Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Regency Park Health And Rehabilitation during CMS and state inspections, most recent first.
Code Status Not Visible to Staff: A resident with multiple serious diagnoses and moderate cognitive impairment had a DNR care plan, but the EMR main profile did not display code status in the designated area. CNAs reported they could not find code status on the kiosk and had no paper reference, and an LPN/unit manager confirmed CNA access was not visible. The DON also confirmed code statuses were not visible to CNAs on the kiosk at the time of review.
A resident's care plan directed staff to assist with toileting, remain in attendance during toileting, and respond promptly to requests for assistance. During observation, the resident was found sitting on the toilet unattended while the emergency alarm sounded and the call light continued to alarm, with LPNs and RNs at the nursing station until CNAs responded.
Hand hygiene was not performed between glove changes during catheter and perineal care for a resident with an indwelling Foley catheter, MRSA, and other significant diagnoses. A CNA removed soiled gloves, put on new gloves, and continued care without hand hygiene, then repeated the same action again before finishing care; the CNA confirmed this and the DON stated hand hygiene was expected between glove changes.
A resident with multiple health issues and a moderate fall risk was left unsupervised in the restroom, resulting in a fall and serious injury. The facility's baseline care plan did not include necessary fall risk interventions, and staff failed to provide required supervision.
A resident with multiple diagnoses and a moderate fall risk was left unsupervised on the toilet by a CNA, resulting in a fall and fractures. The facility's policies on falls and care planning were not adequately followed, leading to significant harm.
The facility failed to label and date open food items stored in the freezer, contrary to its policy. During an inspection, several items were found opened and not labeled or dated. The Certificate Food Manager admitted to being unaware of the requirement for freezer items, which was confirmed by the Registered Dietitian.
The facility failed to complete an Advance Beneficiary Notice (ABN) for a resident discharged from Medicare Part A services but remaining in the facility, leading to a deficiency in notifying the resident of potential financial liability.
Code Status Not Visible to Staff
Penalty
Summary
The facility failed to establish mechanisms for documenting and communicating residents’ code status choices to staff responsible for care for one sampled resident. The facility policy stated that it would support residents’ rights to formulate advance directives and would inform direct care staff and the resident’s physician of any advance directives or changes to advance directives. The resident involved had diagnoses including acute and chronic respiratory failure with hypoxia, acute kidney disease, chronic diastolic and systolic congestive heart failure, Alzheimer’s disease, dysphagia, chronic kidney disease stage 4, and cognitive communication deficit. The resident’s annual MDS showed a BIMS score of 12, indicating moderate cognitive impairment. The care plan identified a DNR code status and included interventions for DNR and allowing natural death, but the resident’s EMR main profile page did not display a code status in the designated section. During interviews, CNAs stated they could not locate code status information on the CNA kiosk and had no paper reference available to them. A unit manager confirmed CNA access to code status was not visible on the kiosk and that nurses were expected to find code status in the EMR. When the resident’s EMR was reviewed, the code status was not listed where it should have been, and the unit manager was unsure what the resident’s code status was until searching further in the record and identifying DNR effective [DATE]. The DON stated the CNA kiosk should show code status, allergies, and special instructions, but confirmed code statuses were not visible to CNAs on the kiosk at the time of review.
Failure to Follow Toileting and Call Light Care Plan
Penalty
Summary
The facility failed to implement the care plan for risk of falls for one resident, R17. The facility's Care Planning policy stated that the resident's comprehensive care plan would be reviewed, revised, and updated on a PRN basis when resident condition changes required care plan updates. R17's care plan dated 11/2/2020 directed staff to assist with toileting, stay in attendance during toileting, and respond promptly to all requests for assistance. During an observation on 8/13/2025 at 10:14 a.m., R17 was found sitting on the toilet unattended with the emergency alarm sounding and flashing, and the resident was waiting for assistance after alerting the call light. At that time, LPNs and RNs were observed sitting at the nursing station while the call light continued to alarm. CNAs BB and CC responded to the alarm at 10:16 a.m. The MDS Coordinator stated that some care plans were revised daily when changes occurred or new information was received, and that nursing staff and CNA staff could update a resident's care plan if needed.
Hand hygiene not performed between glove changes during catheter care
Penalty
Summary
Provide and implement an infection prevention and control program was cited after staff failed to use proper infection control practices during catheter and perineal care for a resident with an indwelling Foley catheter. The facility policy titled Hand Hygiene stated that hand hygiene is to be performed with soap and water or alcohol-based hand rub, including after removing gloves or other personal protective equipment. The resident involved had diagnoses including osteomyelitis of the ankle and foot, MRSA infection, acute respiratory failure with hypoxia, traumatic hemorrhage of the cerebrum, and neuromuscular dysfunction of the bladder, and the EMR showed an order for an indwelling Foley catheter for neurogenic bladder. The MDS documented a BIMS score of 13, indicating the resident was cognitively intact, and the care plan identified risk for MDRO related to the Foley catheter with enhanced barrier precautions in place. During an observation of perineal and catheter care, a CNA removed soiled gloves after cleaning the resident's perineal area, then put on a new pair of gloves and continued care without performing hand hygiene. The CNA later removed gloves again, donned another pair, and completed care without visible hand hygiene between glove changes. The CNA confirmed she did not perform hand hygiene between glove changes, and the DON stated that hand hygiene was expected between glove changes.
