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Deficiency Records for Campbell Hall Rehabilitation Center Inc

A list of the most recent deficiencies for Campbell Hall Rehabilitation Center Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Campbell Hall Rehabilitation Center Inc. 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?
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
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-10 2023-08-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-23 2023-06-01 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-20 2022-09-25 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-04-20 2022-08-08 N
Use approved construction type or materials. Fire Safety 2022-04-20 2022-06-25 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
Reasonably accommodate the needs and preferences of each resident. 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
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 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 and implement an infection prevention and control program. Health 2022-04-29 2022-06-21 N
Ensure staff are vaccinated for COVID-19 Health 2022-04-29 2022-06-21 N
Respond appropriately to all alleged violations. Health 2022-04-29 2022-06-21 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-04-20 2022-06-18 N
Address subsistence needs for staff and patients. Fire Safety 2022-04-20 2022-06-18 N
Meet other general requirements. Fire Safety 2022-04-20 2022-06-18 N
Have exits that are accessible at all times. Fire Safety 2022-04-20 2022-06-18 N
Install proper backup exit lighting. Fire Safety 2022-04-20 2022-06-18 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-20 2022-06-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-04-20 2022-06-18 N
Provide properly protected cooking facilities. Fire Safety 2022-04-20 2022-06-18 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-20 2022-06-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-20 2022-06-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-20 2022-06-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-04-20 2022-06-18 N
Have an externally vented heating system. Fire Safety 2022-04-20 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 2022-04-20 2022-06-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-20 2022-06-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-20 2022-06-18 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-20 2022-06-18 N
Respond appropriately to all alleged violations. Health 2021-11-22 2022-01-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-22 2022-01-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-22 2022-01-28 Y
Provide and implement an infection prevention and control program. Health 2021-11-22 2022-01-28 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-24 2021-08-13 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 2021-06-24 2021-08-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-06-24 2021-08-13 N
Ensure each resident receives an accurate assessment. Health 2021-06-24 2021-08-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-24 2021-08-13 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 2021-06-24 2021-08-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-24 2021-08-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-24 2021-08-13 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 2021-06-24 2021-08-13 N
Ensure that residents are free from significant medication errors. Health 2021-06-24 2021-08-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-24 2021-08-13 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 2021-06-24 2021-08-13 N
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2021-06-24 2021-08-13 N
Provide and implement an infection prevention and control program. Health 2021-06-24 2021-08-13 N
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. Fire Safety 2021-06-22 2021-08-10 N
Have exits that are accessible at all times. Fire Safety 2021-06-22 2021-08-10 N
Install proper backup exit lighting. Fire Safety 2021-06-22 2021-08-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-06-22 2021-08-10 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-22 2021-08-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-22 2021-08-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-22 2021-08-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-06-22 2021-08-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-22 2021-08-10 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2021-06-22 2021-08-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-06-22 2021-08-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-22 2021-08-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-22 2021-08-10 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2021-06-22 2021-08-10 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2019-04-05 2019-05-31 N
Implement emergency and standby power systems. Fire Safety 2019-04-05 2019-05-31 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-04-05 2019-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-05 2019-05-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-05 2019-05-31 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2019-04-05 2019-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-04-05 2019-05-31 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-04-05 2019-05-31 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 2019-04-05 2019-05-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-05 2019-05-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-05 2019-05-24 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 2019-04-05 2019-05-24 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2019-04-05 2019-05-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-05 2019-05-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-04-05 2019-05-24 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 2019-04-05 2019-05-24 N
Provide or obtain dental services for each resident. Health 2019-04-05 2019-05-24 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 2019-04-05 2019-05-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-04-05 2019-05-24 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2019-04-05 2019-05-24 N
Provide and implement an infection prevention and control program. Health 2019-04-05 2019-05-24 N

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