Regency Albany
REGENCY ALBANY in ALBANY, OR — inspection on March 27, 2026.
Found 8 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
his or her rights.
a dignified existence for 1 of 1 sampled resident (#44) reviewed for dignity and respect.
This placed
Quality of Care Policy stated staff will respect each resident's dignity.Resident 44 admitted to the facility in 2023 with diagnoses including depression and diabetes.A review of the 10/29/25 Annual MDS revealed Resident 44 had a BIMS of 15 indicating she/he was cognitively intact.On 3/23/26 at 10:46 AM Resident 44 stated she/he only wanted female house staff to assist with care. Resident 44 stated Staff 11 (Former DNS) told the resident she/he had to let new CNA staff and male CNA staff care for her/him and this conversation was witnessed by Staff 4 (Activity Director). Resident 44 stated she/he felt her/his feelings were disregarded.On 3/26/26 at 5:08 PM Staff 4 stated Resident 44 requested her to be present during a conversation with Staff 11 in July 2025 about the resident's care preferences.
Staff 4 stated Staff 11 spoke to Resident 44 in a rude, condescending and demeaning tone stating to the resident, you will have to let men take care of you.
Staff 4 stated Resident 44 was very upset.On 3/26/26 at 7:02 PM Staff 11 stated she had a conversation with Resident 44 about her/his care with Staff 4 as a witness.
Staff 11 did not recall speaking to Resident 44 in a rude, condescending or demeaning tone.On 3/27/26 at 5:23 PM Staff 1 stated she expected all staff to speak to residents with dignity, respect and kindness.
Staff 1 acknowledged the findings.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
limited to receiving treatment and supports for daily living safely.
observation and interview the facility failed to provide a functional toilet and safe furniture for 3 of 5
for injury and lack of homelike environment.
Findings include: 1. Resident 38 was admitted to the facility in 12/2022 with diagnoses including seizures. A 1/9/26 Quarterly MDS indicated Resident 38 had a BIMS score of 15 which indicated Resident 38 was cognitively intact. Resident 40 was admitted to the facility on [DATE] with diagnoses including heart failure.A 3/19/26 Quarterly MDS indicated Resident 40 had a BIMS score of 15 which indicated Resident 40 was cognitively intact. On 3/24/26 at 9:00 AM, Resident 38 and Resident 40 stated the toilet flushed continuously when the toilet was flushed and had been broken for a long time. Resident 38 and 40 stated the toilet was loud and flushed for up to 40 minutes. Resident 38 stated staff called a plumber but the toilet was still broken. On 3/27/26 at 9:19 AM, Staff 12 (CNA) stated the toilet in Resident 38 and Resident 40's flushed continuously after the toilet was flushed.
Staff 12 stated Staff 2 (DNS) was notified.On 3/27/26 at 10:08 AM, Staff 23 (CNA) stated the toilet ran continuously when the toilet was flushed.
Staff 23 stated she did not notify maintenance or enter a work order because she thought staff were aware.
On 3/27/26 at 10:34 AM, Staff 24 (Maintenance Director) indicated he inspected the toilet, and found a damaged part.
Staff 24 indicated he had the part on hand and would repair the toilet. 2. Resident 31 was admitted to the facility in 9/2020 with diagnoses including seizures and hemiplegia (paralysis on one side of the body). A 1/14/26 Quarterly MDS indicated Resident 31 had a BIMS score of 14 which indicated Resident 31 was cognitively intact. On 3/27/26 at 9:19 AM, Staff 12 (CNA) stated Resident 31's dresser was hard to open and Resident 31 was not able to open the drawers. On 3/27/26 at 10:08 AM Resident 31 was observed opening her/his dresser and almost fell while trying to open the dresser.
Staff 23 (CNA) stated Resident 31 had right sided weakness and pulling the dresser to open the drawer was not safe and was a fall risk for the resident. On 3/27/26 at 10:22 AM, Staff 24 (Maintenance Director) stated Resident 31's dresser drawers were old and were not easily accessible.
Staff 24 acknowledged the dresser in Resident 31's room was not safe for the resident to use.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
resident's ability to function.
dose reduction of a psychotropic medication in a timely manner for 1 of 6 sampled residents (#42)
medication.
Findings include: Resident 42 was admitted to the facility in 2023 with diagnoses including bipolar disorder and post-traumatic stress disorder.A review of the 3/12/26 pharmacy recommendation indicated Resident 42 was receiving buspirone 10 MG (a psychotropic) twice daily and was due for a gradual dose reduction (GDR) as the resident was not experiencing anxiety.
