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Deficiency Records for Capitol River Wellness and Rehabilitation
View the most recent health deficiencies and inspection results for Capitol River Wellness and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Capitol River Wellness and Rehabilitation. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-28 | 2025-05-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-04 | 2025-04-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-04 | 2025-04-17 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-19 | 2025-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-19 | 2025-02-02 | 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 | 2024-12-19 | 2025-02-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-12-19 | 2025-02-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-12-19 | 2025-02-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-19 | 2025-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-19 | 2025-02-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-12-19 | 2025-02-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-13 | 2024-04-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-08 | 2024-03-22 | 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 | 2024-02-08 | 2024-03-22 | 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 | 2024-02-08 | 2024-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-08 | 2024-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-08 | 2024-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-08 | 2024-03-22 | 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 | 2024-02-08 | 2024-03-22 | 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 | 2024-02-08 | 2024-03-22 | 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 | 2024-02-08 | 2024-03-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-08 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-08 | 2024-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-14 | 2023-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-10-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-29 | 2023-10-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-28 | 2023-08-11 | 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 | 2023-06-28 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-28 | 2023-08-11 | 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 | 2022-08-17 | 2022-10-01 | 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 | 2022-08-17 | 2022-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-17 | 2022-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-17 | 2022-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-10-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-17 | 2022-10-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-17 | 2022-10-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-17 | 2022-10-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-17 | 2022-10-01 | N |