Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regent Park Care Center during CMS and state inspections, most recent first.
Four residents with dementia, dysphagia, neurologic conditions, and other comorbidities experienced documented severe weight loss after weeks of apparently stable weights, because their weights had not been accurately documented over time. All residents were weighed weekly by CNAs, who provided the values to nursing leadership for EMR entry, but prior weights for these four residents were later determined to be inaccurate, masking their true nutritional status until a sudden, large drop in recorded weight was identified. Each affected resident had existing nutrition care plans addressing feeding assistance, dysphagia, supplements, and weight monitoring, yet the inaccurate documentation of weights prevented timely recognition of their actual weight loss until it appeared as severe loss over a single week.
A resident with severe cognitive impairment and multiple neurologic and cardiac diagnoses had $1,200 withdrawn from their personal funds account to purchase a LazyBoy recliner lift chair, but the new blue lift chair bought with these funds was never placed in the resident’s room and instead was located and used in another resident’s room for several months, while the resident retained only an old brown recliner. Staff, including the BOM, DON, SSD, and ADON, confirmed the chair had been ordered for this resident as part of a spend-down of excess personal funds, that there was no delivery documentation to the resident’s room, and that the new chair designated for the resident was placed in a different room, constituting misappropriation of the resident’s property.
The facility failed to properly store and label medications in the emergency medication kit, resulting in expired medications and packages with two different expiration dates. This led to confusion among staff about the actual expiration status of the medications. The pharmacist admitted that the pharmacy had not reviewed the kit in October, and the Director of Nursing acknowledged the confusion caused by dual labeling.
A resident reported $750 missing from his wallet after discharge, but the facility failed to report the alleged misappropriation to the State Agency or police as required by state law. Despite an internal investigation finding no evidence of the money, the facility's policy mandates immediate reporting of such incidents.
Severe Undetected Weight Loss Due to Inaccurate Weight Documentation
Penalty
Summary
The deficiency involves the facility’s failure to ensure accurate weight documentation for four residents with identified nutritional problems, resulting in documented severe weight loss. All residents in the facility, including these four, were weighed weekly on the same day. For each of the four residents, electronic medical record (EMR) entries showed stable or minimally fluctuating weights over several months, followed by a sudden, severe drop in weight over a one‑week period. These drops met criteria for severe weight loss over one week, one month, and three months based on the facility’s own definitions and were later confirmed as accurate when the residents were reweighed on the same scale. One resident with Alzheimer’s disease, dementia, macular degeneration, and severe cognitive impairment was dependent on staff for eating and had a care plan identifying decreased ability to feed herself and dysphagia risk, with interventions including 1:1 meal assistance, dysphagia diet, fortified foods, supplements, and monitoring weights as ordered. Her EMR showed weights around 100–102 lbs from early fall through mid‑January, then a recorded weight of 87.8 lbs one week later, representing severe loss over multiple time frames. Another resident with congestive heart failure, dementia, brain cysts, traumatic brain compression, and epilepsy, who required moderate assistance with eating and had a care plan for potential nutritional problems and weight monitoring, showed weights in the mid‑teens (approximately 115–119 lbs) over several months, then a sudden drop to 95.2 lbs in one week, also constituting severe weight loss. A third resident with dysphagia, hemiplegia, chronic kidney disease, severe cognitive impairment, and self‑feeding difficulties had a care plan addressing nutritional risk, need for adaptive equipment, cuing and assistance with meals, snacks, and monitoring for malnutrition and weight changes. Her EMR documented weights around 104–107 lbs from fall through mid‑January, followed by a drop to 89.2 lbs in one week, again meeting severe loss thresholds. The fourth resident, with dysphagia, cerebral infarction, hemiplegia, dementia, chronic kidney disease, and severe cognitive impairment, had a nutrition care plan for significant weight loss, supplements, fortified foods, and monitoring of intake and malnutrition signs. Her weights remained around 128–132 lbs over several months, then abruptly decreased to 111.8 lbs in one week, also classified as severe loss. Interviews with the DON, ADON, RN quality mentor, CNAs, RD, PCP, and NHA established that CNAs obtained weekly weights and provided them to nursing leadership, that previous weights had been verbally relayed and entered into the EMR by the prior DON, and that facility leadership, the RD, and the PCP later concluded there had been inaccurate weight documentation prior to the week when the severe losses were recorded.
