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Deficiency Records for Medilodge of Capital Area
A list of the most recent deficiencies for Medilodge of Capital Area. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Medilodge of Capital Area. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-07-23 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-27 | 2024-07-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-27 | 2024-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-27 | 2024-07-23 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-27 | 2024-07-23 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-27 | 2024-07-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-06-27 | 2024-07-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-27 | 2024-07-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-27 | 2024-07-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-27 | 2024-07-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-06-27 | 2024-07-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-06-27 | 2024-07-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-27 | 2024-07-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-29 | 2024-04-05 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-15 | 2024-02-20 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-04 | 2023-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-07-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-01 | 2023-06-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-01 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-01 | 2023-06-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-13 | 2023-05-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-05-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-13 | 2023-05-09 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-01 | 2023-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-01 | 2023-05-09 | 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 | 2023-05-01 | 2023-05-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-01 | 2023-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-01 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-01 | 2023-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-01 | 2023-05-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-05-01 | 2023-05-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-01 | 2023-05-09 | 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 | 2023-05-01 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-01 | 2023-05-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-01 | 2023-05-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-01 | 2023-05-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-01 | 2023-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-24 | 2023-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-24 | 2023-05-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-01 | 2023-03-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-01 | 2023-03-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-10 | 2022-06-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-10 | 2022-06-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-10 | 2022-06-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-10 | 2022-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-10 | 2022-06-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-10 | 2022-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-10 | 2022-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-10 | 2022-06-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-10 | 2022-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-10 | 2022-06-07 | 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 | 2022-05-10 | 2022-06-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-10 | 2022-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-10 | 2022-06-07 | 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 | 2022-05-10 | 2022-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-10 | 2022-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-10 | 2022-06-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-10 | 2022-06-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-10 | 2022-06-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-11-09 | 2021-11-12 | Y |
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