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Deficiency Records for Regent Park Rehabilitation and Healthcare
A list of the most recent deficiencies for Regent Park Rehabilitation and Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Regent Park Rehabilitation and Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-14 | 2024-07-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-14 | 2024-06-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-14 | 2024-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-14 | 2024-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-14 | 2024-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-14 | 2024-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-14 | 2024-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-14 | 2024-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-14 | 2024-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-14 | 2024-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-14 | 2024-06-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-14 | 2024-06-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-10 | 2024-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-10 | 2024-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-05-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-10 | 2024-05-10 | Y |
| Post nurse staffing information every day. | Health | 2024-04-10 | 2024-05-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-10 | 2024-05-10 | Y |
| 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. | Health | 2024-04-10 | 2024-05-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-10 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-04-10 | 2024-05-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-10 | 2024-05-10 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Meet other general requirements. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-08-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-23 | 2022-08-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Establish methods for sharing information. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-01 | 2021-03-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-01 | 2021-03-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-19 | 2021-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-19 | 2021-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-19 | 2021-02-15 | N |
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