REGENCY MANOR HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Regency Manor Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

REGENCY MANOR HEALTHCARE CENTER
3011 W ADAMS AVE
TEMPLE, TX 76504
(254) 773-1626

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

  • Residents: 102
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Belton | Moody | Harker Heights

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Regency Manor Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.4%
Total Percent:1.4%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-103.3%
ADL Index Range: 0-511.0%
Total Percent:14.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.2%
ADL Index Range: 6-102.9%
ADL Index Range: 0-538.6%
Total Percent:43.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.9%
ADL Index Range: 0-58.6%
Total Percent:11.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.5%
ADL Index Range: 0-52.9%
Total Percent:8.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- Signs of depression
2.9%
ADL Index Range: 2-5
- Signs of depression
0.2%
Total Percent:3.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
5.5%
Total Percent:5.5%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
4.9%
ADL Index Range: 6-10
- Less restorative nursing
3.3%
ADL Index Range: 0-1
- Less restorative nursing
4.1%
Total Percent:12.2%
 

Rating Details For Regency Manor Healthcare Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours8 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 2 Minutes1 Hour and 33 Minutes
Total Nurse Hours3 Hours and 3 Minutes3 Hours and 48 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Who Lose Too Much Weight9%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse24%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder31%46%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased30%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination71%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores10%11%
Percent of Short-Stay Residents Who Have Delirium4%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%16%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/03/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/10/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/10/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/01/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/03/2008
  • Correction Date: 07/25/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/10/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/18/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/16/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/03/2008
  • Correction Date: 07/07/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/10/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/03/2008
  • Correction Date: 07/25/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/16/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/21/2009
  • Correction Date: 08/29/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/07/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/07/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/14/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/10/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/14/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/16/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/16/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/14/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 07/03/2008
  • Correction Date: 08/07/2008

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 08/21/2009
  • Correction Date: 08/31/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/08/2010$1,300
Civil Money Penalty (CMP)09/08/2010$3,250
Civil Money Penalty (CMP)09/08/2010$6,500
Civil Money Penalty (CMP)02/25/2010$9,300

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Regency Manor Healthcare Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 04/03/2009
  • Correction Date: 05/01/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 04/03/2009
  • Correction Date: 05/01/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/14/2009
  • Correction Date: 06/05/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 08/21/2009
  • Correction Date: 09/21/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/22/2010
  • Correction Date: 11/05/2010

Environmental

Keep All Essential Equipment Working Safely.
  • Complaint Filed: 05/14/2009
  • Correction Date: 06/05/2009
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/28/2010
  • Correction Date: 08/28/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/22/2010
  • Correction Date: 10/22/2010
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 10/22/2010
  • Correction Date: 11/05/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 09/08/2010
  • Correction Date: 10/08/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/08/2010
  • Correction Date: 10/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/03/2009
  • Correction Date: 05/01/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 04/01/2008
  • Correction Date: 05/02/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 04/01/2008
  • Correction Date: 05/02/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 04/01/2008
  • Correction Date: 05/02/2008
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 04/03/2009
  • Correction Date: 05/01/2009
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/01/2008
  • Correction Date: 05/02/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 02/25/2010
  • Correction Date: 02/26/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/01/2008
  • Correction Date: 04/30/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/25/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Send and Promptly Deliver Unopened Mail to Residents.
  • Complaint Filed: 10/03/2010
  • Correction Date: 11/03/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 10/22/2010
  • Correction Date: 11/05/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Regency Manor Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/15/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/14/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/14/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/14/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/10/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/07/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/10/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/14/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/01/2008
  • Correction Date: 08/14/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/15/2010
  • Correction Date: 11/03/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011