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Deficiency Records for College Park Rehabilitation Center
A list of the most recent deficiencies for College Park Rehabilitation Center. 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 College Park Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-10-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Meet other general requirements. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-14 | 2023-09-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-13 | 2023-08-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-13 | 2023-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-13 | 2023-08-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-13 | 2023-08-08 | N |
| 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 | 2023-07-13 | 2023-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-14 | 2023-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-14 | 2023-01-06 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-17 | 2022-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-17 | 2022-04-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-17 | 2022-04-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-17 | 2022-04-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-17 | 2022-04-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-17 | 2022-04-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-17 | 2022-04-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-18 | 2022-04-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-18 | 2022-04-15 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-18 | 2022-04-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-18 | 2022-04-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-18 | 2022-04-15 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-18 | 2022-04-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Develop a communication plan. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-05 | 2020-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-07 | 2020-03-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-07 | 2020-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-07 | 2020-03-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-07 | 2020-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-07 | 2020-03-06 | N |
| Post nurse staffing information every day. | Health | 2020-02-07 | 2020-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-07 | 2020-03-06 | N |
| 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 | 2020-02-07 | 2020-03-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-07 | 2020-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-06 | N |
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