Deficiency Records for Bridgepoint Subacute and Rehab Capitol Hill
Updated as of March 01, 2018
This is not the most recent data for Bridgepoint Subacute and Rehab Capitol Hill. For the most recent information, click here.
A list of the most recent deficiencies for Bridgepoint Subacute and Rehab Capitol Hill. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-17 | 2017-09-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-07-17 | 2017-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-17 | 2017-09-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-30 | 2017-08-04 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-30 | 2017-08-04 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-05-30 | 2017-08-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-30 | 2017-08-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-30 | 2017-08-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-30 | 2017-08-04 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-05-30 | 2017-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-30 | 2017-08-04 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-30 | 2017-08-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-30 | 2017-08-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-30 | 2017-08-04 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-05-30 | 2017-08-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-30 | 2017-08-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-15 | 2017-03-15 | Y |
| 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 | 2017-02-15 | 2017-03-15 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-02-15 | 2017-03-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-12 | 2016-09-06 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-07-12 | 2016-09-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-12 | 2016-09-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-20 | 2016-08-11 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-20 | 2016-08-11 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-20 | 2016-08-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-20 | 2016-08-11 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-20 | 2016-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-20 | 2016-08-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-20 | 2016-08-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-20 | 2016-08-11 | N |
| Keep all essential equipment working safely. | Health | 2016-06-20 | 2016-08-11 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-06-20 | 2016-08-11 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-06-20 | 2016-08-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-20 | 2016-08-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-14 | 2015-11-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-14 | 2015-11-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-14 | 2015-11-30 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-14 | 2015-11-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-14 | 2015-11-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-09-23 | 2015-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-09-23 | 2015-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-09-23 | 2015-11-10 | N |
| Provide housekeeping and maintenance services. | Health | 2015-09-23 | 2015-11-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-09-23 | 2015-11-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-23 | 2015-11-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-23 | 2015-11-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-23 | 2015-11-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-09-23 | 2015-11-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-23 | 2015-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-23 | 2015-11-10 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-09-23 | 2015-11-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-09-23 | 2015-11-10 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-09-23 | 2015-11-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-23 | 2015-11-10 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-09-23 | 2015-11-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-09-23 | 2015-11-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-23 | 2015-11-10 | N |
| Keep all essential equipment working safely. | Health | 2015-09-23 | 2015-11-10 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-09-23 | 2015-11-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-09-23 | 2015-11-10 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-09-23 | 2015-11-10 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2015-09-23 | 2015-11-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-23 | 2015-11-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-09-23 | 2015-11-10 | N |
