Deficiency Records for Cadia Rehabilitation Capitol
Updated as of October 01, 2021
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 and implement an infection prevention and control program. | Health | 2020-11-20 | 2020-12-22 | Y |
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 necessary and PRN use is limited. | 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 necessary and PRN use is limited. | 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 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 |