The recommendation was to start buspirone 5 MG twice daily. A further review of the 3/12/26 pharmacy recommendation revealed on 3/13/26 Resident 42's provider agreed to GDR buspirone. A 3/24/26 physician order revealed Resident 42 was to start buspirone 5 MG twice daily. On 3/27/26 at 4:17 PM Staff 5 (LPN Resident Care Manager) acknowledged Resident 42's GDR for buspirone 5 MG twice daily was not implemented timely.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
for lack of personal hygiene.
Findings include:Resident 9 was admitted to the facility in 11/2025 with
indicated Resident 9 had a BIMS score of 9 indicating she/he had moderate cognitive impairment.
The MDS indicated Resident 9 depended on staff to complete personal hygiene.
The 3/24/26 TAR indicated Staff 18 (LPN) did not perform nail care for Resident 9 because it was not needed.
During random observations from 3/23/26 through 3/27/26 from 8:00 AM to 5:00 PM, Resident 8 was observed to have a brown substance in her/his right pointer and ring fingernails. Resident 9's fingernails were not trimmed and were 1/2 to 1/3 inches long. Resident 9 had facial hair on her/his chin and upper lip. On 3/23/26 at 2:15 PM, Resident 9 was observed touching the hair on her/his chin. Resident 9 acknowledged her/his long fingernails. Resident 9 stated she/he allowed staff to provide personal hygiene. On 3/25/26 at 2:35 PM, Staff 15 (CNA) stated Resident 9 required maximum assistance when care was provided.
Staff 15 stated Resident 9 on occasion touched her/his soiled brief during continent care.
Staff 15 stated she was assigned to Resident 9 that day but did not complete personal hygiene including removing Resident 9's facial hair or cleaning under her/his fingernails. On 3/25/26 at 2:53 PM, Staff 16 (CNA) stated she did not complete personal hygiene including removing Resident 9's facial hair or clean under her/his fingernails after Resident 9's shower the previous day.On 3/25/26 at 4:19 PM, Staff 18 stated Resident 9 required assistance to complete personal hygiene.
Staff 18 stated Resident 9's nails looked ok and did not require nail trimming.
Staff 18 stated she did not notice Resident 9's hair on her/his chin or upper lip. On 3/26/26 at 2:36 PM, Staff 20 (LPN) stated Resident 9 was diabetic and nail trimming was completed by the nurses.
Staff 20 stated CNAs were able to clean under Resident 9's fingernails daily.
Staff 9 acknowledged Resident 9 had long fingernails that needed to be trimmed, and a brown substance under her/his fingernails.
Staff 20 acknowledged the hair on the resident's upper lip. On 3/27/26 at 12:30 PM, Staff 3 (LPN Care Manager/IP) stated staff were expected to complete personal hygiene daily.
Staff 3 stated staff completed nail care and removed facial hair on shower days.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
Resident 7.
Staff 20 stated he was unaware of a physician order for Debrox and confirmed the Debrox
On 3/27/26 at 2:14 PM Staff 3 (LPN-RCM/IP) stated providers were able to order new medications
Debrox on 3/26/26.
On 3/27/26 at 3:39 PM Staff 2 (DNS) and Staff 26 (Nurse Consultant) stated staff were expected to clarify and implement new physician orders for residents within 3 to 5 days of the date they were issued and staff should have been aware of Resident 7's order for Debrox prior to 3/26/26.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
palm protector and follow the provided wear schedule daily.
nursing for Resident 20's left palm protector on 3/5/26.
Staff 19 confirmed the sign observed in
On 3/27/26 at 2:27 PM Staff 3 (LPN Resident Care Manager/IP) stated when a new recommendation was made by OT for a resident to wear a palm protector daily, he was to review and acknowledge the new recommendation.
Staff 3 confirmed a training was provided if nursing staff were expected to implement the OT recommendation daily.
Staff 3 stated Resident 20 did not have a palm protector for her left hand and nursing staff did not receive a training specific to the resident's palm protector in 3/2026.
On 3/27/26 at 4:00 PM Staff 2 (DNS) and 26 (Nurse Consultant) stated nursing staff needed to be aware of and trained on the use of Resident 20's palm protector, and to follow the daily wear schedule.
serve food in accordance with professional standards.
appropriate hair restraints, stored iced in a sanitary manner and maintained cleanliness for 1 of 1
food-borne illness.
Findings include:1.
