College Park Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at College Park Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 18, 2022

  Based on observation, interview, and document review, the facility failed to ensure 1) expired items were discarded, 2) spoiled produce items were discarded, 3) opened food items were labeled and dated, 4) dented can was discarded in designated area, 5) cleanliness of the kitchen and equipment was maintained, 6) kitchen tiles were sealed and grouted, 7) dishes were sanitized, 8) personal items were properly stored, 9) food items were covered during meal delivery, 10) food was properly stored in a resident room, and 11) food temperatures were taken prior to meal service. […]

• No harm, potential for more than minimal, patternF561Mar 18, 2022

  Based on observation, interview, and document review, the facility failed to ensure communal dining was made available to residents. Findings include: On 03/15/22 at 11:44 AM, the main dining room adjacent to the kitchen was a large room equipped with tables and chairs to accommodate twenty or more persons. A sign approximately 11 inches long by 8.5 inches tall, taped to the dining room door, indicated the dining room was temporarily closed. There were no residents in the dining room. On 03/15/22 at 11:45 AM, the Dietary Manager indicated the dining room had been closed for communal dining during the pandemic but had recently been reopened for use by residents. The Dietary Manager confirmed there was a sign taped to the door stating the dining rooms was temporarily closed. […]

• No harm, potential for more than minimal, isolatedF576Nov 24, 2025

  Based on document review and interview, the facility failed to ensure residents mail were delivered on Saturdays for 1 of 23 sampled residents (Resident 12) and 2 unsampled residents (Residents 54 and 57). The deficient practice had the potential for residents' mail not to be delivered on the weekend. Findings include:1) Resident 12 (R12) was admitted to the facility on [DATE] with diagnoses of acute and chronic respiratory failure with hypoxia, metabolic encephalopathy, and other specified sepsis.R12 had a Brief Interview for Mental Status (BIMS) score of 14 indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF584Nov 24, 2025

  Based on observation, interview, and record review, the facility failed to ensure that mattresses and equipment used in resident rooms were maintained in a clean and sanitary condition for 2 resident rooms observed (rooms [ROOM NUMBERS]). The deficient practice had the potential to contribute to an environment that was not homelike and posed a risk for cross-contamination and infection for residents.Findings include:On 09/17/2025 at 10:00 AM, during an inspection of resident room [ROOM NUMBER], two floor mattresses were observed placed bilaterally on the floor near a resident's bed, close to the door, and a pole used to hang gastrostomy feeding formula was located on the right side of the bed. […]

• No harm, potential for more than minimal, isolatedF628Nov 24, 2025

  Based on interview, record review, and document review, the facility failed to ensure a copy of the discharge notice was sent to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 23 sampled residents (Resident 11). The deficient practice had the potential for resident rights not being advocated for improper discharges.Findings include:Resident 11was re-admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy, cellulitis of abdominal wall, gastrostomy malfunction, and pain.R11 had a Brief Interview for Mental Status (BIMS) score of 0 indicating severe cognitive impairment. […]