John J Kane Regional Center-Ro

July 18, 2026 · Standard inspection · 28 citations

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Immediate danger to residents, a pattern (level K)Quality of Life and CarePlan to fix it accepted

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, a pattern (level E)Infection ControlPlan to fix it accepted

• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it accepted

• Observe each nurse aide's job performance and give regular training.

  Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesPlan to fix it accepted

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

  Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningPlan to fix it accepted

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesPlan to fix it accepted

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Risk of harm, no one hurt, a pattern (level E)Quality of Life and CarePlan to fix it accepted

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted

• Ensure each resident receives an accurate assessment.

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServicePlan to fix it accepted

• Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesPlan to fix it accepted

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryPlan to fix it accepted

• Keep residents' personal and medical records private and confidential.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Risk of harm, no one hurt, a few residents (level D)AdministrationPlan to fix it accepted

• Provide or obtain dental services for each resident.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServicePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Provide training in compliance and ethics.

  Risk of harm, no one hurt, a few residents (level D)AdministrationPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted

• Provide enough food/fluids to maintain a resident's health.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Risk of harm, no one hurt, a few residents (level D)AdministrationPlan to fix it accepted

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Risk of harm, no one hurt, a few residents (level D)AdministrationPlan to fix it accepted

• Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  Minimal harm or risk, widespread (level C)Resident RightsPlan to fix it accepted

June 15, 2026 · Complaint investigation · 1 citation

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 30, 2026