Deficiency Records for North Campus Rehabilitation and Nursing Center
Updated as of August 01, 2021
This is not the most recent data for North Campus Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for North Campus Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2020-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-29 | 2020-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-29 | 2020-11-28 | 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 | 2020-10-29 | 2020-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-29 | 2020-11-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-29 | 2020-11-28 | N |
| 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. | Health | 2020-10-29 | 2020-11-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-29 | 2020-11-28 | 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 | 2020-10-27 | 2020-11-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-27 | 2020-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-27 | 2020-11-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-27 | 2020-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-27 | 2020-11-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-07-09 | 2020-08-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-08 | 2020-07-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-04 | 2019-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-04 | 2019-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-25 | 2018-02-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-25 | 2018-02-25 | N |
| 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. | Health | 2018-01-26 | 2018-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-26 | 2018-02-25 | 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 | 2018-01-26 | 2018-02-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-01-26 | 2018-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-26 | 2018-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-26 | 2018-02-25 | N |
