Deficiency Records for Capstone Healthcare Estates at Veterans Memorial
Updated as of October 01, 2023
This is not the most recent data for Capstone Healthcare Estates at Veterans Memorial. For the most recent information, click here.
A list of the most recent deficiencies for Capstone Healthcare Estates at Veterans Memorial. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-26 | 2023-05-20 | Y |
| 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 | 2023-02-27 | 2023-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-27 | 2023-03-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-09 | 2022-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-09 | 2022-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-09 | 2022-09-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-09 | 2022-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-05-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-26 | 2021-11-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-15 | 2021-08-02 | 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 | 2021-07-15 | 2021-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-15 | 2021-08-02 | 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 | 2021-07-15 | 2021-08-02 | 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 | 2021-07-15 | 2021-08-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-15 | 2021-08-02 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-15 | 2021-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-07-20 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-02-23 | 2021-02-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-13 | 2019-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-13 | 2019-09-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-13 | 2019-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-13 | 2019-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-13 | 2019-09-15 | 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 | 2019-09-13 | 2019-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-13 | 2019-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-13 | 2019-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-13 | 2019-09-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-13 | 2019-09-15 | 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 | 2019-09-13 | 2019-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-13 | 2019-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-09-15 | N |
