PlainNursing
2026 data Public-data reference. official source

REGENTS POINT - WINDCREST

Open-data reference.

REGENTS POINT - WINDCREST is a non profit - corporation facility in IRVINE, CA with 59 certified beds and a 5-star overall CMS rating. The facility has 34 deficiency records on file.

19191 HARVARD AVENUE, IRVINE, CA 92612

Phone: 9495092274

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555295
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
59
Residents
48
In Hospital
No
County
Orange
Last Inspection
May 15, 2025

Staffing Data

RN Hours
0.95 (nat'l avg: 0.68)
LPN Hours
1.08
CNA Hours
2.72
Total Nursing Hours
4.76 (nat'l avg: 3.89)
PT Hours
0.11
Nursing Turnover
25.0%
RN Turnover
0.0%

What the CMS Record Reveals About REGENTS POINT - WINDCREST

REGENTS POINT - WINDCREST operates 59 certified beds in IRVINE, CA with approximately 48 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.76 total nursing hours per resident day (national average 3.89), with RN coverage at 0.95 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, REGENTS POINT - WINDCREST falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 25.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

E — Pattern - Minimal harm May 15, 2025 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 9, 2025

B — Pattern - No harm May 15, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jun 9, 2025

E — Pattern - Minimal harm May 15, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 9, 2025

E — Pattern - Minimal harm May 15, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2025

E — Pattern - Minimal harm May 15, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2025

B — Pattern - No harm May 15, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2025

B — Pattern - No harm Nov 22, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 22, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 3, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 3, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 3, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 3, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 3, 2024

E — Pattern - Minimal harm Dec 14, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 14, 2024

D — Isolated - Minimal harm Sep 12, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 12, 2023

E — Pattern - Minimal harm Jan 27, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Feb 27, 2023

E — Pattern - Minimal harm Jan 27, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 27, 2023

B — Pattern - No harm Jan 27, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 27, 2023

F — Widespread - Minimal harm Jan 27, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 27, 2023

G — Isolated - Actual harm Jan 27, 2023 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Feb 27, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Feb 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for REGENTS POINT - WINDCREST?
REGENTS POINT - WINDCREST has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at REGENTS POINT - WINDCREST?
REGENTS POINT - WINDCREST reports 4.76 total nursing hours per resident day (national average: 3.89). RN hours are 0.95 per resident day (national average: 0.68). Nursing staff turnover is 25.0%.
How many beds does REGENTS POINT - WINDCREST have?
REGENTS POINT - WINDCREST has 59 certified beds with approximately 48 residents. The facility is located at 19191 HARVARD AVENUE, IRVINE, CA 92612.
Does REGENTS POINT - WINDCREST have any deficiencies on record?
Yes, REGENTS POINT - WINDCREST has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has REGENTS POINT - WINDCREST received any fines or penalties?
No, REGENTS POINT - WINDCREST has no fines or penalties on record.
Who owns REGENTS POINT - WINDCREST?
REGENTS POINT - WINDCREST is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was REGENTS POINT - WINDCREST last inspected?
The most recent health inspection for REGENTS POINT - WINDCREST was on May 15, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for REGENTS POINT - WINDCREST?
REGENTS POINT - WINDCREST is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial