Deficiency Records for Capstone Healthcare Estates at Veterans Memorial
Updated as of June 01, 2017
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? |
|---|---|---|---|---|
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-01 | 2017-02-07 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-01 | 2017-02-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-22 | 2016-12-07 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-22 | 2016-12-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-22 | 2016-12-07 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-22 | 2016-12-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-22 | 2016-10-07 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-09-22 | 2016-10-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-22 | 2016-10-07 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-09-22 | 2016-10-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-22 | 2016-10-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-22 | 2016-10-07 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-09-22 | 2016-10-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-22 | 2016-10-07 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-09-22 | 2016-10-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-22 | 2016-10-07 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-08-31 | 2016-09-22 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-08-31 | 2016-09-22 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-08-11 | 2016-09-09 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-08-11 | 2016-09-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-11 | 2016-09-09 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-08-11 | 2016-09-09 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-08-11 | 2016-09-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-11 | 2016-09-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-12 | 2016-07-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-12 | 2016-07-22 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-11 | 2016-05-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-11 | 2016-05-31 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-11 | 2016-05-31 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-11 | 2016-05-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-11 | 2016-05-31 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-11 | 2016-05-31 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-23 | 2016-04-06 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-23 | 2016-04-06 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-10 | 2015-12-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-10 | 2015-12-02 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-10 | 2015-12-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-10 | 2015-12-02 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-21 | 2015-09-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-21 | 2015-09-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-21 | 2015-09-15 | N |
| Keep all essential equipment working safely. | Health | 2015-08-21 | 2015-09-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-21 | 2015-09-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-21 | 2015-09-15 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-21 | 2015-09-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-21 | 2015-09-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-21 | 2015-09-15 | N |
| Keep all essential equipment working safely. | Health | 2015-08-21 | 2015-09-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-21 | 2015-09-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-21 | 2015-09-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-08 | 2015-07-21 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-08 | 2015-07-21 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-08 | 2015-07-21 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-08 | 2015-07-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-27 | 2015-06-08 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-27 | 2015-06-08 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-03-10 | 2015-04-13 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-03-10 | 2015-04-13 | Y |
| Let residents choose whether to manage their own money or deposit it with the nursing home. | Health | 2014-12-09 | 2015-01-07 | Y |
| Let residents choose whether to manage their own money or deposit it with the nursing home. | Health | 2014-12-09 | 2015-01-07 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-12-17 | 2014-12-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-12-17 | 2014-12-29 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-12-17 | 2014-12-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-12-17 | 2014-12-29 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-12-09 | 2014-12-19 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-12-09 | 2014-12-19 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-12-09 | 2014-12-19 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-12-09 | 2014-12-19 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-12-09 | 2014-12-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-09 | 2014-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-11-20 | 2014-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-12-09 | 2014-12-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-09 | 2014-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-11-20 | 2014-12-15 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2014-10-28 | 2014-11-18 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2014-10-28 | 2014-11-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-10-28 | 2014-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-10-28 | 2014-11-08 | Y |
| Let residents choose whether to manage their own money or deposit it with the nursing home. | Health | 2014-07-24 | 2014-08-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-07-24 | 2014-08-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-07-24 | 2014-08-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-24 | 2014-08-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-07-24 | 2014-08-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-07-24 | 2014-08-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-07-24 | 2014-08-21 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-07-24 | 2014-08-21 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2014-07-24 | 2014-08-21 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2014-07-24 | 2014-08-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-24 | 2014-08-21 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-07-24 | 2014-08-21 | N |
| Let residents choose whether to manage their own money or deposit it with the nursing home. | Health | 2014-07-24 | 2014-08-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-07-24 | 2014-08-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-07-24 | 2014-08-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-24 | 2014-08-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-07-24 | 2014-08-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-07-24 | 2014-08-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-07-24 | 2014-08-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-07-24 | 2014-08-21 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-07-24 | 2014-08-21 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-07-24 | 2014-08-21 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2014-07-24 | 2014-08-21 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2014-07-24 | 2014-08-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-24 | 2014-08-21 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-07-24 | 2014-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-06-06 | 2014-07-03 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-06-06 | 2014-07-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-06-06 | 2014-07-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-06-06 | 2014-07-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-06-06 | 2014-07-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-06-06 | 2014-07-03 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-06-06 | 2014-07-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-06-06 | 2014-07-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-06-06 | 2014-07-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-06-06 | 2014-07-03 | Y |
