be thoroughly dried prior to placing and securing new trach ties.
Review of the policy titled Tracheostomy Care, dated 03/01/25, revealed trach care should be performed at least twice daily, and trach ties were to be changed whenever soiled or wet.
This deficiency represents noncompliance investigated under Incident Number 2579881 and Complaint Number 2579936.
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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.