Average — CMS composite of the measures below.
The next survey window likely opens around December 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 Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Staff failed to follow infection control precautions for residents on droplet and contact precautions by entering rooms without the PPE indicated on the signage. An FOS delivered a meal tray to a resident with Influenza A without proper PPE, an LPN entered another droplet precaution room without PPE, and a QA staff member entered a contact precaution room without gown and gloves. The report also found a resident with a midline catheter had no precaution signage outside the room and the catheter hub was left exposed without a protective cap.
Two residents at risk for elopement exited the facility undetected due to the failure to develop and implement comprehensive care plans. One resident's wander guard failed to alarm due to a malfunction, while the other resident did not have an elopement care plan until after an initial elopement. Both residents were found and returned without injury, but the incidents revealed deficiencies in care planning and supervision.
Two residents with severe cognitive impairment eloped from the facility due to inadequate supervision and monitoring. One resident exited with a vendor due to a malfunctioning wander guard system, while another was found at a neighbor's house despite increased monitoring. Staff interviews revealed issues with alarm response and entrance supervision.
The facility failed to store, prepare, distribute, and serve food according to professional standards, as several food items were found opened, undated, and uncovered in the refrigerators and freezer. This non-compliance with the facility's policy had the potential to affect 95 of 99 residents. Interviews with dietary staff revealed a lack of adherence to the policy, which requires all opened food items to be dated and covered to prevent potential illness among residents.
The facility failed to provide a private space for resident council meetings, affecting 16 residents. Despite requests from the Resident Council President and the Ombudsman, the Administrator denied the availability of an alternative meeting location, resulting in meetings being held in the dining room with staff entering and exiting, compromising privacy.
Failure to Follow PPE and Midline Catheter Precautions
Penalty
Summary
The facility failed to follow infection control precautions for four residents on standard and transmission-based precautions. During observation, staff entered the rooms of residents on droplet and contact precautions without donning the PPE indicated by the precaution signage. A Front Office Scheduler entered a resident’s room to deliver a meal tray without proper PPE while the resident was on droplet precautions for Influenza A. An LPN entered another resident’s room on droplet precautions without PPE after stating she read the wrong sign. A Quality Assurance staff member entered a resident’s room on contact precautions without gown and gloves, stating she did not look for the precaution signage before entering because she wanted to answer the call light. The report also identified concerns related to a resident with a midline catheter. The resident had a midline catheter placed for IV antibiotics related to a UTI, and the care plan addressed infection risk related to direct access to the blood. On observation, there was no appropriate precaution signage outside the room related to the midline catheter, and the end of the catheter tubing was left exposed without a protective cap or covering. The Infection Preventionist stated residents with a midline catheter are placed on enhanced barrier precautions and that the end of the catheter hub should have a cap. Facility interviews confirmed staff expectations for PPE use and adherence to precaution signage, but multiple staff members stated PPE was not donned before entering precaution rooms or that they were unaware of missing PPE supplies outside the rooms. The DON and Administrator stated they expected staff to follow infection control precaution signage, and the Infection Preventionist stated staff needed to understand why residents were in precautions. The facility policy review showed infection control policies, a midline dressing change policy, and no specific policy provided for IV line precautions or IV maintenance.
Failure to Implement Elopement Care Plans Leads to Resident Exits
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents assessed for elopement risk, leading to incidents where both residents exited the facility undetected. Resident 259, who had severe cognitive impairment and was assessed to be at risk for elopement, exited the facility undetected by staff. The resident's care plan included a wander guard, but it failed to alarm staff due to a malfunction in the door system. The resident was found outside the facility by a CNA and was assisted back inside without injury. Resident 82, also assessed to be at risk for elopement due to severe cognitive impairment, did not have an elopement care plan developed until after the resident had already eloped once. Despite being identified as an elopement risk, the facility failed to provide increased supervision, resulting in the resident exiting the facility a second time. The resident was found at a nearby residence and was returned to the facility without injury. Interviews with facility staff revealed a lack of consistent implementation and updating of care plans for residents at risk of elopement. The former Director of Nursing acknowledged that Resident 82 was the biggest elopement risk at the time and should have had an elopement care plan. The failure to develop and implement appropriate care plans for these residents resulted in their unsupervised exits from the facility, highlighting deficiencies in the facility's care planning and supervision processes.
