Collingswood Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Collingswood Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 7, 2022

  Based on medical record review and interviews with staff, it was determined the facility staff failed to have an effective system in place to prevent residents with cognitive impairment from leaving the facility without adequate supervision and failed to implement safeguards to prevent further elopements. This was evident for 1 (#1) of 3 resident's reviewed for Resident Safety. The findings include: The surveyor entered the facility on 11/29/22 at 8:28 AM. The main entrance was unlocked and there were no staff present in the lobby area or at the front desk. A staff member entered the building at 8:38 AM and identified herself as the receptionist. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2025

  Based on a tour of the kitchen, staff interview and observation, it was determined that the facility staff failed to label stored food items to ensure safety and prevent contamination which could lead to unsafe food and potential illness. This has the potential to affect all residents.The findings include:During the initial tour of the kitchen on 07/31/2025 at 0740 AM these items were found in the walk-in cooler: Box of blue berries box of 4 pks not labeled with received by date or used by date. Box of oranges with no received by dates. Biscolli cheese received by date of 5/29/2025 with no used by date. Found in the deep freezer: Box of chicken thighs - not labeled. […]

• No harm, potential for more than minimal, widespreadF835Dec 7, 2022

  Based on review of the medical record and interview with staff, it was determined the facility failed attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by failing to ensure that policies and procedures were developed to guide staff in delivery of resident care related to elopement. This was evident during review of 1 (#1) of 3 residents reviewed for Resident Safety and has the potential to affect all residents in the facility. The findings include: Elopement is an event when a resident leaves the premises or a safe area without authorization (i.e., an order for discharge or leave of absence) and/or any necessary supervision to do so. Complaint #MD00186060 was reviewed on 11/29/22 at 10:51 AM. […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2022

  Based on surveyor observation, record review and interview, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment by failing to have a process in place to accurately screen people entering the facility for signs and symptoms of COVID-19 and failing to monitor the screening results. This was evident during surveyor entrance to the facility and Infection Control review. The findings include: An observation was made upon entry to the facility on [DATE] at approximately 7:55 AM. Surveyor (#1) entered the front lobby and observed the reception desk to the left (approximately 40 feet from the front door) and main hallway to the elevators. […]

• No harm, potential for more than minimal, patternF585Aug 8, 2025

  Based on resident and staff interviews, review of Resident Council Minutes/facility documents, and observation, it was determined that the facility failed to: address grievances from the Resident Council meeting, inform staff and residents of the Grievance Process (including how to file concerns or grievances), and have resolutions to grievances/concerns to include notifying residents regarding a resolution. This was evident for 5 of 6 months of Resident Council meetings reviewed the recertification/complaint survey. […]