Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Health Center during CMS and state inspections, most recent first.
Dietary staff did not follow prescribed menu portions for residents on regular, ground, or pureed diets, resulting in meals being served with less food than required. Observations and interviews confirmed that incorrect scoop sizes were used, affecting several residents and potentially impacting all individuals served from a specific dining area.
A resident with multiple medical conditions and intact cognition repeatedly refused showers due to discomfort and expressed a preference for tub baths, which was not documented or accommodated by staff. Despite available bathtubs and communication from the resident and her family, the care plan and Kardex did not reflect her preference, and the DON was unaware of it. The resident's hygiene was affected, and facility policy allowed for different bathing methods, but her preference was not honored.
A resident's oxycodone pain medications were misappropriated by an LPN who tampered with the medication card, replacing oxycodone with Topamax. The tampering was discovered during a narcotic count, and the facility notified relevant authorities, but not the State Survey Agency. The resident had not received oxycodone since the tampering began.
A facility failed to report the misappropriation of a resident's oxycodone narcotic pain medications to the State Survey Agency. An LPN was found to have replaced the oxycodone with Topamax migraine medication by tampering with the medication card. Despite notifying other authorities, the facility did not report the incident to the State Survey Agency as required.
The facility failed to implement a comprehensive water management plan, did not alert staff about residents on Enhanced Barrier Precautions, and did not maintain proper infection control practices during medication administration.
The facility failed to ensure that a resident with dementia, diabetes, and chronic kidney disease was offered and educated about influenza and pneumonia vaccines. The medical record showed refusals without evidence of offering or education, and an RN confirmed the lack of documentation.
The facility failed to ensure that a resident with dementia, diabetes, and chronic kidney disease was offered and educated about the COVID-19 vaccine. The medical record showed a refusal but lacked evidence of the offer or education. An RN confirmed the absence of a written refusal and education documentation, contrary to the facility's vaccination policy.
Failure to Follow Prescribed Menu Portions for Specialized Diets
Penalty
Summary
The facility failed to ensure that prescribed menu portions were followed for residents on various diet textures, resulting in residents receiving less food than indicated on the menu spreadsheet. Observations in the 2B kitchenette/dining room revealed that dietary staff used incorrect scoop sizes when serving pureed chicken, pureed cauliflower, country gravy, scalloped potatoes, and ground chicken. Specifically, a two-ounce scoop was used instead of the required four-ounce scoop for pureed items, and other items were also served in smaller portions than specified. Dietary aides and the chef confirmed during interviews that incorrect serving sizes were being used, and the registered dietitian verified that staff were expected to follow the menu spreadsheet for serving sizes. This deficiency affected four identified residents and had the potential to impact all 54 residents who were served from the 2B kitchenette/dining area. The diet order report confirmed that these residents were on regular, ground, or pureed texture diets. The issue was identified through observation, menu and portion control chart review, and staff interviews, and was investigated under a specific complaint number.
Failure to Accommodate Resident's Bathing Preferences
Penalty
Summary
The facility failed to honor a resident's bathing preferences, specifically the preference for tub baths over showers. The resident, who had diagnoses including rheumatoid arthritis, dementia, ataxia following cerebral infarction, and aneurysm, was cognitively intact and required substantial assistance for showering. Documentation showed frequent refusals of bathing, but there was no evidence that the facility investigated the reasons for these refusals or provided a tub bath as preferred. The resident's care plan and Kardex did not reflect her preference for tub baths, and shower documentation did not indicate any attempts to accommodate this preference. Interviews with the resident, her daughter, and staff confirmed that the resident disliked showers due to water spraying in her face and had repeatedly expressed a preference for tub baths. The Director of Nursing was unaware of this preference, despite the availability of bathtubs in the facility. The resident's daughter also reported concerns about her mother's hygiene, stating she had to cut her mother's hair due to it being dirty. The facility's policy allowed for various bathing methods, but there was no evidence that the resident's preference for tub baths was accommodated.
Misappropriation of Resident's Narcotic Pain Medications
Penalty
Summary
The facility failed to protect a resident's narcotic pain medications from misappropriation. A resident with moderate cognitive impairment and a history of pain, muscle weakness, rheumatoid arthritis, and dementia was prescribed oxycodone for pain management. However, a review of the medication administration records revealed that the last dose of oxycodone was administered on October 30, 2024, despite ongoing orders for the medication. An investigation conducted by the facility on December 6, 2024, uncovered that an LPN agency nurse misappropriated 14 oxycodone tablets from the resident's medication card. The nurse had tampered with the narcotic card by slitting the sides open and replacing the oxycodone with Topamax, a medication for migraines. The tampering was discovered during a routine narcotic count by two agency nurses, who noticed the card's edges pulling apart and the presence of incorrect medications in the slots. Further investigation revealed that the tampered medications matched those found in a bottle labeled with the suspect nurse's name, which was left at the nursing station. The facility notified the pharmacy, State Board of Nursing, and law enforcement about the incident. However, there was no mention of notification to the State Survey Agency. Interviews with staff confirmed the tampering and the subsequent investigation, but attempts to contact the suspect nurse were unsuccessful.
