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Deficiency Records for Capstone Center For Rehabilitation and Nursing

A list of the most recent deficiencies for Capstone Center For Rehabilitation and Nursing. 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 Capstone Center For Rehabilitation and Nursing. 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-05-28 2024-08-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-28 2024-06-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-01 2024-03-18 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-01-21 2022-03-15 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-01-21 2022-03-15 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-01-21 2022-03-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-01-21 2022-03-01 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 2022-01-21 2022-03-01 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 2022-01-21 2022-03-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-01-21 2022-03-01 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 2022-01-21 2022-03-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-21 2022-03-01 N
Provide and implement an infection prevention and control program. Health 2022-01-21 2022-03-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-10-22 2019-12-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-22 2019-12-21 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-10-22 2019-12-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-10-22 2019-12-10 N
Provide activities to meet all resident's needs. Health 2019-10-22 2019-12-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-10-22 2019-12-10 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 2018-07-13 2018-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-13 2018-09-05 N
Provide enough food/fluids to maintain a resident's health. Health 2018-07-13 2018-09-05 N
Keep all essential equipment working safely. Health 2018-07-13 2018-09-05 N
Establish policies and procedures for volunteers. Fire Safety 2018-07-13 2018-09-05 N
Establish staff and initial training requirements. Fire Safety 2018-07-13 2018-09-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2018-07-13 2018-09-05 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2018-07-13 2018-09-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-07-13 2018-09-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-07-13 2018-09-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-07-13 2018-09-05 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2018-07-13 2018-09-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-10-22 Not Fixed N

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