Deficiency Records for Cape Regency Rehabilitation and Health Care Center

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Updated as of April 01, 2024

A list of the most recent deficiencies for Cape Regency Rehabilitation and Health Care 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-09 2023-06-16 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-05-09 2023-06-16 Y
Provide and implement an infection prevention and control program. Health 2022-09-22 2022-11-11 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-09-20 2022-11-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-22 2022-10-14 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 2022-09-22 2022-10-14 N
Provide enough food/fluids to maintain a resident's health. Health 2022-09-22 2022-10-14 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-09-22 2022-10-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-22 2022-10-14 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 2022-09-22 2022-10-14 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 2022-09-22 2022-10-14 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-09-22 2022-10-14 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-22 2022-10-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-22 2022-10-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-22 2022-10-14 N
Perform COVID19 testing on residents and staff. Health 2022-09-22 2022-10-14 N
Keep all essential equipment working safely. Health 2022-09-22 2022-10-14 N
Have exits that are accessible at all times. Fire Safety 2019-10-30 2019-12-14 N
Install an approved automatic sprinkler system. Fire Safety 2019-10-30 2019-12-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-30 2019-12-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-30 2019-12-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-30 2019-12-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-09-12 2019-11-05 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-09-12 2019-11-05 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-09-12 2019-11-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-09-12 2019-11-05 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 2019-09-12 2019-11-05 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-09-12 2019-11-05 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-09-12 2019-11-05 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-09-12 2019-11-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-12 2019-11-05 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-12 2019-11-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-09-12 2019-11-05 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 2019-09-12 2019-11-05 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-09-12 2019-11-05 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 2019-09-12 2019-11-05 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2019-09-12 2019-11-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-12 2019-11-05 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-09-12 2019-11-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-12 2019-11-05 N
Keep all essential equipment working safely. Health 2019-09-12 2019-11-05 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-09-12 2019-11-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-11-07 2018-11-30 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2018-10-18 2018-11-28 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2018-11-07 2018-11-26 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2018-10-18 2018-11-16 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2018-10-18 2018-11-16 N
Ensure each resident receives an accurate assessment. Health 2018-10-18 2018-11-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-10-18 2018-11-16 N
Provide enough food/fluids to maintain a resident's health. Health 2018-10-18 2018-11-16 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-10-18 2018-11-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-10-18 2018-11-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-10-18 2018-11-16 N