Deficiency Records for Culpeper Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Culpeper Health and Rehabilitation 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-08 | 2023-04-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-27 | 2022-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-27 | 2022-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-27 | 2022-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-27 | 2022-11-02 | 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 | 2022-09-15 | 2022-10-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-15 | 2022-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-10-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-15 | 2022-10-19 | N |
| Post nurse staffing information every day. | Health | 2022-09-15 | 2022-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-15 | 2022-10-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-15 | 2022-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-19 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-09-15 | 2022-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-31 | 2021-09-17 | Y |
| 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 | 2021-08-31 | 2021-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-19 | 2021-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-19 | 2021-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-19 | 2021-06-08 | 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 | 2021-05-19 | 2021-06-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-19 | 2021-06-08 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-19 | 2021-06-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-19 | 2021-06-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-21 | 2021-06-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-05-21 | 2021-06-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| 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 | 2020-01-09 | 2020-05-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2020-01-09 | 2020-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-05 | 2019-11-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-05 | 2019-11-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-05 | 2019-11-27 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-11-05 | 2019-11-27 | N |
| 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 | 2019-11-05 | 2019-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-05 | 2019-11-27 | 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 | 2019-11-05 | 2019-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-05 | 2019-11-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-05 | 2019-11-27 | 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 | 2019-11-05 | 2019-11-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-05 | 2019-11-27 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-05 | 2019-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-05 | 2019-11-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-05 | 2019-03-15 | N |
