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Documents the results of an abbreviated survey completed 05/22/2021, including complaint investigations, substantiation outcomes, and disclosable timelines. Summarizes specific resident-related incidents and behavioral concerns, highlighting gaps in person-centered interventions, failure to maintain required behavior rounds, and staff interview findings regarding awareness of triggers and appropriate supports.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/regis-woods-form-cms-2567-statement-of-deficiencies-and-plan-of-correction-05222021/263432/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/regis-woods-form-cms-2567-statement-of-deficiencies-and-plan-of-correction-05222021/263432.png","ImageObject",442,249,{"name":88,"@type":89},"Ava Thompson","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-29","2026-09-14",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What survey period and completion date are referenced for REGIS WOODS?","Question",{"text":109,"@type":110},"The document cites an abbreviated survey concluded on 05/22/2021, with an earlier survey date of 04/14/2021.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How are the complaint investigations summarized?",{"text":114,"@type":110},"It states that 60 complaints were investigated: 32 unsubstantiated without deficiencies cited, 25 substantiated with deficiencies cited (with some occurring before the 11/12/2020 compliance date), and 13 additional complaints substantiated with deficiencies cited under continued non-compliance.",{"name":116,"@type":107,"acceptedAnswer":117},"What deficiencies are noted regarding resident behavior and interventions?",{"text":118,"@type":110},"The record describes lack of documented person-centered interventions to support a resident and reduce distress, staff unawareness of underlying causes and responses to stressors, and a reported failure to maintain Behavior Rounds per policy.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},263432,1790004417,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},1649267921044,"https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1786009248482753345","DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES  \nPRINTED: 07/16/2021  \nFORM APPROVED OMB NO. 0938-0391  \n\n| STATEMENT OF DEFICIENCIES\u003Cbr>AND PLAN OF CORRECTION |  | (X1) PROVIDER/SUPPLIER/CLIA\u003Cbr>IDENTIFICATION NUMBER:\u003Cbr>185301 | (X2) MULTIPLE CONSTRUCTION\u003Cbr>A. BUILDING  \u003Cbr>B. WING   |  |  | (X3) DATE SURVEY\u003Cbr>COMPLETED\u003Cbr>C\u003Cbr>05/22/2021 |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| NAME OF PROVIDER OR SUPPLIER\u003Cbr>REGIS WOODS |  |  |  | STREET ADDRESS, CITY, STATE , ZIP CODE\u003Cbr>4604 LOWE ROAD\u003Cbr>LOUISVILLE, KY 40220 |  |  |  |\n| (X4) ID\u003Cbr>PREFIX\u003Cbr>TAG | SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) |  | ID\u003Cbr>PREFIX\u003Cbr>TAG |  | PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) |  | (X5)\u003Cbr>COMPLETION\u003Cbr>DATE |\n| F 000 | INITIAL COMMENTS\u003Cbr>The State Survey Agency (SSA) conducted an Abbreviated Survey on 04/14/2021 and concluded on 05/22/2021 . Sixty (60) complaints were investigated. Out of the sixty (60)\u003Cbr>investigations, thirty-two (32) of the complaints were unsubstantiated without deficiencies cited. The complaints were KY30554, KY30637, KY30690, KY30779, KY 30800, KY30877, KY30912, KY31028, KY31037, KY31103 , KY31158 , KY31166 , KY31172 , KY31179 , KY31181 , KY31208, KY31324, KY31378, KY31393, KY31479, KY31480, KY31486, KY31624, KY 32510, KY32710, KY32779, KY32856, KY33006, KY33105, KY33159,\u003Cbr>KY33224, and KY33264 .\u003Cbr>Additionally, twenty-five (25) of the complaints were substantiated with deficiencies cited. However, fifteen (15) out to the twenty-five (25) complaints occurred prior to the facility's 11/12/2020 compliance date for the last\u003Cbr>Re-Certification survey, thus will be substantiated without deficiencies cited. The substantiated complaints without deficiencies cited were KY30689, KY31016, KY31310, KY31311 , KY31376, KY31516, KY31528, KY 31588, KY31606, KY31634, KY31722, KY32178,\u003Cbr>KY32888, KY32997 and KY33015 .\u003Cbr>Lastly, thirteen (13) complaints were substantiated with deficiencies cited. Due to continued non-compliance, complaints that occurred prior to the 11/12/2020 compliance date for the last Re-Certification survey were also included. The complaints were KY31095, KY31420, KY32671, KY32708, KY33007, KY33014, KY33016, KY33178, KY33491, |  | F 000 |  |  |  |  |\n\nLABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE  \nAny deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients . (See instructions. ) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.  \nFORM CMS-2567(02-99) Previous Versions Obsolete Event ID: ODNZ11 Facility ID: 100503 If continuation sheet Page 1 of 337  \nDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES  \nPRINTED: 07/16/2021  \nFORM APPROVED OMB NO. 0938-0391  \n\n| STATEMENT OF DEFICIENCIES\u003Cbr>AND PLAN OF CORRECTION |  | (X1) PROVIDER/SUPPLIER/CLIA\u003Cbr>IDENTIFICATION NUMBER:\u003Cbr>185301 | (X2) MULTIPLE CONSTRUCTION\u003Cbr>A. BUILDING  \u003Cbr>B. WING   |  |  | (X3) DATE SURVEY\u003Cbr>COMPLETED\u003Cbr>C\u003Cbr>05/22/2021 |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| NAME OF PROVIDER OR SUPPLIER\u003Cbr>REGIS WOODS |  |  |  | STREET ADDRESS, CITY, STATE , ZIP CODE\u003Cbr>4604 LOWE ROAD\u003Cbr>LOUISVILLE, KY 40220 |  |  |  |\n| (X4) ID\u003Cbr>PREFIX\u003Cbr>TAG | SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTI","cbCaioeaFB1rwvme","https://ap.wps.com/l/cbCaioeaFB1rwvme","pdf",969233,337,"English","# Initial Comments\n## Survey overview and complaint outcomes\n# Continued Findings\n## Resident incidents and behavior-related issues\n## Staff and program director interviews","[{\"question\":\"What survey period and completion date are referenced for REGIS WOODS?\",\"answer\":\"The document cites an abbreviated survey concluded on 05/22/2021, with an earlier survey date of 04/14/2021.\"},{\"question\":\"How are the complaint investigations summarized?\",\"answer\":\"It states that 60 complaints were investigated: 32 unsubstantiated without deficiencies cited, 25 substantiated with deficiencies cited (with some occurring before the 11/12/2020 compliance date), and 13 additional complaints substantiated with deficiencies cited under continued non-compliance.\"},{\"question\":\"What deficiencies are noted regarding resident behavior and interventions?\",\"answer\":\"The record describes lack of documented person-centered interventions to support a resident and reduce distress, staff unawareness of underlying causes and responses to stressors, and a reported failure to maintain Behavior Rounds per policy.\"}]","REGIS WOODS - FORM CMS-2567 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION - 05/22/2021 | PDF",1789371012,118]