CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Campbell Hall Rehabilitation Center Inc
View the most recent health deficiencies and inspection results for Campbell Hall Rehabilitation Center Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Campbell Hall Rehabilitation Center Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-10 | 2026-03-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-10 | 2026-03-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-12-10 | 2026-03-08 | Y |
| 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 | 2025-12-10 | 2026-01-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-10 | 2026-01-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-10 | 2026-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-10 | 2026-01-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-10 | 2026-01-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-10 | 2026-01-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-10 | 2025-11-28 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-08-05 | 2025-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-05 | 2025-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-05 | 2025-09-19 | 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 | 2025-08-05 | 2025-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-05 | 2025-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-05 | 2025-09-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-05 | 2025-09-19 | Y |
| 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 | 2025-08-05 | 2025-09-19 | 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 | 2025-08-05 | 2025-09-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-05 | 2025-09-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-05 | 2025-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-05 | 2025-09-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-05 | 2025-09-19 | N |
| Respond appropriately to all alleged violations. | Health | 2025-08-05 | 2025-09-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-05 | 2025-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-05 | 2025-09-19 | 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 | 2025-08-05 | 2025-09-19 | 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 | 2025-08-05 | 2025-09-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-08-05 | 2025-09-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-05 | 2025-09-19 | 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 | 2025-08-05 | 2025-09-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-05 | 2025-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-05 | 2025-09-19 | N |
| Keep all essential equipment working safely. | Health | 2025-08-05 | 2025-09-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-05 | 2025-09-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-05 | 2025-09-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-29 | 2025-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-29 | 2025-05-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-29 | 2025-05-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-29 | 2025-05-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-04-29 | 2025-05-28 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-29 | 2025-05-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-22 | 2025-04-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-12-22 | 2025-01-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-22 | 2025-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-22 | 2025-01-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-12-22 | 2025-01-24 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-12-22 | 2025-01-24 | 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 | 2024-12-22 | 2025-01-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-22 | 2025-01-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-12-22 | 2025-01-24 | Y |
| 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 | 2024-12-22 | 2025-01-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-22 | 2025-01-24 | 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 | 2024-12-22 | 2025-01-24 | 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 | 2024-12-22 | 2025-01-24 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-12-22 | 2025-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-22 | 2025-01-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-22 | 2025-01-24 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-12-22 | 2025-01-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-22 | 2025-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-22 | 2025-01-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-22 | 2025-01-24 | N |
| Notify 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 | 2024-12-22 | 2025-01-24 | 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 | 2024-12-22 | 2025-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-22 | 2025-01-24 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-22 | 2025-01-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-12-22 | 2025-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-12-22 | 2025-01-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-22 | 2025-01-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-22 | 2025-01-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-12-22 | 2025-01-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-22 | 2025-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-22 | 2025-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-22 | 2025-01-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-22 | 2024-12-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-22 | 2024-12-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-07-22 | 2024-09-30 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-07-22 | 2024-09-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-22 | 2024-09-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-22 | 2024-09-30 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-22 | 2024-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-22 | 2024-09-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-18 | 2024-05-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-18 | 2024-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-03-20 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-29 | 2022-09-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-29 | 2022-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-29 | 2022-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-29 | 2022-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-29 | 2022-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-29 | 2022-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-29 | 2022-06-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have an externally vented heating system. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Meet other general requirements. | Fire Safety | 2022-04-29 | 2022-06-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-29 | 2022-06-18 | N |