College Park Rehabilitation And Care Center

Penalties

• Feb 20, 2024 — Fine ($38,675)

Inspection findings

1. May 14, 2026 Health · 3 findings
   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected May 15, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 29, 2026 · CMS fire safety

2. Mar 27, 2025 Health · 4 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Apr 25, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 29, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 29, 2025 · CMS fire safety

3. Feb 20, 2024 Health · 9 findings
   • Serious Scope/severity J

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Feb 21, 2024 · CMS health inspection

   • Serious Scope/severity J

     F0839 Administration Deficiencies

     Employ staff that are licensed, certified, or registered in accordance with state laws.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0865 Administration Deficiencies

     Have a plan that describes the process for conducting QAPI and QAA activities.

     Corrected Feb 21, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Feb 16, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BACUS, RANDY — corporate director, NOT APPLICABLE, since 05/01/2017
• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BAUDER, KELLY — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BAUDER, MADISON — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BAUDER, PARKER — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BAUDER, WILLIAM — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 01/15/2025
• BOULWARE, DOUGLAS — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BOULWARE, SANDRA — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BOULWARE, SANDRA — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BOULWARE, STEVEN — operational/managerial control, NOT APPLICABLE, since 01/15/2025
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BOULWARE, THOMAS — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• WAHRMAN, CHAD — operational/managerial control, NOT APPLICABLE, since 08/15/2023
• WAHRMAN, CHAD — adp of the snf, NOT APPLICABLE, since 08/15/2023
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 01/15/2025
• WALKER, KATIE — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• WUSTERHAUSEN, KRIS — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BOULWARE ST JAMES LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025
• PARKER COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/15/2025
• PMG OPCO - COLLEGE PARK LLC — adp of the snf, NOT APPLICABLE, since 02/21/2025
• PMG OPCO - COLLEGE PARK LLC — operational/managerial control, NOT APPLICABLE, since 01/15/2025
• PMG REALCO - COLLEGE PARK LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 02/28/2025
• PMG REALCO - COLLEGE PARK LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2025
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 01/15/2025