Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency Park Nursing & Rehab Center Of Jefferson during CMS and state inspections, most recent first.
The facility was found to have multiple violations of food safety protocols, including improper storage of food, failure to change gloves between tasks, and ungloved contact with food by staff. Observations included expired food, improper handling of utensils, and direct contact with food by the ADON and DON, all of which were acknowledged by the Registered Dietician and Dietary Manager as breaches of protocol.
A facility failed to verify a resident's advanced directive, resulting in a discrepancy between the documented DNR status and the Full Code sticker on the resident's chart. The electronic health record showed a DNR order, but the physical chart lacked an IPOST document. Staff interviews confirmed the inconsistency, and the DON acknowledged the documentation did not match the resident's wishes.
A resident with cerebral palsy did not receive a prescribed Lidocaine pain patch on multiple occasions due to unavailability. The resident reported that the patch significantly helps with shoulder pain. A nurse confirmed the patch was ordered from the pharmacy but did not notify the physician about the unavailability. The DON expected staff to follow physician orders and notify the physician if the patch was not administered.
A resident with severe cognitive impairment was assisted with eating by another resident's wife, who was not a certified paid feeding assistant. This was against the facility's policy, which requires only staff to assist residents with meals. The Director of Nursing confirmed that family members or visitors should not assist non-family member residents.
The facility failed to accurately document narcotic medications for two residents, leading to discrepancies in morphine administration records. One resident, with severe cognitive deficits and on hospice care, had inconsistencies between the electronic MAR and the RCSR, with 12 ml of morphine missing. Another resident had 8 ml unaccounted for, with staff admitting to not checking bottles at shift changes. Staff interviews revealed improper practices, such as pre-pouring medications and incorrect documentation by the ADON.
A facility failed to properly store liquid narcotic medications for a resident with severe cognitive deficits and multiple health conditions. An LPN left morphine and Ativan in a single-locked drawer for convenience, contrary to the facility's policy requiring double-locking of controlled substances. The Nurse Consultant confirmed the expectation for double-locking, indicating a lapse in policy adherence.
Food Safety Protocol Violations in Kitchen and Dining Service
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. On one occasion, an open container of cottage cheese with an expired discard date was found in the kitchen, along with an unmarked and undated meat product stored improperly in the freezer. Additionally, a cook was observed using the same pair of disposable gloves while preparing multiple food items, touching various surfaces, and coughing into the gloves without changing them. The cook also placed a paper menu on a clean preparation surface and used it to hold utensils, which were then used to scoop ground meat without proper sanitation. Further observations revealed that the Assistant Director of Nursing (ADON) made direct ungloved contact with a dessert, which was then served to a resident, and the Director of Nursing (DON) was seen holding plates with her thumbs on the top surface. Both the Registered Dietician and the Dietary Manager acknowledged these issues, confirming that such practices violated food safety protocols. The facility's policies, last revised in 2017 and 2014, respectively, prohibit bare hand contact with food and require proper labeling and dating of stored food items.
Failure to Verify Resident's Advanced Directive
Penalty
Summary
The facility failed to verify and accurately document the advanced directive choice for a resident, leading to a discrepancy in the resident's code status. The clinical record review revealed that the resident was admitted with a documented Do Not Resuscitate (DNR) status. However, an observation showed that the resident's hard chart had a sticker indicating Full Code, and there was no IPOST document inside the chart to confirm the resident's treatment preferences. The electronic health record contained a physician's order for DNR, but this was not reflected in the physical chart documentation. Interviews with staff, including a Certified Medication Aide and the Director of Nursing (DON), confirmed the inconsistency in the documentation. The Certified Medication Aide stated that she relies on the sticker on the outside of the chart or the IPOST inside the chart to determine a resident's code status. The DON acknowledged the discrepancy, noting that the outside of the chart had a Full Code sticker, there was no IPOST in the chart, and the electronic health record had a DNR order. The facility's policy on Advance Directives requires that the plan of care for each resident be consistent with their documented treatment preferences, which was not adhered to in this case.
