Deficiency Records for Cadia Rehabilitation Capitol
Updated as of May 01, 2024
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Deficiency Records for Cadia Rehabilitation Capitol
A list of the most recent deficiencies for Cadia Rehabilitation Capitol. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Cadia Rehabilitation Capitol. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-08 | 2023-12-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2023-12-08 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-08 | 2023-12-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-08 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-08 | 2023-12-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-12-08 | N |
Provide activities to meet all resident's needs. | Health | 2023-11-08 | 2023-12-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-08 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-08 | 2023-12-08 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-08 | 2023-12-08 | N |
Provide or obtain dental services for each resident. | Health | 2023-11-08 | 2023-12-08 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-08 | 2023-12-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-08 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-08 | 2023-12-08 | N |
Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2023-12-08 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-08 | 2023-12-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-03-29 | 2022-05-16 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-29 | 2022-05-16 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-03-29 | 2022-05-16 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-29 | 2022-05-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-05-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-05-16 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-29 | 2022-05-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-05-16 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-29 | 2022-05-16 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-29 | 2022-05-16 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-29 | 2022-05-16 | Y |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-31 | 2022-04-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-31 | 2022-04-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-31 | 2022-04-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-18 | 2019-08-02 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-18 | 2019-08-02 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-18 | 2019-08-02 | N |
Honor 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. | Health | 2019-06-18 | 2019-08-02 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-18 | 2019-08-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-18 | 2019-08-02 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-18 | 2019-08-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-18 | 2019-08-02 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-18 | 2019-08-02 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-18 | 2019-08-02 | N |
Ensure 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. | Health | 2019-06-18 | 2019-08-02 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-18 | 2019-08-02 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-18 | 2019-08-02 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-18 | 2019-02-28 | N |
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