Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Regina Senior Living during CMS and state inspections, most recent first.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in a deficiency related to non-compliance with care planning requirements.
A resident with a colostomy was not offered a care conference and was unable to participate in developing his person-centered care plan. The care plan lacked individualized instructions for colostomy care, and the resident's preferences for ostomy supplies and timing of bag changes were not initially accommodated. Interviews with staff confirmed the absence of a documented care conference, despite facility policy requiring resident involvement in care planning.
A deficiency was cited when a resident's care plan did not include all necessary needs, measurable timetables, or specific actions, resulting in incomplete planning and documentation.
A resident requiring colostomy, urostomy, or ileostomy care did not receive the appropriate care or services needed for their condition.
The facility failed to properly label, date, and store food items, and did not consistently monitor dishwasher temperatures, affecting all residents and staff. Observations revealed unlabeled food, incomplete dishwashing logs, and unclean equipment. The FSD confirmed the importance of proper labeling, sanitation, and temperature monitoring.
Medication carts containing drugs, including narcotics, were observed left unlocked and unattended in accessible areas, with residents passing by. Nursing staff and the DON confirmed that the carts were not secured as required by facility policy, which mandates that only authorized personnel may access medications and that carts must be locked when unattended.
Three residents experienced prolonged call light response times, with waits exceeding 20 minutes for assistance with personal care needs. The delays led to emotional distress and discomfort, as reported by the residents. Staff interviews indicated high resident assignments contributed to the inability to respond promptly, and the DON acknowledged that such delays were not acceptable.
A resident with multiple chronic conditions and oxygen dependence developed a persistent cough and sore throat, but staff failed to consistently assess, document, or notify the provider of the change in condition. Despite facility policy requiring immediate action and documentation for significant changes, nursing staff did not follow procedures, resulting in delayed provider notification and inadequate monitoring.
A care sheet containing the personal health information of two residents, including names, room numbers, and care details, was left unattended in a public area for nearly an hour. Multiple staff and residents passed by the exposed document, making the information accessible to unauthorized individuals. Both an LPN and the DON acknowledged this as a HIPAA violation, and one resident expressed concern about their privacy being compromised.
A resident with intact cognition and high ADL needs repeatedly reported missing and damaged clothing due to the offsite laundry service. Despite voicing these concerns to staff, no action was taken, and the complaints were not documented or investigated as required by facility policy. Interviews confirmed that other residents had similar issues, but management was unaware, and no evidence of investigation or resolution was found.
Two residents did not have required cognitive and mood assessments completed as part of their quarterly MDS, with entire sections left blank and no evidence of BIMS or PHQ-9 evaluations in the medical record. The responsible RN confirmed these omissions were due to staff turnover in social services, and the facility could not provide a policy on MDS completion.
A resident with multiple comorbidities and chronic respiratory disease developed new onset cough and sore throat, but staff failed to promptly assess, monitor, or document the resident's condition. PRN medications were not administered or recorded in a timely manner, and vital signs were inconsistently documented. Nursing staff did not notify the provider or initiate appropriate precautions, despite the resident's worsening symptoms and requests for medical attention.
The facility did not ensure staff consistently used enhanced barrier precautions, such as gowns and gloves, during high-contact care for a resident with chronic wounds and an indwelling catheter. Additionally, another resident with ongoing respiratory symptoms was not placed on respiratory precautions or tracked in the infection surveillance system, despite repeated use of PRN cough medications and staff awareness of the symptoms.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. The report indicates that care was not delivered in alignment with the established plan or the expressed wishes and objectives of the resident, as required by regulations.
Failure to Involve Resident in Person-Centered Care Planning for Colostomy Care
Penalty
Summary
The facility failed to offer a care conference to a resident with a colostomy, resulting in the resident's inability to participate in the development and implementation of his person-centered care plan. The resident's care plan did not include individualized instructions for colostomy care, such as the specific supplies required or the process for changing the colostomy bag. Documentation showed that the resident was cognitively intact and had diagnoses including Crohn's disease and a colostomy. The medication administration record indicated scheduled changes for the ostomy bag, but the resident reported a preference for morning changes, which was not accommodated. The resident also experienced multiple episodes of colostomy leakage during the initial weeks of his stay and had to repeatedly request the use of specific ostomy supplies he was familiar with, which were only provided after several weeks. Interviews with the resident, an LPN, and the DON confirmed that there was no documentation of a care conference in the resident's chart, and the DON was unaware if one had occurred. Facility policy required resident involvement in comprehensive person-centered care planning, with documentation if participation was not practicable. The lack of a care conference and individualized care planning for the resident's colostomy care constituted a failure to involve the resident in planning and implementing his care as required by facility policy and resident rights.
Incomplete Care Plan Lacking Measurable Actions
Penalty
Summary
A deficiency was identified due to the facility's failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care requirements. This omission was observed during the survey and was based on a review of the resident's records, which did not contain a comprehensive or measurable care plan as required.
Failure to Provide Appropriate Ostomy Care
Penalty
Summary
A resident who required colostomy, urostomy, or ileostomy care did not receive appropriate care or services as needed. The report identifies a failure to provide the necessary ostomy care for a resident with such a medical requirement. Specific details regarding the actions or omissions that led to this deficiency are not provided in the report.
Deficiencies in Food Storage, Equipment Sanitation, and Temperature Monitoring
Penalty
Summary
The facility failed to ensure proper labeling, dating, and storage of food items in the refrigerators and dry storage areas. During observations, it was noted that several food items, including cereals, tomato paste balls, tater tots, assorted melons, grapes, pancakes, and sausage, were not labeled or dated. The Food Service Director (FSD) confirmed that all items should be labeled, covered, and dated as soon as they are removed from their original containers to ensure freshness. Additionally, the facility did not consistently track and monitor the dishwasher temperatures for both the wash and rinse cycles. The dishwashing log was missing numerous entries, with 32 out of 51 entries missing from March 1 to March 17, 2025. The FSD acknowledged that the documentation was incomplete and emphasized the importance of proper sanitation of dishes before use. Furthermore, the facility lacked a sanitation log for the three-compartment sink, and staff were not aware of how to use the sanitation test strips. The facility also failed to maintain cleanliness of food equipment. Observations revealed a dried creamy white substance on the standing food mixer and a thick black substance on the range and grill grates. Raw ground beef was found under the stove grate. The cleaning checklist for the kitchen equipment was incomplete, with several days missing entries. The FSD verified that the cleaning checklist should be completed daily to ensure proper sanitation and hygiene in the kitchen.
Unattended and Unlocked Medication Carts Observed
Penalty
Summary
Surveyors observed that medication carts containing drugs and biologicals were left unlocked and unattended in areas accessible to residents, staff, and guests. On two separate occasions, an unattended and unlocked medication cart was found in common areas with no staff present. During these times, residents in wheelchairs were seen passing by the unsecured carts. Nursing staff confirmed that the carts were unlocked and acknowledged that this allowed anyone to access the medications, including narcotics and other drugs. The Director of Nursing (DON) confirmed that medication carts should not be left unlocked and unattended, in accordance with facility policy. The facility's policy states that only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications are permitted to access medications, and that medication carts must be locked when not attended by authorized personnel. The failure to secure the medication carts had the potential to affect all residents whose medications were stored in the carts.
Failure to Maintain Resident Dignity Due to Delayed Call Light Response
Penalty
Summary
The facility failed to maintain resident dignity by not responding promptly to call lights for three residents who required assistance. One resident with left-sided paralysis and depression waited nearly 29 minutes after activating the call light for help with changing a soiled brief, expressing frustration and discomfort at having to wait in a dirty brief. Two other residents, one recovering from hip replacement and another with osteomyelitis and diabetes, experienced call light response times of over 20 minutes each. Both residents reported emotional distress and discomfort due to the prolonged wait for assistance, with one stating it made them cry and another expressing distress at remaining in a wet brief. Interviews with nursing assistants and an LPN revealed that staff were assigned more residents than usual, with some reporting assignments of up to 14 residents, making it difficult to respond to call lights promptly. Staff acknowledged that response times over five to twenty minutes were too long and could impact resident safety and satisfaction. The DON confirmed that the expectation was for call lights to be answered as soon as possible and acknowledged that a 28-minute wait was excessive. Facility policy required calls for assistance to be answered as soon as possible based on immediate needs.
