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 Regency Canyon Lakes Rehab And Nursing Center during CMS and state inspections, most recent first.
The facility did not properly document or resolve grievances voiced by several residents during council meetings, including concerns about staff attitude, personal care assistance, and medication administration. Although residents were cognitively able to express their needs, their complaints were not entered into the grievance log or followed up according to policy, and responsible staff were unaware of the specific issues raised.
The facility did not complete required PASARR Level 2 referrals for two residents with serious mental illness or intellectual/developmental disabilities. One resident was admitted under an exempted hospital discharge but remained in the facility beyond 30 days without a Level 2 evaluation being sent. Another resident experienced a significant change in condition, but the facility did not complete a new Level 1 PASARR or refer for a Level 2 evaluation, as required.
Nursing staff did not follow proper infection control procedures during IUC care for a resident with a suprapubic catheter. A nursing assistant used the same gloves and wipe for multiple care tasks, including wound and perineal care, and proceeded to catheter care without changing gloves or performing hand hygiene. Staff interviews confirmed this was not in line with facility protocols.
A resident experienced harm due to a significant medication error when an RN administered medications intended for another resident. The resident, with moderate impaired cognition, received 12 incorrect medications, leading to unresponsiveness and low blood pressure and blood glucose levels, requiring hospitalization. The RN failed to properly verify the resident and medications, despite the resident expressing concerns.
A resident with an indwelling urinary retention catheter experienced prolonged bladder pain due to inadequate care and assessment by nursing staff. Despite complaints of pain and changes in urinary output, staff failed to perform necessary assessments or interventions, leading to significant discomfort and a distended abdomen. It was only after a bladder scan was performed on the morning shift that the issue was addressed, and the resident's pain was relieved.
The facility failed to maintain a safe and sanitary environment in a shower room, with issues including scuff marks, missing tiles, and a black substance around the shower perimeter. The Maintenance Supervisor admitted to incomplete repairs, and the Administrator acknowledged the need for improvements.
Failure to Document and Resolve Resident Grievances from Council Meetings
Penalty
Summary
The facility failed to ensure that grievances voiced by residents during resident council meetings were properly documented, investigated, and resolved according to their established grievance policy. The policy required that all grievances, including those raised in resident council meetings, be documented in the grievance logbook and followed through to resolution, with analysis for trends. However, review of the grievance logbook for January through March 2025 showed that grievances from these meetings were not recorded, and there was no documentation of follow-up or resolution for the concerns raised. Four residents were identified as having voiced specific grievances during resident council meetings within this period. These included complaints about staff attitude, refusal to assist with personal care, and delays in medication administration. The residents involved had varying medical conditions, such as bladder infection, diabetes, kidney disease, left leg fracture, multiple sclerosis, and neurogenic bladder. All were assessed as cognitively able to make their needs known at the time of the incidents. Despite this, their grievances were not formally documented or addressed through the facility's official process. Interviews with facility staff revealed that the Activities Director, who coordinated the resident council meetings, attempted to resolve some grievances immediately but did not forward unresolved issues to the designated grievance officer or complete the required documentation. The Social Service Director, who was responsible for grievance oversight, was unaware of the specific grievances and could not ensure proper investigation or resolution. The Director of Nursing Services and the Administrator also confirmed that the correct grievance process was not followed, and specific resident concerns were not tracked or resolved as required.
Failure to Complete Required PASARR Level 2 Referrals for Residents with SMI or ID/DD
Penalty
Summary
The facility failed to properly review and validate the Preadmission Screening and Resident Review (PASARR) process for residents with serious mental illness (SMI) or intellectual/developmental disabilities (ID/DD). Specifically, for two residents, the facility did not ensure that a required Level 2 PASARR referral was sent when a positive Level 1 PASARR was identified. In one case, a resident was admitted with a positive SMI for a mood disorder and was marked as an exempted hospital discharge for a stay of less than 30 days. However, when the resident's stay exceeded 30 days, the facility did not send out the required Level 2 evaluation, as confirmed by interviews with the Social Service Director, Social Service Assistant, and Director of Nursing Services. In another instance, a resident with diagnoses including depression and anxiety experienced a significant change in condition after readmission, but the facility did not complete a new Level 1 PASARR or send a referral for a Level 2 evaluation. The Social Service Director and Administrator both acknowledged that the correct process was not followed, and a new Level 1 PASARR should have been completed after the resident's change in condition. These failures were identified through record review and staff interviews, and placed the residents at risk of not receiving appropriate mental health care and services.
Failure to Follow Infection Control Protocols During Catheter Care
Penalty
Summary
Nursing staff failed to implement appropriate infection control practices during indwelling urinary catheter (IUC) care for a resident with a suprapubic catheter. The resident, who had a history of stroke, neuromuscular dysfunction of the bladder, and obstructive reflux uropathy, required IUC care every shift. During an observed care episode, a nursing assistant used the same wipe to clean both the resident's perineal area and a small wound, then continued care without changing gloves or performing hand hygiene. The same soiled gloves were used to assist with turning the resident, changing the incontinence brief, and cleaning the front perineal area, before proceeding to IUC care without any glove change or hand hygiene. Interviews with staff confirmed that the correct procedure would have been to remove soiled gloves and perform hand hygiene between each area of care, and before starting IUC care. Both the infection preventionist and the director of nursing services acknowledged that the observed actions did not follow proper infection control protocols, which are necessary to prevent the spread of infectious pathogens during catheter care.
