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Deficiency Records for Cape Regency Rehabilitation and Health Care Center
View the most recent health deficiencies and inspection results for Cape Regency Rehabilitation and Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cape Regency Rehabilitation and Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-20 | 2025-07-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-20 | 2025-07-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-20 | 2025-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-20 | 2025-07-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-20 | 2025-07-03 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-20 | 2025-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-20 | 2025-06-30 | 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 | 2025-05-20 | 2025-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-20 | 2025-06-30 | 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 | 2025-05-20 | 2025-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-05-20 | 2025-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-20 | 2025-06-30 | 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 | 2025-05-20 | 2025-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-20 | 2025-06-30 | 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 | 2025-05-20 | 2025-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-20 | 2025-06-30 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-05-20 | 2025-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-20 | 2025-06-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-05-20 | 2025-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-20 | 2025-06-30 | N |
| Keep all essential equipment working safely. | Health | 2025-05-20 | 2025-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-22 | 2025-06-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-22 | 2025-06-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-04-01 | 2024-04-29 | N |
| Keep all essential equipment working safely. | Health | 2024-04-01 | 2024-04-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-01 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-01 | 2024-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-01 | 2024-04-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-04-01 | 2024-04-29 | 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 | 2024-04-01 | 2024-04-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-01 | 2024-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-01 | 2024-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-01 | 2024-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-01 | 2024-04-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-01 | 2024-04-29 | 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 | 2024-04-01 | 2024-04-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-01 | 2024-04-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-01 | 2024-04-29 | N |
| 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 | 2022-09-22 | 2022-11-05 | N |
| Keep all essential equipment working safely. | Health | 2022-09-22 | 2022-10-14 | N |
| Perform COVID19 testing on residents and staff. | 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 |
| 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 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 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 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 |
| 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 enough food/fluids to maintain a resident's health. | 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 |
| 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 |