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Deficiency Records for Five Points Nursing and Rehabilitation of College St

View the most recent health deficiencies and inspection results for Five Points Nursing and Rehabilitation of College St. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Five Points Nursing and Rehabilitation of College St. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-12-22 2025-12-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-12-22 2025-12-23 Y
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 2025-12-09 2025-12-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-12-09 2025-12-10 Y
Post nurse staffing information every day. Health 2025-08-29 2025-08-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-29 2025-08-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-08-29 2025-08-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-06-03 2025-06-04 Y
Reasonably accommodate the needs and preferences of each resident. Health 2025-06-03 2025-06-04 Y
Establish policies and procedures including evacuation. Fire Safety 2025-04-23 2025-05-22 N
Have proper medical gas storage and administration areas. Fire Safety 2025-04-23 2025-05-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-04-23 2025-05-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-04-23 2025-05-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-23 2025-05-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-04-23 2025-05-22 N
Conduct testing and exercise requirements. Fire Safety 2025-04-23 2025-05-22 N
List the names and contact information of those in the facility. Fire Safety 2025-04-23 2025-05-22 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-04-23 2025-05-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-05-15 2025-05-16 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 2025-04-23 2025-04-24 N
Provide and implement an infection prevention and control program. Health 2025-04-23 2025-04-24 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2025-04-23 2025-04-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-23 2025-04-24 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 2025-04-23 2025-04-24 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 2025-04-23 2025-04-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-04-23 2025-04-24 N
Post nurse staffing information every day. Health 2025-04-23 2025-04-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-04-23 2025-04-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-23 2025-04-24 N
Keep residents' personal and medical records private and confidential. Health 2025-04-23 2025-04-24 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-04-23 2025-04-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-01-26 2025-01-27 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 2025-01-26 2025-01-27 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2025-01-26 2025-01-27 Y
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 2024-10-16 2024-10-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-02 Not Fixed Y

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