The facility's 2023 General Sanitation of Kitchen policy stated, Food and nutrition services staff will maintain the sanitation of the kitchen.On 3/23/26 at 10:22 AM during the initial kitchen tour the following was observed:-The grate, drain and plastic outlet tube for the ice machine was covered in a layer of brown debris located at the entrance of the prep kitchen.-Visible red residue covered the lower section of the wall behind the shelf located in the walk-in freezer.-Frozen vegetables were on the floor located in the walk-in freezer.-An open and unsealed package of frozen hamburger patties was located in the walk-in freezer. On 3/23/26 at 10:43 AM Staff 27 (Dietary Manager) stated dietary staff were expected to complete the following cleaning tasks for the kitchen:-Clean the grate, drain and plastic outlet tube for the ice machine on a weekly basis.-Sweep between meals.-Clean food storage areas, which included the walk-in freezer, every evening.-Check the walk-in freezer for open and unsealed foods. On 3/23/26 at 11:11 AM Staff 27 acknowledged the observations made during the kitchen tour.
Staff 27 stated the daily and weekly cleaning tasks for the kitchen were not completed as required.
Staff 27 stated the open and unsealed package of frozen hamburger patties found in the walk-in freezer were used for the 3/23/26 lunch service but dietary staff were expected to close and seal foods from the walk-in freezer immediately after use. 2.
The facility's 2023 Personal Hygiene and Health Reporting policy stated, Hair restraints must be worn around exposed foods, in the kitchen or food service areas.On 3/23/26 at 10:34 AM during the initial kitchen tour Staff 27 (Dietary Manager) entered the prep kitchen and was observed with hair that was approximately one inch long without a hair restraint.On 3/23/26 at 10:35 AM Staff 27 was observed checking the internal temperature of mashed potatoes without a hair restraint. On 3/23/26 at 10:35 AM Staff 27 stated dietary staff were expected to wear hair restraints at all times while working in the kitchen.
Staff 27 stated he should have worn a hair restraint before he entered the prep kitchen. 3.
The facility's 2023 Production, Storage and Dispensing of Ice policy stated, Ice will be produced, stored and dispensed in a manner to avoid contamination. On 3/23/26 at 10:22 AM during the initial kitchen tour the facility's ice machine was observed in the entrance hallway of the kitchen drained through a white plastic outlet tube into the wall behind the machine.On 3/23/26 at 10:43 AM the plastic outlet tube for the facility's ice machine was observed coiled and in direct contact with the drain located inside the prep kitchen without an air gap. On 3/23/26 at 10:43 AM Staff 27 (Dietary Manager) acknowledged the lack of a required air gap.On 3/25/26 at 11:05 AM the plastic outlet tube for the facility's ice machine was no longer coiled but was observed below the level of the grate for the drain.On 3/26/26 at 8:45 AM Staff 1 (Administrator) and Staff 28 (Regional [NAME] President) confirmed there was no air gap for the ice machine to prevent the risk of contamination from the backflow of water.
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
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
tray with partially eaten food, left the room, placed the tray on a cart at the end of the
cleaning the clipboard.
On 3/25/26 at 8:56 AM Staff 29 stated she entered Resident 36's room to receive lunch orders.
Staff 29 stated she did not need to wear a gown, gloves or surgical mask when she entered the room because she did not provide any direct care to the resident.
Staff 29 stated she did not clean the clipboard each time it was held by a resident.
Staff 29 confirmed she did not complete hand hygiene after she removed the resident's tray and re-entered her/his room.
On 3/25/26 at 1:11 PM Staff 27 (Dietary Manager) stated he did not provide any training to dietary staff on transmission-based precautions.
Staff 27 stated he was unaware of any dietary staff who did not follow transmission-based precautions in the facility.
On 3/27/26 at 1:57 PM Staff 3 (LPN Care Manager/IP) confirmed all staff needed to wear a gown and gloves before they entered the room of a resident placed on contact precautions.
Staff 3 stated all staff needed to wear a surgical mask if they were within a three-foot radius of a resident who was positive for RSV.
Staff 3 confirmed all staff needed to complete hand hygiene before they entered or after they exited a resident's room.
Staff 3 stated dietary staff were expected to obtain verbal meal orders from residents placed on contact precautions.
- On 3/25/26 at 5:31 PM a contact precautions sign was observed on the door of room [ROOM
NUMBER].
The contact precautions sign directed staff to wear a gown and gloves in the room.
Staff 3 (Activities Director) entered room [ROOM NUMBER] with a meal tray and delivered the meal to the resident without donning a gown and gloves.
Staff 3 stated she sanitized her hands before entering the room but was unsure if she needed to wear a gown and gloves.
On 3/26/26 at 4:43 PM Staff 3 (LPN Care Manager/Infection Preventionist) stated all facility staff were to wear a gown and gloves when they entered rooms of residents on contact precautions.
385220 03/27/2026
Regency Albany 805 19th Avenue SE Albany, OR 97321
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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.