REGENCY CARE OF SILVER SPRING, LLC

SILVER SPRING, MD · 92 beds · For profit - Corporation

90 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
21
1.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

April 16, 2025

20 deficiencyies
F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0711 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0839 Potential Harm Scope/Severity: D

Administration Deficiencies

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Employ staff that are licensed, certified, or registered in accordance with state laws.

F0840 Potential Harm Scope/Severity: D

Administration Deficiencies

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Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0868 Potential Harm Scope/Severity: D

Administration Deficiencies

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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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Staffing

1.04
RN hrs/res/day
0.82
LPN hrs/res/day
1.90
CNA hrs/res/day
3.37
Weekend hrs/res/day
48%
Total nurse turnover
38%
RN turnover

A nurse checks on each resident roughly every 6.4 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: REGENCY CARE
  • WOMACK, STEVEN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2016

    70% Individual
  • WOODWARD, MELVIN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2016

    30% Individual
  • WW HEALTHCARE CONSULTANTS, LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2016

    Organization
  • WOMACK, STEVEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2016

    Individual
  • WOODWARD, MELVIN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2016

    Individual

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