Misappropriation of Resident Personal Funds and Recliner Lift Chair
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident’s personal property purchased with the resident’s personal funds. Facility policy defined misappropriation of resident property as the deliberate misplacement, exploitation, or wrongful use of a resident’s belongings or money without consent. Despite this policy, a recliner lift chair purchased with $1,200 withdrawn from the resident’s personal funds account was not delivered to or maintained in the resident’s room, and instead was found in another resident’s room. The affected resident was over 65 years old, with diagnoses including Parkinson’s disease, cerebral infarction with hemiplegia, and heart disease, and had severely impaired cognitive skills for daily decision-making per the MDS. The resident required staff assistance for most activities of daily living. Staff reported the resident was not able to respond to questions. A brown, worn recliner was initially observed in the resident’s room, while a newer blue recliner lift chair with no visible wear was observed in another room. Staff interviews confirmed that the blue recliner lift chair had been ordered for this cognitively impaired resident using his personal funds. Business office and administrative staff stated that the previous NHA had directed that a recliner be purchased for the resident to spend down excess personal funds, and $1,200 was withdrawn from the resident’s personal funds account for this purpose. The furniture invoice identified the resident as the purchaser of a LazyBoy lift chair, but there was no documentation of delivery to the resident’s room. Multiple staff, including the DON, SSD, ADON, and others, acknowledged that the new blue recliner designated for this resident had been placed and remained for several months in another resident’s room, while the resident continued to have only the old brown recliner in his room. The NHA acknowledged that the resident’s recliner lift chair was found in another resident’s room and identified this as misappropriation of property.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were properly stored and labeled according to professional standards in the medication storage room. Specifically, the emergency medication kit contained medications with expired dates and packages with two different expiration dates, leading to confusion about the actual expiration status of the medications. The medications in question included ciprofloxacin, levofloxacin, albuterol sulfate inhalation solution, metoprolol, cefuroxime, cephalexin, and clindamycin, all of which had conflicting expiration dates on their labels. During an observation, a registered nurse acknowledged the presence of expired medications and expressed uncertainty about the correct expiration dates due to the dual labeling. The pharmacist confirmed that the pharmacy had not reviewed the emergency medication kit in October and admitted that some expired medications were overlooked during the last check in September. The pharmacist explained that the earlier expiration date was automatically generated when the labels were created, and the later date was the accurate one, which contributed to the confusion. Interviews with the Director of Nursing (DON) and the pharmacist revealed that the pharmacy was responsible for monthly checks of the emergency medication kit, but this was not done in October. The DON also stated that nursing staff should verify expiration dates when removing or adding medications to the kit. The presence of two expiration dates on medication labels was identified as a source of confusion for the nursing staff, leading to uncertainty about the medications' validity.
Failure to Report Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to report an alleged misappropriation of property involving a resident who reported missing $750 from his wallet. The resident, who was cognitively intact and had a history of significant injuries, including a traumatic brain injury and quadriplegia, discovered the money was missing after being discharged to his home. Despite the resident's report, the facility did not notify the State Agency, adult protective services, or local police as required by state law. The facility's policy mandates immediate reporting of suspected misappropriation of property to the administrator and relevant authorities. However, the nursing home administrator (NHA) did not report the incident to the State Agency, citing that it did not meet the reporting criteria. The NHA conducted an internal investigation, which included interviews with staff and residents, but found no evidence of the money's existence or theft. The resident's personal property inventory sheet did not list the $750, and the resident had refused a lock box and trust account offered by the facility. The deficiency arose from the facility's inaction in reporting the alleged theft, despite the resident's claim and the facility's policy requiring such reports. The NHA's belief that the money did not exist, due to lack of evidence, led to the decision not to report the incident. This failure to report is a violation of the facility's policy and state law, which requires notification of alleged misappropriation to the appropriate authorities within specified time frames.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Holyoke
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sedgwick County Memorial Nursing Home | 28.7 mi | ★★★★★ | 7 | 0 |
| Imperial Manor Nursing Home | 34.4 mi | ★★★★★ | 7 | 0 |
| Western Sky Community Care Center Inc | 35.3 mi | — | 0 | 0 |
| Hillcrest Care Center | 36.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.