CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Comprehensive Rehabilitation and Nursing Center At
View the most recent health deficiencies and inspection results for Comprehensive Rehabilitation and Nursing Center At. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Comprehensive Rehabilitation and Nursing Center At. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2026-02-05 | 2026-04-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-02-05 | 2026-04-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-05 | 2026-04-06 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-08 | 2026-02-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-08 | 2026-02-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-15 | 2025-11-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-09-15 | 2025-11-04 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2025-09-11 | 2025-11-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-06 | 2025-02-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-12-06 | 2025-02-01 | 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 | 2024-12-06 | 2025-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-12-06 | 2025-01-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-12-06 | 2025-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-06 | 2025-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-12-06 | 2025-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-06 | 2025-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-06 | 2025-01-31 | 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 | 2024-12-06 | 2025-01-31 | 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 | 2024-12-06 | 2025-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-12-06 | 2025-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-06 | 2025-01-31 | 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 | 2024-12-06 | 2025-01-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Meet other general requirements. | Fire Safety | 2024-12-06 | 2025-01-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-12-06 | 2025-01-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-12-06 | 2025-01-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-12-06 | 2025-01-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-12-06 | 2025-01-24 | 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 | 2024-12-06 | 2025-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-21 | 2024-07-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-14 | 2023-09-15 | Y |
| Meet other general requirements. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-21 | 2023-08-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-21 | 2023-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Keep all essential equipment working safely. | Health | 2023-04-21 | 2023-08-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-21 | 2023-08-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-21 | 2023-06-20 | 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 | 2023-04-21 | 2023-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-21 | 2023-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-21 | 2023-06-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-21 | 2023-06-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Meet other general requirements. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-21 | 2023-06-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-21 | 2023-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-21 | 2023-06-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-04-21 | 2023-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-21 | 2023-06-20 | 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 | 2023-04-21 | 2023-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-21 | 2023-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-21 | 2023-06-06 | 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 | 2021-08-27 | 2021-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-27 | 2021-11-18 | N |
| Keep all essential equipment working safely. | Health | 2021-08-27 | 2021-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-27 | 2021-11-18 | 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 | 2021-08-27 | 2021-11-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-27 | 2021-11-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-10-07 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-27 | 2021-10-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-08-27 | 2021-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-27 | 2021-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-27 | 2021-10-07 | 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 | 2021-08-27 | 2021-10-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Meet other general requirements. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-27 | 2021-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-27 | 2021-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-21 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-21 | Not Fixed | 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 | 2023-04-21 | Not Fixed | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-21 | Not Fixed | 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 | 2023-04-21 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-06 | Not Fixed | N |