Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Regency Park Nursing & Rehab Center of Jefferson

Jefferson, IA · 46 certified beds · Last Life Safety survey December 31, 2025

CMS Certification Number 165233 · first certified September 1994

Ownership

Operated by CAMPBELL STREET SERVICES · For profit - Limited Liability company

  • Ownership changed March 1, 2020 (change of ownership)to REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERSON from PINNACLE HEALTH FACILITIES XVII LP
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within IA

8 citations — more than 24% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was December 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility8IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-1142025-0132025-12
Citations at each Life Safety survey
Survey dateCitations
November 13, 20231
January 15, 20254
December 31, 20253

Most-cited tags

Most-cited tags at this facility
K-03532E-00391K-03471K-02811K-03211K-09201K-09211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-31
E-0039Conduct testing and exercise requirements.12025-01-15
K-0347Properly provide smoke detection systems in areas open to corridors.12025-01-15
K-0281Install proper backup exit lighting.12025-12-31
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-12-31
K-0920Ensure proper usage of power strips and extension cords.12023-11-13
K-0921Ensure that testing and maintenance of electrical equipment is performed.12025-01-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 31, 2025 — 3 citations

Citations issued on December 31, 2025
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (January 24, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 24, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 24, 2026)

January 15, 2025 — 4 citations

Citations issued on January 15, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 21, 2025)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (February 21, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (February 25, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 21, 2025)

November 13, 2023 — 1 citation

Citations issued on November 13, 2023
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 16, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.