Deficiency Records for College Park Rehabilitation Center
Updated as of December 01, 2018
This is not the most recent data for College Park Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-03 | 2018-04-14 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-26 | 2018-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-26 | 2018-03-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-26 | 2018-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-26 | 2018-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-26 | 2018-03-12 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-26 | 2018-03-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-26 | 2018-03-12 | 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 | 2018-03-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Be properly staffed | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-26 | 2018-02-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-12 | 2017-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-12 | 2017-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-12 | 2017-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-12 | 2017-02-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-01-12 | 2017-02-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-13 | 2017-02-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-13 | 2017-02-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-13 | 2017-02-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-13 | 2017-02-09 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-01-13 | 2017-02-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-13 | 2017-02-09 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-01-13 | 2017-02-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-13 | 2017-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-13 | 2017-02-09 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-01-13 | 2017-02-09 | N |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2016-11-16 | 2016-12-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-21 | 2016-06-27 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-12 | 2016-03-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-12 | 2016-03-09 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-02-12 | 2016-03-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-12 | 2016-03-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-12 | 2016-03-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-12 | 2016-03-09 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-02-12 | 2016-03-09 | N |
