Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 At The Park during CMS and state inspections, most recent first.
Two residents experienced avoidable falls during mechanical lift transfers due to the facility's failure to follow care plan interventions and provide adequate supervision. One resident, with a recent amputation, fell when transferred by a single caregiver, reopening their surgical incision. Another resident, with hemiplegia, was left alone attached to a lift sling and slid to the floor. Staff acknowledged not following the required two-person assistance policy.
The facility did not support resident self-determination by limiting resident council meetings to 30 minutes, preventing residents from adequately discussing concerns such as food quality and call light response times. Residents reported dissatisfaction with the food and delays in call light responses, feeling their issues were not addressed.
The facility failed to provide a homelike dining environment as residents were served meals on delivery trays in two dining rooms. Staff admitted to feeling anxious and forgetting to remove trays, which led to the deficiency. A Registered Nurse confirmed the expectation for a homelike setting was not met.
A resident with a below the knee amputation experienced a fall resulting in a significant injury due to a staff member not following the care plan. The incident was not reported to the State Agency within the required timeframe, as the Director of Nursing believed logging it in the facility's logbook was sufficient.
The facility failed to accurately code the MDS for two residents regarding injectable anti-diabetic medications. One resident was incorrectly coded as receiving insulin, despite using Trulicity, a non-insulin medication. Another resident was similarly misclassified. The errors were acknowledged by the MDS Coordinator, who admitted to the incorrect coding.
A facility failed to maintain range of motion for a resident with a hand contracture after readmission from the hospital. The resident, with a history of stroke and hemiplegia, was not enrolled in a restorative program despite previous active ROM exercises. Staff interviews revealed a missed procedural step due to a transition in the therapy department.
A facility failed to coordinate a referral for denture services for a resident with heart failure and other conditions. The resident required assistance for daily activities and had moderately impaired cognition. Despite being interested in new dentures, there was no documentation of a completed referral. Interviews revealed a breakdown in the process for scheduling denture care appointments, with staff unable to confirm receipt of the referral form. The Regional Director acknowledged the lack of an effective system for dental referrals.
A resident with vascular dementia and other conditions experienced discomfort with dentures and requested a dental appointment. Although the appointment occurred, it was not documented in the medical record, revealing a lapse in communication and documentation among staff.
Two residents with impaired cognition were not properly educated or offered the COVID-19 vaccine, as required by facility policy. Despite documentation indicating refusal, neither resident nor their representatives were informed about the vaccine's risks and benefits. Staff interviews confirmed the failure to follow the correct process, placing residents at risk of uninformed health care decisions.
The facility's laundry room was found to be unsanitary due to leaks from washing machines four and five, causing water damage and sludge under the linoleum flooring. Staff acknowledged the issue, noting the potential for bacterial growth and the need for repairs to ensure a safe and cleanable environment.
The facility failed to complete annual performance reviews for 4 Nursing Assistants, with the last reviews for Staff B, C, and D conducted in 2020 and 2022, and no review for Staff E since their hire in 2023. This lapse was acknowledged by the Administrator and placed residents at risk for unmet care needs.
Failure to Implement Care Plan Interventions During Mechanical Lift Transfers
Penalty
Summary
The facility failed to implement care plan interventions and provide adequate supervision during mechanical lift transfers, resulting in avoidable accidents for two residents. Resident 30, who had a recent below-the-knee amputation, fell from a Sara Steady lift when transferred by a single caregiver instead of the required two. This fall caused the surgical incision on their stump to reopen, necessitating emergency surgery and a hospital stay. The resident had been making progress towards rehabilitation and discharge, but the fall significantly set back their recovery. Resident 7, who had a stroke with hemiplegia and was dependent on two staff members for transfers, was left alone in their wheelchair with a mechanical lift sling attached. A nursing assistant attached the sling and left to find another staff member but forgot about the resident, who subsequently slid to the floor. The mechanical lift's brakes were not engaged, and the resident was found on the floor, indicating a lack of supervision and adherence to safety protocols. Interviews with staff revealed that both incidents were due to deviations from established procedures for mechanical lift transfers. Staff involved acknowledged their mistakes, and the facility's Director of Nursing Services confirmed that the required two-person assistance was not provided in both cases. The facility's policy mandates two caregivers for all mechanical lift transfers, which was not followed, leading to these preventable accidents.
Failure to Support Resident Self-Determination in Council Meetings
Penalty
Summary
The facility failed to honor the residents' right to self-determination by not allowing them to hold resident council meetings at times of their choosing and to discuss topics important to them. Six residents expressed concerns during a council meeting that they were not given adequate time to voice their issues, as meetings were scheduled by the activities department for only 30 minutes before lunch, limiting their ability to discuss concerns thoroughly. Residents reported consistent issues with the quality of food and call light response times. They noted that the food was often not what was listed on the menu, served cold, and lacked appeal. Additionally, residents expressed frustration with the slow response to call lights, with some waiting over an hour for assistance. These issues were repeatedly brought up in council meetings, but residents felt their concerns were not being addressed. The residents' dissatisfaction with the council meetings and the facility's response to their concerns highlights a failure to support resident choice and self-determination. The lack of adequate time for meetings and the unaddressed issues regarding food quality and call light response times contributed to a diminished quality of life for the residents involved.
