General Information: COLLEGE PARK REHABILITATION CENTER
Nursing home name COLLEGE PARK REHABILITATION CENTER
Address2856 E. CHEYENNE AVE.
NORTH LAS VEGAS, NV 89030
Phone number (702) 644-1888
Located within a hospital No
Type of ownership For profit - Individual
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 98
Total number of residents 95
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints8
Number of Fines3
Total Amount of Fines$44650
Total Number of Penalties1
Total Number of Penalties4
Ratings Summary: COLLEGE PARK REHABILITATION CENTER
Overall rating 1
1
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 3
3
Nursing Home Staffing Info: COLLEGE PARK REHABILITATION CENTER
National AverageNevada AverageCOLLEGE PARK REHABILITATION CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 95
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.4 hours 3.6 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.99 hours 1.8 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.84 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 0.97 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.41 hours 1.8 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.17 hours 0.11 hours
Health Survey: COLLEGE PARK REHABILITATION CENTER
Heath Survey Summary on 2013-07-16
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-07-31
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-07-08
Total Number of Health Deficiencies 18
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: COLLEGE PARK REHABILITATION CENTER
Inspection Results: 07/16/2013
Corrected Deficiency Scope and Severity
08/25/2013 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
08/25/2013 Provide written records when a resident is transferred or discharged. Isolated/Minimal harm or potential for actual harm
08/25/2013 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
08/25/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
08/25/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
08/25/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/25/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
08/25/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
08/25/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
08/25/2013 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
08/25/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
08/25/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
08/25/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
08/25/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
08/25/2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/31/2012
Corrected Deficiency Scope and Severity
10/02/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
10/02/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
10/02/2012 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
10/02/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
10/02/2012 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
10/02/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
10/02/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
10/02/2012 Provide food in a way that meets a resident's needs. Isolated/Minimal harm or potential for actual harm
10/02/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
10/02/2012 Keep residents' personal and medical records private and confidential. Widespread/Potential for minimal harm
10/02/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
10/02/2012 Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. Isolated/Minimal harm or potential for actual harm
10/02/2012 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
10/02/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
10/02/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
10/02/2012 Provide adequate and comfortable lighting levels in all areas. Isolated/Minimal harm or potential for actual harm
10/02/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/08/2011
Corrected Deficiency Scope and Severity
09/01/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
09/01/2011 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
09/01/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
09/01/2011 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
09/01/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
09/01/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
09/01/2011 Maintain 15 months of resident assessments in the resident's active clinical record. Widespread/Potential for minimal harm
09/01/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
09/01/2011 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Actual harm
09/01/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
09/01/2011 Ensure residents maintain acceptable nutritional status. Isolated/Actual harm
09/01/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
09/01/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
09/01/2011 Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern/Minimal harm or potential for actual harm
09/01/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
09/01/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
12/14/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
09/01/2011 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread/Potential for minimal harm

Fire Safety Survey: COLLEGE PARK REHABILITATION CENTER
Fire Safety Survey Summary on 2013-07-16
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-23
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-07-07
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: COLLEGE PARK REHABILITATION CENTER
Fire Safety Survey Results: 07/16/2013
Corrected Deficiency Severity
A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/23/2012
Corrected Deficiency Severity
09/05/2012 Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
09/05/2012 A properly installed medical gas master alarm panel. Isolated/Minimal harm or potential for actual harm
09/05/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/07/2011
Corrected Deficiency Severity
08/15/2011 Signs that state that exit doors are to be kept closed. Isolated/Minimal harm or potential for actual harm
08/15/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
08/15/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
08/15/2011 Properly constructed windows in hallway walls or doors. Isolated/Minimal harm or potential for actual harm
08/15/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/15/2011 Corridors or aisles that are unobstructed and are at least 8 feet in width. Pattern/Minimal harm or potential for actual harm
08/15/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
08/15/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm
08/15/2011 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
08/15/2011 Properly installed electrical wiring and equipment. Widespread /Minimal harm or potential for actual harm

Resident Complaints: COLLEGE PARK REHABILITATION CENTER
Date Complaint Substantiated: 04/13/2012
CorrectedCategoryDeficiencySeverity
05/03/2012Have a program that investigates, controls and keeps infection from spreading. D
05/03/2012Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
05/03/2012Ensure services provided by the nursing facility meet professional standards of quality. D
05/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 07/08/2011
CorrectedCategoryDeficiencySeverity
10/06/2011Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
12/14/2011Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. G

Quality Measures: COLLEGE PARK REHABILITATION CENTER
Quality Measures National Average Nevada Average COLLEGE PARK REHABILITATION CENTER
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.1% 9.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.1% 23.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.0% 10.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 4.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 50.1% 37.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.6% 4.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.7% 4.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 7.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 4.2%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.3% 2.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 89.3% 97.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 90.5% 98.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.6% 36.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.8% 37.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.6% 97.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.8% 96.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% 6.8%

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