Deficiency Records for Cadia Rehabilitation Capitol
Updated as of April 01, 2020
This is not the most recent data for Cadia Rehabilitation Capitol. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-02-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-10 | 2020-02-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-10 | 2020-02-12 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-10 | 2020-02-12 | Y |
| 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 ne | Health | 2020-01-10 | 2020-02-12 | Y |
| 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-23 | 2019-06-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-21 | 2019-04-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-21 | 2019-04-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-21 | 2019-04-09 | Y |
| 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-30 | 2018-10-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-30 | 2018-10-22 | 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 | 2018-07-30 | 2018-10-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-30 | 2018-10-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-07-30 | 2018-10-22 | N |
| Post nurse staffing information every day. | Health | 2018-07-30 | 2018-10-22 | 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 ne | Health | 2018-07-30 | 2018-10-22 | N |
| 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. | Health | 2018-07-30 | 2018-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-30 | 2018-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-02 | 2018-08-24 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-08-02 | 2018-08-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-02 | 2018-08-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-05-11 | 2018-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-11 | 2018-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-11 | 2018-06-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-07 | 2018-03-20 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-19 | 2017-08-30 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-19 | 2017-08-30 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-07-19 | 2017-08-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-19 | 2017-08-30 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-26 | 2017-06-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-05-26 | 2017-06-29 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-05-26 | 2017-06-29 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-05-26 | 2017-06-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-05-26 | 2017-06-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-26 | 2017-06-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-26 | 2017-06-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-26 | 2017-06-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-25 | 2017-06-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-05-25 | 2017-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-25 | 2017-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-25 | 2017-06-19 | N |