Failure to Provide Homelike Dining Environment
Penalty
Summary
The facility failed to provide a comfortable and homelike dining environment for residents in two dining rooms, as observed by surveyors. Residents were served and ate their meals with plates still on the delivery trays, which is not in line with creating a homelike atmosphere. In the subacute dining room, several residents, including Resident 2, Resident 7, Resident 18, Resident 22, and Resident 36, were observed eating their lunch meals directly from trays. Similarly, in the 900-unit dining room, Staff J, a Nursing Assistant, served meals to residents and left the plates on the trays, failing to create a homelike dining setup. Interviews with staff revealed that the failure to remove plates from trays was due to staff feeling anxious and nervous during observations, leading to lapses in following the expected procedure. Staff M, a Nursing Assistant, admitted to feeling anxious and forgetting the sequence of actions, while Staff J stated they were nervous being watched, which led to forgetting to remove the trays. Staff K, a Registered Nurse, confirmed that the expectation was for staff to provide a clean, comfortable, and homelike environment for residents, which was not met in this instance.
Failure to Report Fall with Significant Injury
Penalty
Summary
The facility failed to report an incident involving a fall with significant injury for a resident to the State Survey Agency as required. The resident, who had a below the knee amputation of the right leg, was involved in a fall on January 31, 2025, which resulted in a deep dehiscence of the surgical incision, necessitating immediate surgical intervention. The incident was investigated as potential abuse and/or neglect because a nursing assistant did not follow the resident's care plan, which required assistance from two caregivers and a manual mechanical lift for transfers. Despite the investigation, the incident was not reported to the State Agency within the required 24-hour timeframe as per the Washington State Department of Social and Health Services Nursing Home Guidelines. The Director of Nursing Services stated that the incident was not reported because they believed that logging the incident in the facility's incident and reporting logbook within five days was sufficient, given that the cause of the injury was known. This oversight resulted in the failure to recognize patterns of potential abuse and/or neglect with incidents of significant injury.
Inaccurate MDS Coding for Injectable Medications
Penalty
Summary
The facility failed to ensure the accuracy of the residents' comprehensive assessments regarding injectable anti-diabetic medications for two residents. Resident 32, who was admitted with diagnoses including diabetes, chronic obstructive pulmonary disease, and depression, was incorrectly coded as receiving insulin injections on their Minimum Data Set (MDS). However, during an interview, Resident 32 stated they did not use insulin. Staff C, the Registered Nurse/MDS Coordinator, admitted to entering the code for insulin use based on the resident's use of Trulicity, a non-insulin medication, and acknowledged the error in coding. Similarly, Resident 49, who was admitted with diagnoses including diabetes and depression, was also incorrectly coded on their MDS as using insulin. Staff C confirmed that Resident 49 received Trulicity, not insulin, and recognized the need to correct the MDS. The Regional Director of Clinical Services, Staff D, mentioned that there was a process in place to ensure the accuracy of the MDS for skilled nursing, but the errors in coding for these residents were not caught, leading to inaccurate assessments.
Failure to Maintain Range of Motion for Resident with Hand Contracture
Penalty
Summary
The facility failed to provide necessary treatment and services to maintain or prevent a further decrease in range of motion for a resident with a hand contracture. The resident, who had a history of stroke with hemiplegia affecting the left side, heart failure, and anxiety, was readmitted to the facility after a hospital discharge. Upon readmission, the resident was not enrolled in a restorative program, despite having previously received active range of motion exercises. The resident expressed an inability to move their left hand and mentioned that they used to have a splint or brace to assist with their condition. Interviews with facility staff revealed that the resident was not currently on a restorative program, and a procedural lapse occurred when the resident was readmitted. The Director of Rehab stated that the facility's process for readmitted residents included evaluations by physical, occupational, and speech therapy, but the resident was not enrolled in an occupational therapy program. A form that should have been completed to restart the resident's previous restorative services was missed due to a transition in the therapy department from contracted services to facility staff.
Failure to Coordinate Denture Services for a Resident
Penalty
Summary
The facility failed to coordinate a referral for denture services for Resident 7, who was reviewed for dental services. Resident 7 was admitted with diagnoses including heart failure, gastro-esophageal reflux disease without esophagitis, and Barrett's Esophagus. The comprehensive assessment indicated that Resident 7 required assistance for activities of daily living and had moderately impaired cognition but was able to communicate needs. The care plan noted that Resident 7 had full upper dentures and partial lower dentures. However, during an observation and interview, Resident 7 mentioned they were supposed to get new dentures, but there was no documentation in the medical record that the referral had been completed. Interviews with facility staff revealed a breakdown in the process for scheduling denture care appointments. Staff G, the Patient Care Coordinator/RN, stated that dental referrals were to be forwarded to Staff H, the Social Services Director, who would then schedule the appointments. However, Staff G did not see the referral form from Resident 7's dental appointment. Staff H explained that they would complete a scheduling form and give it to Staff I, the Activities Driver, to arrange the appointment and transport. Staff I, responsible for scheduling outside appointments, did not recall receiving a referral form for Resident 7. The Regional Director of Clinical Services acknowledged the concerns and noted that there was not a good system in place for completing dental referrals.
