Deficiency Records for Bridgepoint Subacute and Rehab Capitol Hill
Updated as of June 01, 2019
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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-05-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-26 | 2018-09-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-26 | 2018-09-15 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-06-26 | 2018-09-15 | 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 | 2018-06-26 | 2018-09-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-26 | 2018-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-26 | 2018-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-26 | 2018-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-26 | 2018-09-15 | 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 | 2018-06-26 | 2018-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-26 | 2018-09-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-06-26 | 2018-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-26 | 2018-09-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-26 | 2018-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-26 | 2018-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-26 | 2018-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-26 | 2018-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-26 | 2018-09-15 | 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 | 2018-06-26 | 2018-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-26 | 2018-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-26 | 2018-09-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-06-26 | 2018-09-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-06-26 | 2018-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-26 | 2018-09-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-06-26 | 2018-09-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-20 | 2018-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-20 | 2018-08-15 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-26 | 2018-07-16 | N |
| 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 |
