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College Park Rehabilitation Center

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About College Park Rehabilitation Center

General Information

Legal Business NameThi Of Nevada At Cheyenne, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 15, 1994 (22 years)
Capacity98
Residents95
Percent Occupied97%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for College Park Rehabilitation Center

College Park Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Nevada Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 12, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

November 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

November 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

June 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of College Park Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr
2hr 35min
ReportedExpected
CNA
1hr 10min
50min
ReportedExpected
LPN
55min
1hr 35min
ReportedExpected
RN
4hr 10min
5hr
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

80.0%
80.0%
80.0%
88.7%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Seasonal Influenza Vaccine
80.0%
88.0%
90.7%
86.3%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Pneumococcal Vaccine
40.0%
41.2%
59.5%
49.3%
Q1 2015Q2 2015Q3 2015NV
Low Risk Residents Who Lose Control of Their Bowel or Bladder
35.3%
32.9%
30.4%
17.3%
Q1 2015Q2 2015Q3 2015NV
Received an Antipsychotic Medication
17.7%
12.5%
20.6%
17.6%
Q1 2015Q2 2015Q3 2015NV
Need for Help with ADLs has Increased
30.3%
30.0%
31.8%
11.5%
Q1 2015Q2 2015Q3 2015NV
Self Report Moderate to Severe Pain
3.0%
1.4%
2.8%
6.1%
Q1 2015Q2 2015Q3 2015NV
Lose Too Much Weight
3.8%
5.4%
6.3%
8.1%
Q1 2015Q2 2015Q3 2015NV
High Risk Residents With Pressure Ulcers
3.5%
1.7%
3.2%
2.4%
Q1 2015Q2 2015Q3 2015NV
Have Depressive Symptoms
2.9%
9.3%
8.2%
5.4%
Q1 2015Q2 2015Q3 2015NV
With a Urinary Tract Infection
0.0%
1.3%
2.7%
3.0%
Q1 2015Q2 2015Q3 2015NV
Experiencing One or More Falls with Major Injury
7.1%
9.9%
14.4%
4.1%
Q1 2015Q2 2015Q3 2015NV
With a Catheter Inserted and Left in Their Bladder
5.7%
4.0%
5.3%
0.8%
Q1 2015Q2 2015Q3 2015NV
Were Physically Restrained

Quality Measures for Short Stay Residents

92.0%
97.4%
87.5%
77.1%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Pneumococcal Vaccine
91.9%
90.8%
90.8%
79.1%
Q1 2015Q2 2015Q3 2015NV
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
42.9%
42.5%
42.6%
17.3%
Q1 2015Q2 2015Q3 2015NV
Self Report Moderate to Severe Pain
0.9%
6.1%
7.2%
2.1%
Q1 2015Q2 2015Q3 2015NV
Newly Received an Antipsychotic Medication
0.0%
0.9%
0.9%
0.6%
Q1 2015Q2 2015Q3 2015NV
With Pressure Ulcers That Are New or Worsened