B
76/100

COLLEGE PARK REHABILITATION CENTER Inspection Report, Violations & Safety Grade (NORTH LAS VEGAS, Nevada)

2856 E. CHEYENNE AVE., NORTH LAS VEGAS, Nevada 89030

Phone: 7026441888

CMS Overall:3/5

Overview & Bed Count

Certified Beds
188
Avg Residents/Day
85.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Clark
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNevada AvgDifference
RN Hours per Resident per Day1.541.13+0.40
Total Nurse Hours per Resident per Day4.624.33+0.29
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover26.0%43%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2025-11-24Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.D – Moderate Harm Potential
2025-11-24Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-11-24Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-11-24Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-11-24Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2025-11-24Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-11-24Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-11-24Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-11-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-03-13Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-03-13Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential
2025-03-13Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2023-07-13Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2023-07-13Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2023-07-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2023-07-13Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-07-13Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2023-07-13Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-07-13Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential

Fire Safety Citation History

55 fire safety citations on record

DateCategoryDescriptionSeverity
2025-11-24Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-11-24Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2025-11-24Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-11-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.F – Moderate Harm Potential
2025-11-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-11-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-11-24Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.E – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesList the names and contact information of those in the facility.E – Moderate Harm Potential
2025-11-24Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2025-11-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2025-11-24Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2025-11-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-11-24Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-11-24Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-11-24Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2025-11-24Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2024-09-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesProvide family notifications of emergency plan.E – Moderate Harm Potential
2024-09-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-09-27Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-09-27Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-09-27Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2024-09-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-09-27Smoke DeficienciesHave properly sized and located compartments to protect residents from smoke.D – Moderate Harm Potential
2023-07-13Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-07-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-07-13Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2023-07-13Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of medical gas and medical vacuum systems.F – Moderate Harm Potential
2023-07-13Gas, Vacuum, and Electrical Systems DeficienciesHave a properly installed medical gas master alarm panel.F – Moderate Harm Potential
2023-07-13Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.E – Moderate Harm Potential
2023-07-13Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.E – Moderate Harm Potential
2023-07-13Emergency Preparedness DeficienciesImplement emergency and standby power systems.E – Moderate Harm Potential
2023-07-13Construction DeficienciesMeet other general requirements.E – Moderate Harm Potential
2023-07-13Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-07-13Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2023-07-13Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2023-07-13Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-07-13Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential

Showing 50 of 55 citations.

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

Verified Helpline

Care & Coverage Review

Researching facilities in NORTH LAS VEGAS, Nevada? Speak with a licensed specialist to review your Medicare or health insurance benefits at no cost.

Free, confidential consultation. We may receive referral compensation.