B+
84/100

REGENCY AT THE PARK Inspection Report, Violations & Safety Grade (COLLEGE PLACE, Washington)

1440 SE GARRISON VILLAGE WAY, COLLEGE PLACE, Washington 99324

Phone: 5095294480

CMS Overall:5/5

Overview & Bed Count

Certified Beds
106
Avg Residents/Day
76.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Walla Walla
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityWashington AvgDifference
RN Hours per Resident per Day1.260.99+0.26
Total Nurse Hours per Resident per Day4.104.42-0.32
CMS Staffing Rating5/53.7/5-
Nursing Staff Turnover43.2%43.9%-

Health Citation History

35 health citations on record

DateCategoryDescriptionSeverity
2026-01-09Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-01-09Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-01-09Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.D – Moderate Harm Potential
2026-01-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-01-09Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2026-01-09Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2026-01-09Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2026-01-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-03-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-03-04Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2025-03-04Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-03-04Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-03-04Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-03-04Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-03-04Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2025-03-04Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-03-04Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2025-03-04Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2024-05-22Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-01-18Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.G – Actual Harm
2024-01-18Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.G – Actual Harm
2024-01-18Nursing and Physician Services DeficienciesVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.E – Moderate Harm Potential
2024-01-18Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-01-18Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-01-18Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2024-01-18Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-01-18Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-01-18Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2024-01-03Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-01-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-11-06Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.D – Moderate Harm Potential

Fire Safety Citation History

35 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-01-09Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-01-09Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2026-01-09Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-01-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-03-04Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2025-03-04Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-03-04Construction DeficienciesMeet other general requirements.F – Moderate Harm Potential
2025-03-04Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2025-03-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-03-04Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-03-04Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2025-03-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-03-04Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2025-03-04Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2025-03-04Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-03-04Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-03-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-03-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-03-04Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-03-04Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-01-18Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-01-18Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2024-01-18Construction DeficienciesMeet other general requirements.F – Moderate Harm Potential
2024-01-18Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-01-18Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-01-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-01-18Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-18Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-01-18Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-01-18Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2024-01-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-01-18Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-01-18Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2024-01-18Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential

Total Penalties & Fines

$148,838
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2025-03-04Fine$97,139-
2024-01-03Fine$51,699-
2024-01-03Payment Denial-4 days starting 2024-03-04

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