Failure to Timely Notify Provider of Resident's Change in Respiratory Condition
Penalty
Summary
The facility failed to notify the medical provider in a timely manner regarding a resident's change in respiratory condition. The resident, who had diagnoses including diabetes, anxiety, morbid obesity, and chronic obstructive pulmonary disease, was dependent on staff for activities of daily living and was utilizing oxygen. Despite having physician orders for as-needed cough medications, the resident began experiencing a persistent cough and sore throat, which was not adequately assessed or documented in the progress notes. Vital signs were inconsistently recorded, and there was no evidence of monitoring or follow-up for the new respiratory symptoms over several days. Multiple staff interviews revealed that the resident had reported worsening cough and throat pain for at least four days, expressing concern about the lack of intervention and requesting to see a doctor. Nursing staff acknowledged that the resident's symptoms were not properly documented or communicated to the provider, and that follow-up actions, such as obtaining vital signs and notifying the provider, were not consistently performed. The nurse practitioner confirmed that the provider team was not notified of the resident's symptoms until several days after onset, despite the resident being at high risk for respiratory compromise. Facility policy required immediate notification of the provider and documentation in the event of a significant change in condition, including new respiratory symptoms. However, the staff did not follow these procedures, resulting in a delay in provider notification and lack of appropriate assessment and documentation for the resident's change in condition.
Failure to Secure Resident PHI on Unattended Care Sheet
Penalty
Summary
The facility failed to ensure the privacy and confidentiality of residents' personal health information (PHI) by leaving a care sheet unattended in a public area. The care sheet, which contained identifiable information such as names, room numbers, diets, allergies, assistance needs, shower and weight schedules, preferences, transfer assistance, and reminders for bowel and bladder monitoring, was left exposed in an alcove across from the nursing station for fifty-one minutes. During this time, seventeen staff members and four residents passed by the unattended document, making the information accessible to unauthorized individuals. Two residents, both identified as having intact cognition on their most recent Minimum Data Set (MDS) assessments, were specifically affected as their information was listed on the care sheet. Interviews with staff and one of the residents confirmed that the information should not have been left out and that such an action was a violation of HIPAA privacy policies. The facility's own policy, reviewed earlier in the year, clearly states that protected health information must be kept confidential and not accessible to those without authorization.
Failure to Address and Investigate Resident Grievances Regarding Laundry Service
Penalty
Summary
The facility failed to act upon, investigate, or resolve grievances voiced by a resident regarding missing and damaged clothing resulting from the offsite laundry service. The resident, who was cognitively intact and required significant assistance with mobility and activities of daily living, reported multiple instances where her clothing was either returned late, not returned at all, or was damaged with holes. Despite expressing her concerns to staff, she was told that nothing could be done, and her complaints remained unresolved to her satisfaction. Interviews with direct care staff confirmed that the resident had complained about the laundry service, and that similar complaints had been voiced by other residents regarding delayed or missing items. However, these concerns were not documented in the facility's grievance log, nor was there any evidence in the resident's medical record that the issues had been reviewed or addressed. The offsite laundry service account manager also reported being unaware of any recent concerns from the facility, indicating that no communication or investigation had taken place regarding the reported problems. Facility leadership, including the administrator and DON, acknowledged during interviews that they were unaware of the complaints being reported by floor staff and residents. The facility's grievance policy required that all voiced concerns, including verbal complaints, be documented and investigated, but this process was not followed in the case of the resident's laundry issues. No documentation or evidence was provided to show that the concerns were acted upon, investigated, or resolved during the survey period.