Elopement Incidents Due to Inadequate Supervision and Monitoring
Penalty
Summary
The facility failed to provide effective monitoring and supervision to prevent elopement for two residents, leading to incidents where they left the facility unsupervised and without staff knowledge. One resident, who had severe cognitive impairment and was assessed as an elopement risk, exited the facility with a vendor who mistook her for a visitor. The resident was able to leave because the wander guard system was not functioning due to disconnected wires. The resident was later found in the parking lot and returned to the facility without injury. Another resident, also with severe cognitive impairment, managed to leave the facility and was found at a neighbor's house. The resident was able to exit the facility despite being on increased monitoring, and the wander guard system was functioning as intended. The resident was returned to the facility without injury, but the incident highlighted a lapse in supervision and monitoring. Interviews with staff revealed that there were issues with staff awareness and response to the wander guard alarms. Some staff were not aware of the procedures to follow when the alarm sounded, and there was a lack of consistent supervision at the facility's entrance. These deficiencies in monitoring and supervision contributed to the residents' ability to elope from the facility.
Improper Food Storage and Labeling in LTC Facility
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by improper storage, preparation, distribution, and serving of food items. During an initial kitchen tour, several food items were found opened, undated, and uncovered in both the reach-in and walk-in refrigerators. These items included strawberry yogurt, a bag of carrots, cabbage in a shredded cheese box, a package of bacon, and a bag of potato tots. Additionally, a pork roast was observed lying on a top shelf in the freezer, not in the correct box or dated. This lack of proper labeling and storage had the potential to affect 95 of 99 residents, excluding five residents who were receiving tube feedings. Interviews with the dietary staff revealed a lack of compliance with the facility's policy, which mandates that all opened food items be dated and covered. The Dietary Aide/Cook acknowledged that it was everyone's responsibility to date and label opened items, and failure to do so could lead to residents becoming ill. The Dietary Manager confirmed that all kitchen staff were responsible for labeling and dating items and that failure to comply would result in the disposal of the food to prevent potential stomach issues for residents. The Corporate Dietary Manager reiterated the responsibility of all dietary employees to ensure items were covered, labeled, and checked for expiration dates, emphasizing the need for the Dietary Manager to enforce the policy and retrain staff as necessary.
Failure to Provide Private Meeting Space for Resident Council
Penalty
Summary
The facility failed to provide a private space for resident council members to meet, affecting 16 of the 99 residents who attended a resident council meeting. The facility's policy on Residents Rights, revised in March 2017, indicated that residents were informed of their rights both orally and in writing. However, during an interview, the Administrator admitted that there was no specific policy addressing residents' privacy during council meetings, although he expected federal and state laws to be followed. Observations during a resident council meeting revealed staff entering and exiting the meeting area, which was held in the dining room of the kitchen, compromising privacy. Interviews with resident council members and the President of the Resident Council indicated that requests for a private meeting space were denied by the Administrator, who claimed there was no alternative location available. The Ombudsman, who attended the meeting, also confirmed that a request for a private area was denied. A follow-up interview with the Ombudsman revealed that a meeting had been held in April 2024 with the Administrator, Social Worker, a fellow Ombudsman, and the Resident Council President to discuss the residents' concerns, but the request for a private space was again denied.
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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 Louisvile
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wesley Manor | 0.4 mi | ★★★★★ | 0 | 0 |
| Franciscan Health Care Center | 2.7 mi | ★★★★★ | 11 | 0 |
| Klondike Nursing And Rehabilitation Center | 6.2 mi | ★★★★★ | 2 | 0 |
| Signature Healthcare Of South Louisville | 6.5 mi | ★★★★★ | 4 | 0 |
| Glen Ridge Health Campus | 6.9 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.