CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Culpeper Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Culpeper Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Culpeper Health and Rehabilitation Center. Stay informed about quality of care issues.
| 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 | 2025-07-29 | 2025-09-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-07-29 | 2025-09-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-29 | 2025-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-29 | 2025-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-29 | 2025-09-23 | Y |
| 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 | 2025-03-13 | 2025-04-15 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-03-13 | 2025-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-11-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-10 | 2024-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-10 | 2024-09-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-10 | 2024-09-04 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-07-10 | 2024-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-09-04 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-07-10 | 2024-08-20 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-10 | 2024-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-10 | 2024-08-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-10 | 2024-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-10 | 2024-08-20 | N |
| Provide appropriate foot care. | Health | 2024-07-10 | 2024-08-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-10 | 2024-08-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-10 | 2024-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-10 | 2024-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-10 | 2024-08-20 | 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 | 2024-07-10 | 2024-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-10 | 2024-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-15 | 2022-11-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-15 | 2022-11-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-19 | N |
| 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 | 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 |
| Provide and implement an infection prevention and control program. | 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 safe and appropriate respiratory care for a resident when needed. | 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 appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-15 | 2022-10-19 | 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 |
| 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 | 2021-05-19 | 2021-06-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-05-19 | 2021-06-05 | N |