Regency Healthcare & Rehab Center faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 43th percentile among Delaware nursing homes, suggesting significant room for improvement.
Staffing at Regency Healthcare & Rehab Center is near the national average, with 3.87 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at Regency Healthcare & Rehab Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.87 | 3.8 | Average |
| Registered Nurses (RN) | 0.67 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.06 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.14 | 2.4 | Below Average |
| Weekend Total Nursing | 3.58 | 3.8 | Average |
| Weekend RN Hours | 0.50 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jun 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0791 Severity DProvide or obtain dental services for each resident.Jun 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0802 Severity EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Feb 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Feb 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Feb 3, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.8% | 4.5% | Worse |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 11.3% | 14.5% | Better |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 10.3% | 14.0% | Better |
| Excessive weight loss | 5.4% | 7.5% | Better |
| New/worsened incontinence | 24.8% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $226,471
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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