Regency Florence
REGENCY FLORENCE in FLORENCE, OR — inspection on April 24, 2026.
Found 3 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
Consultant) acknowledged there was no information in the care plan related to Resident 7's wound
385142 04/24/2026
Regency Florence 1951 E. 21st Street Florence, OR 97439
residents at risk for re-opening of closed wounds.
Findings include: Resident 38 was admitted to the
lower leg.A 12/22/25 Initial Non-Pressure Skin Condition Evaluation indicated the presence of a four centimeter by four centimeter right lower leg venous ulcer on admission with a small amount of serosanguineous exudate (blood-tinged fluid drainage).A 1/5/26 Weekly Non-Pressure Skin Condition Evaluation indicated the right lower leg ulcer had resolved.
Treatment continued for the right lower leg skin.On 4/21/26 at 2:04 PM, Resident 38 stated she/he was concerned about the condition of her/his right lower leg.
The 4/22/26 physician order for treatment of Resident 38's right lower leg stated right lower extremity dressing changes-Primary Treatment: Cleanse with wound cleanser.
Apply Xeroform, ABD pad, wrap with kerlix and secure. In the evening every Mon, Wed, Fri.An observation of treatment of Resident 38's right lower leg occurred on 4/22/26 at 3:11 PM, with Staff 6 (RN) and Staff 7 (LPN) completing the treatment.
The existing dressing had already been removed when the observation began. No open areas were observed on the right lower leg.
The skin was flaking and yellowed in color.
Staff 6 performed the treatment and verbalized the process to the resident and surveyor.
After cleansing the resident's right lower leg, Staff 6 indicated she was doing light debridement by running gloved hands up and down the right lower leg.
Staff 7 then applied Xeroform to the lower leg, followed by covering the area with ABD pads and Kerlix wrap.On 4/24/26 at 8:33 AM, Staff 2 (DNS) was asked if it was appropriate for a nurse to lightly rub Resident 38's right lower leg to remove skin during treatment and refer to this as ?debridement'.
Staff 2 indicated this was not part of the physician ordered plan of care for this resident.
Staff 2 further indicated staff should never rub the fragile skin around a healed or healing wound because it is unknown what is under the skin, and doing so would increase the risk of re-opening a closed wound.
385142 04/24/2026
Regency Florence 1951 E. 21st Street Florence, OR 97439
infection control procedures for wound care for 1 of 3 sampled residents (#7) reviewed for pressure
cross contamination and worsening wounds.
Findings include: Based on a medication administration observation on 4/22/26 at 8:05 AM, Staff 11(RN) prepared medications for a resident in room [ROOM NUMBER].
Staff 11 entered the room without performing hand hygiene.
Staff 11 grasped the resident's water cup and handed it to her/him.
Staff 11 provided eye drops and nasal spray to her/him.
Staff 11 moved multiple cups on the overbed table and handled the medication cup, eye drops, and nasal spray.
Staff 11 failed to sanitize the bottles after usage.
Staff 11 returned to the medication cart and logged onto the computer without performing hand hygiene.
Staff 11 stated she should perform hand hygiene before entering and exiting a resident's room.During a medication administration observation on 4/22/26 at 4:11 PM, Staff 12 (CMA) prepared medication for the resident in room [ROOM NUMBER].
Staff 12 utilized a pill cutter to cut one of the medications.
Staff 12 placed the pill cutter back into the medication cart drawer without sanitizing the equipment.
When asked when the pill cutter required sanitization, Staff 12 stated, after every use.
Staff 12 failed to sanitize the pill cutter.
Staff 12 entered and exited room [ROOM NUMBER] without performing hand hygiene.
Staff 12 accessed the computer and medication cart without hand hygiene.On 4/24/26 at 10:52 AM, Staff 1 (Administrator), Staff 2 (DNS), and Staff 10 (Regional Nurse Consultant) stated staff should sanitize their hands before entering and after exiting a resident's room.
Staff 2 stated staff should sanitize all equipment after each use, including the pill cutter.
Staff 2 stated staff are to clean resident inhalers, eye/ear drops, and nebulizers after each use.
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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.