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Deficiency Records for Bridgepoint Subacute and Rehab Capitol Hill

View the most recent health deficiencies and inspection results for Bridgepoint Subacute and Rehab Capitol Hill. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Bridgepoint Subacute and Rehab Capitol Hill. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2025-05-05 2025-08-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-05-05 2025-07-28 Y
Ensure medication error rates are not 5 percent or greater. Health 2025-05-05 2025-07-28 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 2025-05-05 2025-07-28 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-05 2025-07-28 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2025-05-05 2025-07-28 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2025-05-05 2025-07-28 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-05-05 2025-07-28 Y
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 2025-05-05 2025-07-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-05 2025-07-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-05-05 2025-07-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-05-05 2025-07-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-05-05 2025-07-28 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 2025-05-05 2025-07-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-05-05 2025-07-28 Y
Respond appropriately to all alleged violations. Health 2025-05-05 2025-07-28 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-05-05 2025-07-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-05-05 2025-07-28 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2025-05-05 2025-07-28 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-05-05 2025-07-28 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-05-05 2025-07-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-05-05 2025-07-28 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2025-05-05 2025-07-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-05-05 2025-07-28 Y
Provide and implement an infection prevention and control program. Health 2025-05-05 2025-07-28 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-05-05 2025-07-28 Y
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2025-05-05 2025-07-28 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2025-05-05 2025-07-28 Y
Provide training in compliance and ethics. Health 2025-05-05 2025-07-28 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-05-05 2025-07-28 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2025-05-05 2025-07-28 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-05-05 2025-07-08 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2025-05-05 2025-07-08 N
Have restrictions on the use of portable space heaters. Fire Safety 2025-05-05 2025-07-08 N
Provide properly protected cooking facilities. Fire Safety 2025-05-05 2025-07-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-25 2024-03-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-25 2024-03-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-25 2024-03-08 N
Provide properly protected cooking facilities. Fire Safety 2024-01-25 2024-03-08 N
Establish staff and initial training requirements. Fire Safety 2024-01-25 2024-03-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-25 2024-02-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-25 2024-02-21 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-01-25 2024-02-21 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-25 2024-02-21 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-25 2024-02-21 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-02-21 Y
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 2024-01-25 2024-02-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-25 2024-02-21 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2024-01-25 2024-02-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-20 2023-12-04 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 2023-10-20 2023-12-04 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-20 2023-12-04 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 2023-09-15 2023-10-18 Y
Respond appropriately to all alleged violations. Health 2023-09-15 2023-10-18 Y
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 2023-09-15 2023-10-18 Y
Ensure each resident receives an accurate assessment. Health 2023-09-15 2023-10-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-15 2023-10-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-15 2023-10-18 Y
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 2023-09-15 2023-10-18 Y
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 2023-07-14 2023-08-21 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-25 2022-06-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-25 2022-06-20 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-03-25 2022-06-20 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-03-25 2022-06-20 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-25 2022-06-20 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-25 2022-06-20 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 2022-03-25 2022-06-20 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-03-25 2022-06-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-25 2022-06-20 N
Provide and implement an infection prevention and control program. Health 2022-03-25 2022-06-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-03-25 2022-06-20 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 2022-03-25 2022-06-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-25 2022-06-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-25 2022-06-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-25 2022-06-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-25 2022-06-20 N
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2022-03-25 2022-06-20 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-03-25 2022-06-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-25 2022-06-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-25 2022-06-20 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-03-25 2022-06-20 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-03-25 2022-06-20 N
List the names and contact information of those in the facility. Fire Safety 2022-03-25 2022-06-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-25 2022-06-13 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-03-25 2022-06-13 N

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