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Deficiency Records for College Pines Health and Rehabilitation

A list of the most recent deficiencies for College Pines Health and Rehabilitation. 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 Pines Health and Rehabilitation. 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?
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-03-06 2024-03-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-06 2024-03-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-06 2024-03-05 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-04 2024-01-26 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-30 2023-12-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-13 2022-10-09 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-03-24 2021-04-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-03-24 2021-04-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-03-24 2021-04-20 N
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 2021-03-24 2021-04-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-03-24 2021-04-20 N
Provide and implement an infection prevention and control program. Health 2021-03-24 2021-04-20 N

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