Failure to Report Misappropriation of Narcotic Medications
Penalty
Summary
The facility failed to report an allegation of misappropriation of a resident's oxycodone narcotic pain medications to the State Survey Agency as required. The incident involved a resident who was admitted with diagnoses including pain, muscle weakness, rheumatoid arthritis, and unspecified dementia. The resident had a physician's order for oxycodone to be administered as needed for pain. However, a discrepancy was identified when the last dose was recorded on 10/30/24, and it was discovered that 14 oxycodone tablets were missing from the resident's medication card. The investigation revealed that an LPN had misappropriated the oxycodone by slitting open the medication card and replacing the oxycodone with Topamax migraine medication. The facility's investigation determined that the LPN had worked four shifts at the facility and had left a bottle labeled amoxicillin at the nursing station, which contained Topamax tablets matching those found in the tampered oxycodone card. Despite notifying the pharmacy, State Board of Nursing, and Law Enforcement, the facility did not report the incident to the State Survey Agency. Interviews with facility staff confirmed the misappropriation and the lack of evidence that the incident was reported as required by the facility's policy on abuse, neglect, and misappropriation.
Infection Control and Water Management Deficiencies
Penalty
Summary
The facility failed to ensure a comprehensive water management plan, which had the potential to affect all residents. The facility's policy required a water management program, but the facility did not have a comprehensive plan in place. The facility was only assessing water temperatures and monitoring chlorine levels without establishing a water management team, developing a water system diagram, or identifying high-risk areas for Legionella growth. The Administrator confirmed the absence of a comprehensive water management plan, attributing it to a recent change in the maintenance department. The facility also failed to ensure staff were alerted that three residents were on Enhanced Barrier Precautions (EBP). These residents had conditions requiring EBP, such as urinary catheters and chemotherapy. Observations revealed that there were no signs on the doors to alert staff, and no personal protective equipment (PPE) was located near their rooms. The Infection Control Preventionist verified the absence of PPE and signs, despite the facility's policy requiring such measures for residents with indwelling medical devices or chronic wounds. Additionally, the facility failed to maintain appropriate infection control practices during medication administration. A registered nurse was observed touching medications with her hands before placing them in medication cups for two residents. This practice was confirmed by another nurse as inappropriate and against the facility's medication administration policy. The policy stated that medications should not be touched directly by hands and should be discarded if contaminated.
Failure to Offer and Educate on Vaccines
Penalty
Summary
The facility failed to ensure that Resident #9 was offered and received education regarding the influenza and pneumonia vaccines. Resident #9, who had diagnoses including dementia, diabetes mellitus, and chronic kidney disease, had a responsible party. The medical record indicated that the resident refused both vaccines, but there was no evidence that the facility offered the vaccines or provided education to the resident or her representative. An interview with RN #52 revealed that the facility did not obtain a written refusal or provide evidence of education regarding the vaccines. The facility's policy stated that vaccines were to be offered annually to all residents, coordinated by the Infection Preventionist.
Failure to Offer and Educate on COVID-19 Vaccine
Penalty
Summary
The facility failed to ensure that Resident #9 was offered and received education on the COVID-19 vaccine. Resident #9, who had diagnoses including dementia, diabetes mellitus, and chronic kidney disease, was admitted on an unspecified date and had a responsible party. The medical record indicated that the resident refused the COVID-19 vaccine, but there was no evidence that the facility offered the vaccine or provided education to the resident or her representative. An interview with RN #52 confirmed that the facility did not obtain a written refusal for the vaccine or provide evidence of education. The facility's policy stated that vaccines were to be offered annually to all residents, coordinated by the Infection Preventionist.
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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 Richfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Momentous Health At Richfield | 2.6 mi | — | 0 | 0 |
| Avenue At Broadview Heights | 2.6 mi | — | 14 | 0 |
| Heights Rehabilitation And Healthcare Center, The | 3.4 mi | — | 2 | 0 |
| The Pavilion Rehabilitation And Nursing Center | 4.3 mi | — | 0 | 0 |
| Oaks Of Brecksville | 4.6 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 August 2026) and official state health department websites.