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Deficiency Records for Cape Heritage Rehabilitation and Health Care Center
View the most recent health deficiencies and inspection results for Cape Heritage Rehabilitation and Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cape Heritage Rehabilitation and Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-05-21 | 2025-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-21 | 2025-07-01 | N |
| Keep all essential equipment working safely. | Health | 2025-05-21 | 2025-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-21 | 2025-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-21 | 2025-06-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-21 | 2025-06-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-10 | 2024-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-10 | 2024-05-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-10 | 2024-05-22 | 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 | 2024-04-10 | 2024-05-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-10 | 2024-05-22 | 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 | 2024-04-10 | 2024-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-05 | 2022-12-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-05 | 2022-12-30 | 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 | 2022-10-05 | 2022-12-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-05 | 2022-12-30 | 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 | 2022-10-05 | 2022-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-05 | 2022-12-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-05 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-12-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-12-30 | 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 | 2022-10-05 | 2022-12-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-05 | 2022-11-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-05 | 2022-11-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-05 | 2022-11-19 | N |
| Report COVID19 data to residents and families. | Health | 2022-10-05 | 2022-11-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-05 | 2022-11-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-10-05 | 2022-11-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-05 | 2022-11-19 | 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 | 2022-10-05 | 2022-11-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-05 | 2022-11-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-05 | 2022-11-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-05 | 2022-11-19 | 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 | 2022-10-05 | 2022-11-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-05 | 2022-11-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-05 | 2022-11-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-05 | 2022-11-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-05 | 2022-11-19 | N |
| 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 | 2022-10-05 | 2022-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-11-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-11-19 | N |
| 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 | 2022-10-05 | 2022-11-19 | 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 | 2022-10-05 | 2022-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-05 | 2022-11-19 | N |
| 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 | 2022-10-05 | 2022-11-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-05 | 2022-11-18 | N |