Failure to Implement Baseline Care Plan for Fall Risk
Penalty
Summary
The facility failed to implement the baseline care plan interventions for a resident at moderate risk of falling. The resident, an elderly female with multiple diagnoses including atrial fibrillation, chronic diastolic congestive heart failure, Parkinsonism, obesity, chronic kidney disease, gout, and a history of venous thrombosis/embolism, was admitted to the facility and assessed to require substantial/maximum staff assistance for toileting. Despite this, the baseline care plan did not include specific interventions for her fall risk. On the day of the incident, the resident was left unsupervised in the restroom by a CNA, resulting in a fall that caused a fracture to her right lower leg and ankle, necessitating hospitalization and surgery. Interviews with facility staff and the resident's responsible party confirmed that the resident was known to be at risk of falls and required close monitoring during toileting. The CNA left the resident unattended in the bathroom, which directly led to the fall and subsequent injury. The facility's policy on care planning was not adequately followed, as the baseline care plan failed to address the resident's fall risk, and staff did not provide the necessary supervision during toileting.
Failure to Provide Adequate Supervision Resulting in Resident Fall
Penalty
Summary
The facility failed to provide adequate supervision to prevent an avoidable fall for a resident (R241) who was at moderate risk for falls. R241, an elderly female with multiple diagnoses including atrial fibrillation, chronic diastolic congestive heart failure, Parkinsonism, and chronic kidney disease, was left unsupervised on the toilet by a CNA. Despite being assessed as requiring substantial to maximum assistance for toileting, the CNA left R241 unattended, instructing her to pull the cord for assistance if needed. This resulted in R241 falling off the toilet, fracturing her right lower leg and ankle, and requiring hospitalization and surgery. Interviews and record reviews revealed that the facility's policies on falls and care planning were not adequately followed. The baseline care plan for R241, which noted her moderate fall risk and need for substantial assistance, did not include specific interventions to mitigate her fall risk. Additionally, the CNA's action of leaving R241 unattended contradicted the facility's standard practice for residents requiring moderate to maximum assistance. The incident highlighted a lapse in supervision and adherence to care plans, leading to significant harm to the resident.
Failure to Label and Date Open Food Items in Freezer
Penalty
Summary
The facility failed to label and date open food items stored in the freezer, as observed during an initial kitchen inspection. The facility's policy on Food Receiving and Storage mandates that all foods stored in the refrigerator or freezer must be covered, labeled, and dated with a use-by date. However, during the inspection, it was found that several items, including frozen cookie dough, fish patties, beef patties, hash browns, and fries, were opened and not labeled or dated. The Certificate Food Manager, who had been in the position for only a few months, admitted to being unaware that open food items in the freezer also needed to be labeled and dated. This was confirmed by the Registered Dietitian during a subsequent interview.
Failure to Complete Advance Beneficiary Notice for Resident
Penalty
Summary
The facility failed to ensure the completion of Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) for a resident (R27) who was discharged from a Medicare-covered Part A stay but remained in the facility with benefit days still available. The review of the facility's records revealed that R27 was discharged from Medicare Part A services on 2/23/2024, and an Advance Beneficiary Notice of Noncoverage (ABN) was not completed for her. The Notice of Medicare Non-Coverage (NOMNC) was signed by R27's representative, indicating the end of coverage, but the ABN was missing, which is required to inform the resident of potential liability for services not covered by Medicare. Interviews with the Business Office Manager (BOM) and the Certified Case Manager (CCM) revealed a lack of awareness and miscommunication regarding the completion of ABNs for residents transitioning off Medicare Part A services. The BOM indicated that she receives the NOMNC and ABNs from the CCM but does not complete the forms herself. The CCM admitted to only completing ABNs for residents coming off Medicare Part B services and was unaware of the requirement to complete ABNs for those coming off Part A services. This oversight led to the deficiency in notifying R27 of her potential financial liability for continued services.
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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 Dalton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ridgewood Manor Health And Rehabilitation | 0.1 mi | ★★★★★ | 2 | 0 |
| Quinton Mem Hc & Rehab Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Murray Woods Of Journey Llc | 11.5 mi | ★★★★★ | 22 | 0 |
| Pruitthealth - Lafayette | 16.9 mi | ★★★★★ | 3 | 0 |
| Calhoun Crossing Of Journey Llc | 17.1 mi | ★★★★★ | 5 | 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.