Deficiency Records for College Park Rehabilitation Center
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-30 | 2021-10-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-30 | 2021-10-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-09-23 | 2020-10-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-06-04 | 2020-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-04 | 2020-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-30 | 2020-05-15 | N |
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-10 | 2019-11-08 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-08 | 2019-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-01 | 2019-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-01 | 2019-03-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-01 | 2019-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-01 | 2019-03-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-01 | 2019-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-01 | 2019-03-31 | 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 | 2019-03-01 | 2019-03-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-03-01 | 2019-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-01 | 2019-03-31 | 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 | 2019-03-01 | 2019-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-01 | 2019-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-01 | 2019-03-31 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-03-01 | 2019-03-31 | 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 |
| 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 |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
