Deficiency Records for Regent Park Rehabilitation and Healthcare
Updated as of March 01, 2024
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? |
---|---|---|---|---|
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 |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-06 | 2019-06-25 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-06 | 2019-06-25 | N |