CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Capital City Gardens Rehabilitation and Nursing Ce
View the most recent health deficiencies and inspection results for Capital City Gardens Rehabilitation and Nursing Ce. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Capital City Gardens Rehabilitation and Nursing Ce. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-04-22 | 2026-05-13 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-02-04 | 2026-02-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-04 | 2026-02-09 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-03-06 | 2025-03-21 | 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 | 2025-03-06 | 2025-03-21 | 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 | 2025-03-06 | 2025-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-03-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-06 | 2025-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-06 | 2025-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-06 | 2025-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-06 | 2025-03-21 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-03-06 | 2025-03-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-06 | 2025-03-21 | 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 | 2025-03-06 | 2025-03-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-03-06 | 2025-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-06 | 2025-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-06 | 2025-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-06 | 2025-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-06 | 2025-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-29 | 2025-01-15 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-29 | 2025-01-15 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-13 | 2025-01-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-13 | 2025-01-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-13 | 2025-01-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-19 | 2025-01-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-29 | 2025-01-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-12 | 2025-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2025-01-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-21 | 2025-01-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-29 | 2025-01-13 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-19 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-29 | 2025-01-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-10-29 | 2025-01-13 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-11-19 | 2025-01-13 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-19 | 2025-01-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-19 | 2025-01-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-29 | 2025-01-13 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-29 | 2025-01-13 | Y |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-10-29 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-16 | 2024-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-23 | 2024-07-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-21 | 2024-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-21 | 2024-07-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-02 | 2024-04-12 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-14 | 2024-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-07 | 2023-11-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-11-13 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-07 | 2023-11-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-07 | 2023-11-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-14 | 2023-08-25 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-06 | 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 | 2023-03-16 | 2023-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-09 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-11-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-11-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-09 | 2019-11-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-09 | 2019-11-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-09 | 2019-11-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-09 | 2019-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-09 | 2019-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-09 | 2019-10-31 | N |