Deficiency Records for Capstone Center For Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Capstone Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-21 | 2022-03-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-21 | 2022-03-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-01-21 | 2022-03-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-21 | 2022-03-01 | 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 | 2022-01-21 | 2022-03-01 | 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 | 2022-01-21 | 2022-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-21 | 2022-03-01 | 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 | 2022-01-21 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-22 | 2019-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-22 | 2019-12-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-22 | 2019-12-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-22 | 2019-12-10 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-22 | 2019-12-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-22 | 2019-12-10 | 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 | 2018-07-13 | 2018-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-09-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-13 | 2018-09-05 | N |
| Keep all essential equipment working safely. | Health | 2018-07-13 | 2018-09-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-13 | 2018-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-22 | Not Fixed | N |