Incomplete MDS Assessments for Cognition and Mood
Penalty
Summary
The facility failed to ensure that quarterly Minimum Data Set (MDS) assessments were completed thoroughly for two residents, specifically omitting required evaluations in the areas of cognition and depressive symptoms. For both residents, the quarterly MDS forms had entire sections—Section C (Cognitive Patterns) and Section D (Mood)—left blank, with no evidence that the Brief Interview for Mental Status (BIMS) or the Patient Health Questionnaire-9 (PHQ-9) assessments were conducted. Review of the medical records confirmed that these assessments were not completed during the assessment reference dates, and the corresponding MDS sections were not addressed or documented. Interviews with the registered nurse responsible for MDS completion revealed that the omissions were due to staff turnover in the social services department, which was responsible for these assessments. The nurse acknowledged that the assessments had been missed and that this had been a recurring issue during periods of staff transition. The facility was unable to provide a policy regarding MDS completion when requested.
Failure to Assess and Monitor New Onset Respiratory Symptoms
Penalty
Summary
The facility failed to comprehensively assess and monitor a resident with new onset respiratory symptoms, resulting in a deficiency. The resident, who had intact cognition and was dependent on staff for activities of daily living, had significant medical diagnoses including diabetes, anxiety, morbid obesity, and chronic obstructive pulmonary disease, and was utilizing oxygen. Physician orders were in place for PRN medications to address cough and respiratory symptoms, but there was a lack of timely administration and documentation of these medications in the Medication Administration Record (MAR) for several days after the onset of symptoms. Despite the resident experiencing a persistent cough, sore throat, and requesting stronger interventions, there was no evidence in the progress notes or vital sign documentation that staff performed comprehensive assessments or monitored the resident's respiratory status during the initial days of symptoms. Vital signs were not consistently documented on key dates when the resident was symptomatic, and staff interviews revealed uncertainty about whether the resident had been tested for infectious causes or seen by a provider. The resident reported feeling unwell for several days, with symptoms worsening and no provider contact or enhanced precautions initiated during this period. Interviews with nursing staff and the nurse practitioner confirmed that the facility's expectations for assessment, documentation, and provider notification were not met. Staff acknowledged that vital signs, lung sounds, and symptom reviews should have been performed and documented promptly, and that the provider should have been notified earlier. The facility's policy required assessment and provider notification for significant changes in condition, but these steps were not followed, resulting in delayed recognition and response to the resident's respiratory symptoms.
Failure to Maintain Enhanced Barrier and Respiratory Precautions
Penalty
Summary
The facility failed to maintain enhanced barrier precautions (EBP) for a resident with indwelling medical devices and chronic wounds. According to the resident's care plan, staff were required to wear gowns and gloves during high-contact care activities, such as catheter care and personal hygiene. However, during observation, nursing assistants were seen performing catheter care and assisting with dressing and hygiene without wearing gowns, only using gloves. Interviews with the nursing assistants revealed a lack of understanding regarding when gowns were required, with staff believing gowns were only necessary for wound or catheter care performed by nurses, not for other high-contact activities. The infection control preventionist confirmed that gowns and gloves should be worn for all high-contact care activities for residents on EBP. Additionally, the facility was unable to provide a policy regarding EBP when requested. The facility also failed to implement and maintain respiratory precautions and proper infection surveillance for a resident exhibiting active symptoms of a potential respiratory illness. The resident had a productive cough for several days, was receiving PRN cough medications, and expressed concern about not being seen by a doctor. There were no precaution signs or personal protective equipment outside the resident's room. Nursing staff were aware of the resident's symptoms and medication use but did not contact a provider or initiate respiratory precautions. Progress notes indicated that the resident's symptoms had been ongoing for several days before any assessment or provider notification was documented. Furthermore, the resident with respiratory symptoms was not added to the facility's infection surveillance tracking system, despite staff being trained to create infection events for new or worsening symptoms. Interviews with clinical leadership confirmed that the resident should have been placed on respiratory precautions and tracked for infection surveillance, but these steps were not taken. The facility's surveillance policy required routine and systematic infection tracking, which was not followed in this case.
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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 Hastings
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Augustana Care Hastings Health And Rehabilitation | 1.4 mi | — | 2 | 1 |
| Prescott Nursing And Rehab Community | 4.5 mi | — | 0 | 0 |
| Norris Square | 7.2 mi | — | 5 | 0 |
| St Therese Of Woodbury Llc | 10.6 mi | — | 0 | 0 |
| Woodbury Health Care Center | 11.8 mi | — | 1 | 1 |
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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.