Deficiency Records for Capstone Healthcare Estates at Veterans Memorial
Updated as of April 01, 2019
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2018-12-07 | 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 | 2018-10-11 | 2018-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-11 | 2018-11-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-11 | 2018-11-25 | 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 | 2018-10-11 | 2018-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-16 | 2018-06-19 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-05-03 | 2018-05-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-30 | 2017-12-14 | Y |
| 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 | 2017-11-30 | 2017-12-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-11-30 | 2017-12-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-17 | 2017-12-05 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-17 | 2017-12-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-17 | 2017-12-05 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-26 | 2017-11-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-26 | 2017-11-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-11-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-26 | 2017-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-11-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-26 | 2017-11-06 | N |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2017-10-26 | 2017-11-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-26 | 2017-11-06 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-26 | 2017-11-06 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-26 | 2017-11-06 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-06 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-26 | 2017-10-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-10-10 | 2017-10-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-20 | 2017-10-06 | 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 |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-09-22 | 2016-10-07 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-22 | 2016-10-07 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-09-22 | 2016-10-07 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-09-22 | 2016-10-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-22 | 2016-10-07 | N |
| 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 |
| 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 |
| 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 |
