Deficiency Records for Capital Post Acute
Updated as of May 01, 2021
This is not the most recent data for Capital Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Capital Post Acute. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-07-23 | 2020-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-19 | 2020-03-27 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-06 | 2019-11-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-10 | 2019-11-07 | 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 | 2019-10-10 | 2019-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-10 | 2019-11-07 | 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 | 2019-10-10 | 2019-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-18 | 2019-08-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-06-03 | 2019-06-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-03 | 2019-06-20 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-03 | 2019-06-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-03 | 2019-06-20 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-11 | 2019-01-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-08 | 2018-12-03 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-18 | 2018-11-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-10-18 | 2018-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-13 | 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 | 2018-10-18 | 2018-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-09 | 2018-10-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-25 | 2018-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-10 | 2018-05-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-20 | 2017-11-15 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-10-20 | 2017-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-20 | 2017-11-15 | N |
| Keep all essential equipment working safely. | Health | 2017-10-20 | 2017-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-20 | 2017-11-15 | N |