Significant Medication Error Leads to Resident Harm
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, resulting in harm. A registered nurse, identified as Staff A, administered multiple medications intended for another resident to Resident 1. This error occurred because Staff A did not follow standard practices for medication administration, including verifying the correct resident and medications. As a result, Resident 1 became unresponsive with low blood pressure and low blood glucose levels, necessitating an emergency transfer to the hospital. Resident 1, who had been admitted to the facility with diagnoses including arthritis and chronic respiratory disease, had moderate impaired cognition and required assistance with daily activities. On the day of the incident, Resident 1 was given 12 medications not prescribed to them, including medications for blood pressure, diabetes, blood clot prevention, and other conditions. After taking the medications, Resident 1 experienced acute changes in their condition, including unresponsiveness and low blood glucose and blood pressure, leading to their hospitalization. Staff A, who worked infrequently at the facility, admitted to not properly identifying Resident 1 and the medications due to being in a rush. Despite Resident 1 expressing concern about the unfamiliar medications, Staff A assured them that changes were occasionally made, leading Resident 1 to take the medications. The error was discovered when Staff A returned to the medication cart and realized the mistake, prompting immediate notification to their supervisor.
Removal Plan
- Resident 1 was assessed by the Nurse Practitioner and action was taken to address their medical needs. The NP remained in the facility and was present at the time Resident 1 was sent to the emergency room. Staff was monitoring the resident closely for changes in their condition.
- Staff A and all Licensed Nurses received education regarding the rights of medication administration, and verifying the resident by name and picture or name and date of birth.
- A performance review was conducted on Staff A.
- Residents were interviewed regarding their medications for any concerns, timeliness of administration, and receiving all the medications that were ordered by the physician.
- A Skills Checklist was performed on Staff A.
- Random medication pass audits will be completed weekly. The results of the audits would be reviewed through the facility Quality Assurance Performance Improvement Committee process with the final results being discussed.
Failure to Provide Timely Care for Resident with Urinary Retention
Penalty
Summary
The facility failed to provide timely care and services for a resident with an indwelling urinary retention catheter, leading to prolonged bladder pain due to urinary retention. The resident, who had moderately impaired cognition and required assistance for various activities, was admitted with an indwelling catheter due to urinary retention. Despite the resident's complaints of pain and changes in urinary output, the staff did not perform necessary assessments or interventions. On the evening shift, a registered nurse failed to recognize the decreasing urinary output and did not document their assessment in the resident's medical record. The nurse also did not utilize tools such as a bladder scanner or irrigate the catheter to ensure a thorough assessment. During the night shift, a licensed practical nurse did not perform any assessment or provide necessary care, despite being informed of the resident's hard abdomen, minimal urine output, and need for pain medication. The resident experienced significant discomfort, with a distended and hard abdomen, and expressed feeling helpless and in pain. The resident's call light was used multiple times without adequate response from the nursing staff. It was not until the morning shift that a bladder scan was performed, revealing a large volume of urine in the bladder, and a new catheter was inserted, relieving the resident's pain.
Removal Plan
- Resident 1 was immediately assessed by a LN and action was taken to address their medical needs. The physician was notified, and orders received to continue to monitor resident.
- Staff A and Staff B, involved in the care and assessment of Resident 1, were suspended and then terminated for failure to assess a change of condition in accordance with professional standards.
- All LNs had received education regarding change of condition related to catheter care, maintenance and output monitoring.
- Audits would be conducted weekly through the clinical meeting process to ensure residents with catheters were voiding without difficulty. Results of the audits would be reviewed through the facility Quality Assurance Performance Improvement Committee process monthly for three months to ensure compliance with plan of correction and further develop a plan if needed. First audit was completed and reviewed.
Deficiency in Shower Room Maintenance
Penalty
Summary
The facility failed to maintain a safe, functional, and sanitary environment in the shower room (SR1) located in the [NAME] hallway. Observations revealed numerous scuff and scrape marks along the lower half of a 20-foot wall where mechanical lifts were stored, with visible gouges and tears in the sheetrock and paint chips on the floor. The shower itself had three missing tile pieces, two broken trim sections at the entrance, and a black substance around the inside perimeter. Additionally, a section of wall had been cut out around the shower's cover and valve, with the valve partially sunk into the wall. During an interview, the Maintenance Supervisor, Staff C, acknowledged that all shower rooms were operational but admitted to not completing the sheetrock work behind the valve and was unsure how the valve had sunk into the wall. Staff C also could not identify the black substance but confirmed that the shower was not in proper working order and required repairs. The Administrator, Staff A, agreed that the environment was not comfortable for residents and acknowledged the need for repairs.
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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 Kennewick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Kennewick | 1.6 mi | ★★★★★ | 38 | 0 |
| Avalon Health & Rehabilitation Center - Pasco | 4.7 mi | ★★★★★ | 12 | 0 |
| Life Care Center Of Richland | 7.9 mi | ★★★★★ | 10 | 0 |
| Richland Post Acute | 9.9 mi | ★★★★★ | 0 | 0 |
| Regency Hermiston Nursing & Rehab Center | 24.9 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.