Inaccurate Medical Record for Dental Services
Penalty
Summary
The facility failed to ensure the medical record related to dental services was accurate for Resident 18, who was admitted with diagnoses including a stroke, vascular dementia with psychotic disturbance, and depression. A nursing progress note indicated that Resident 18 experienced discomfort with their dentures due to a sore spot and requested to see their denturist. Although the resident was taken to a dental appointment on December 12, 2024, there was no documentation in the medical record confirming this visit. Interviews with facility staff revealed a breakdown in communication and documentation processes. Staff G, a Patient Care Coordinator/RN, reported the dental issue to Staff H, the Social Services Director, who then forwarded the appointment request to Staff I, the Activities Driver, for scheduling. Staff I confirmed the appointment took place but did not ensure the visit was documented in the resident's medical record. The Director of Nursing Services later confirmed with the resident's son that the appointment occurred, highlighting the expectation that a nursing progress note should have been entered following the visit.
Failure to Educate and Offer COVID-19 Vaccine to Residents
Penalty
Summary
The facility failed to ensure that residents and their representatives were properly educated and offered the COVID-19 vaccine, as required by the Department of Social and Health Services guidance. Specifically, two residents, identified as Resident 26 and Resident 42, were not provided with adequate education or documentation regarding their COVID-19 vaccination status. Resident 26, who had a severely impaired cognition, was recorded as having refused the vaccine without any documentation of an immunization assessment or a signed consent/declination form. The resident's representative confirmed that they were not offered or educated about the vaccine. Similarly, Resident 42, who had moderately impaired cognition, was noted to have refused the vaccine without proper documentation of education or consent. The resident and their representative both stated that they were not offered or educated about the vaccine, despite the resident's previous vaccination history and willingness to receive the current vaccine. Interviews with facility staff, including the Registered Nurse for Resident 26, the Infection Preventionist, and the Director of Nursing Services, revealed that the correct process for offering and educating residents and their representatives about the COVID-19 vaccine was not followed. Staff acknowledged that residents with impaired cognition should have their representatives educated and offered the vaccine, but this did not occur for Residents 26 and 42. The failure to follow the proper procedure placed these residents at risk of making uninformed decisions regarding their health care, as noted in the report.
Unsanitary Conditions in Laundry Room Due to Leaking Washing Machines
Penalty
Summary
The facility failed to maintain a safe, functional, and sanitary environment in the laundry room, specifically concerning washing machines number four and five. During an observation and interview, it was noted that washing machine number five had caused water damage to the linoleum floor beneath it, with water currently leaking and seeping under the flooring. This leak had spread to a four-foot by three-foot section under the machine. Staff R, the Housekeeping/Laundry Director, acknowledged awareness of the leak and mentioned that a new washing machine was being ordered. Additionally, when the surveyor walked between washing machines four and five, the floor squished, and a grayish sludge oozed out from between the laminate flooring, indicating further water damage and potential contamination. Staff Q, the Infection Preventionist, and Staff S, the Maintenance Director, confirmed the unsanitary conditions during a concurrent interview and observation. They observed the water leak and sludge oozing through the linoleum flooring, acknowledging that the floor was not a safe or cleanable surface. Staff Q noted the potential for bacterial growth due to the sludge, and both staff members agreed that the floor needed to be fixed. The report highlights the risk of cross-contamination of diseases due to the inability to disinfect the area properly.
Failure to Conduct Annual Performance Reviews for Nursing Assistants
Penalty
Summary
The facility failed to complete a performance review at least once every 12 months for 4 of 4 Nursing Assistants (NAs) reviewed for performance reviews. Specifically, Staff B's last performance review was conducted in 2020, Staff C's in 2022, Staff D's in 2022, and Staff E had no performance review completed since their hire in 2023. This deficiency was identified through interviews and record reviews, and the Administrator acknowledged the lapse in timely performance reviews. The failure to conduct these reviews placed residents at risk for unmet care needs from potentially unqualified staff.
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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 College Place
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Manor Rehabilitation Ctr | 1 mi | — | 0 | 0 |
| Washington Odd Fellows Home | 2.7 mi | — | 1 | 0 |
| Washington State Walla Walla Veterans Home | 3.4 mi | — | 28 | 0 |
| Milton Freewater Health And Rehabilitation | 7.4 mi | — | 6 | 0 |
| Willowbrook Post Acute | 34.5 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.