Regency Village
Regency Village in Webster, TX — inspection on December 1, 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
catheter was fine. Resident #1 then told LVN S if you don't help me, I'm calling 911. He said LVN S said, That's fine, do whatever you want. Resident #1 said since LVN S was not helping him, he called 911. He said he did not want to be sitting in his urine.In an interview on 12/1/25 at 11:50am, LVN R said when Resident #1 came back from the hospital he was telling her about the problems he had with LVN S not helping him when he was leaking everywhere.
She said if the catheter did not get changed it could cause a UTI, obstruction, or a full bladder. LVN R did not report the issue to anyone.In an interview on 12/1/25 at 12:10pm, EMS B said he observed Resident #1 covered in urine from his mid-chest down when he went to the facility to pick him up. EMS B said the resident told him that his catheter stopped working and he had told LVN S, and she told him not to worry about it. EMS B said the resident told LVN S if she did not help him he was going to call 911 and she told him to do whatever he wanted and walked out.In an interview on 12/1/25 at 1:15pm, the DON said Resident #1 filed a grievance yesterday (11/30/25) regarding LVN S not changing his catheter.
The DON said that was the first time she heard about the incident.
The DON said if a resident had a leaking foley and had an order for it to be flushed and/or changed, she expected the nurse to flush the foley first to see if that took care of the leaking, and if that did not work, she expected the nurse to change the catheter.
She said if the catheter did not get changed it could cause a urinary tract infection or a burst bladder.In an interview on 12/1/25 at 1:20pm, LVN S said she saw Resident #1's foley catheter leaking and saw that he was covered in urine.
She said he asked her to change his catheter, but she wanted to call the MD to see what he wanted to do, even though there were orders to change it.
She said she did not clean up Resident #1 or change his catheter because the resident did not want to wait for her to call the doctor and ended up calling 911 himself.
She also said she did not irrigate Resident #1's catheter at any time that day.
Record review of the facility's policy and procedures on Resident Rights (Revised February 2021) read in part: Employees shall treat all residents with kindness, respect, and dignity.
Federal and state laws guarantee certain basic rights to all residents of this facility.
These rights include the resident's right to: a dignified existence, be treated with respect, kindness, and dignity, to be free from abuse, neglect.be supported by the facility in exercising his or her rights.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Village
409 W Green Webster, TX 77598
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited REGENCY VILLAGE in WEBSTER, TX for a deficiency under regulatory tag F-F0690 during a complaint investigation conducted on 2025-12-01.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of REGENCY VILLAGE.
Correction Status: Deficient, Provider has no plan of correction.