Deficiency Records for North Capitol Nursing and Rehabilitation Center
Updated as of April 01, 2020
This is not the most recent data for North Capitol Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for North Capitol Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Be properly staffed | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-12 | 2019-03-14 | 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 | 2019-02-12 | 2019-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-12 | 2019-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-12 | 2019-03-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-12 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-12 | 2019-03-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-24 | 2018-02-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-01-24 | 2018-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-24 | 2018-02-23 | 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 | 2018-01-24 | 2018-02-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-24 | 2018-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-24 | 2018-02-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-01-24 | 2018-02-23 | 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 | 2018-01-24 | 2018-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-24 | 2018-02-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-01-24 | 2018-02-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-01-24 | 2018-02-23 | 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 | 2018-01-24 | 2018-02-23 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-01-24 | 2018-02-23 | N |
| Provide or obtain dental services for each resident. | Health | 2018-01-24 | 2018-02-23 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-01-24 | 2018-02-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-24 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-24 | 2018-02-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-10 | 2017-05-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-10 | 2017-05-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-10 | 2017-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-10 | 2017-05-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-10 | 2017-05-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-22 | 2017-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-12-06 | 2017-01-05 | 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 | 2016-12-06 | 2017-01-05 | 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 | 2016-12-06 | 2017-01-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-06 | 2017-01-05 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-12-06 | 2017-01-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-06 | 2017-01-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-06 | 2017-01-05 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-12-06 | 2017-01-05 | N |
