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Deficiency Records for Capitol Lakes Health Center
View the most recent health deficiencies and inspection results for Capitol Lakes Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Capitol Lakes Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet requirements for the use of electrical equipment. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-03-10 | 2026-03-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-10 | 2026-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-06 | 2024-12-06 | 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 | 2024-11-06 | 2024-12-06 | N |
| Provide appropriate foot care. | Health | 2024-11-06 | 2024-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-06 | 2024-12-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-06 | 2024-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-12-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-06 | 2024-12-06 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-10-05 | 2023-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-11-03 | 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 | 2023-10-05 | 2023-11-03 | 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 | 2023-10-05 | 2023-11-03 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-10-05 | 2023-11-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-05 | 2023-10-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-05 | 2023-10-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-05 | 2023-10-23 | 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 | 2023-10-05 | 2023-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-05 | 2023-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-05 | 2023-10-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-05 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-10-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-21 | 2023-07-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-21 | 2023-07-18 | Y |