Failure to Administer Prescribed Pain Patch
Penalty
Summary
The facility failed to follow a physician's order for a resident who was prescribed a Lidocaine pain patch for shoulder pain. The resident, who has intact cognition and a diagnosis of cerebral palsy, reported that the patch was not available on multiple occasions, including two weekends in December and on the day of the interview. The resident expressed that the patch significantly alleviates her shoulder pain. The Medication Administration Records confirmed the unavailability of the Lidocaine patch on several dates over the past three months. A Licensed Practical Nurse acknowledged the absence of the patch and stated that it was ordered from the pharmacy to be delivered later. However, the nurse did not notify the physician about the unavailability of the medication, as it was considered an over-the-counter medication. The Director of Nursing expected staff to order the medication from the pharmacy and notify the physician if the patch was not administered as ordered.
Uncertified Individual Assisted Resident with Eating
Penalty
Summary
The facility failed to ensure that a person assisting a resident with eating was a certified paid feeding assistant. This deficiency was identified for one resident out of fifteen reviewed, with the facility having a total census of 42 residents. The resident in question had a severe cognitive impairment, as indicated by a Brief Interview for Mental Status score of 99, which showed the resident was unable to complete the interview. During an observation in the dining room, the resident was assisted with eating by another resident's wife, which was against the facility's policy. The facility's policy, revised in March 2022, stated that only facility staff should serve resident trays and assist residents who require help with eating. The Director of Nursing confirmed that the expectation was for family members or visitors not to assist non-family member residents with dining.
Narcotic Documentation Discrepancies
Penalty
Summary
The facility failed to maintain an accurate account of narcotic medications for two residents, leading to discrepancies in the documentation of morphine administration. For Resident #2, who had severe cognitive deficits and was receiving hospice care, there was a discrepancy between the electronic Medication Administration Record (MAR) and the Individual Residents Controlled Substance Record (RCSR). The RCSR indicated that 30 ml of morphine was delivered, but the documentation showed inconsistencies in the number of doses administered, with 12 ml missing at the time of the resident's passing. The documentation of the destruction of remaining doses was also incomplete. Resident #1, also with severe cognitive deficits and receiving hospice care, had similar issues with morphine documentation. The RCSR showed discrepancies in the amount of morphine remaining after administration, with 8 ml unaccounted for. Staff admitted to not consistently checking the bottles at shift changes, leading to inaccurate narcotic counts. The Assistant Director of Nursing (ADON) assumed some of the morphine had been spilled and adjusted the narcotic sheet without proper verification. Interviews with staff revealed a lack of adherence to proper procedures for handling and documenting controlled substances. Some staff members admitted to not checking narcotic counts at shift changes, while others reported observing improper practices, such as pre-pouring medications. The ADON acknowledged entering incorrect documentation and was disciplined for these actions. The facility's policy required nursing staff to count controlled medications at the end of each shift and report discrepancies, which was not consistently followed.
Improper Storage of Narcotic Medications
Penalty
Summary
The facility failed to safely store liquid narcotic medications for a resident with severe cognitive deficits and multiple health conditions, including diabetes mellitus, Alzheimer's disease, and fibromyalgia. The resident was in a locked unit and had elected for hospice care due to a terminal condition. During an observation, it was noted that a Licensed Practical Nurse (LPN) left two liquid narcotic medications, morphine and Ativan, in the top drawer of the medication cart under a single lock, rather than in a separate, double-locked compartment as required by facility policy. The LPN admitted to storing the medications in the top drawer for convenience, as the resident was transitioning and the medications were being used more frequently. This action was contrary to the facility's policy, which mandates that controlled substances be stored in a locked container separate from non-controlled medications and remain locked at all times except when accessed for resident use. The Nurse Consultant confirmed that the expectation was for these medications to be double-locked, highlighting a lapse in adherence to the facility's controlled substances policy.
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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 Jefferson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Thomas Rest Haven | 18 mi | — | 9 | 0 |
| Accura Healthcare Of Ogden, Llc | 18.3 mi | — | 1 | 0 |
| Perry Lutheran Home | 18.4 mi | — | 6 | 0 |
| Aspire Of Perry | 18.7 mi | — | 15 | 0 |
| Perry Lutheran Homes Eden Acres Campus | 19.1 mi | — | 3 | 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 August 2026) and official state health department websites.