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Deficiency Records for Caprock Nursing and Rehabilitation
A list of the most recent deficiencies for Caprock Nursing and Rehabilitation. 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 Caprock Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2024-07-24 | 2024-09-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-26 | 2024-05-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-26 | 2024-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-26 | 2024-05-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-26 | 2024-05-06 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-26 | 2024-05-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-26 | 2024-05-06 | 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 | 2024-03-26 | 2024-05-06 | N |
| Keep all essential equipment working safely. | Health | 2024-03-26 | 2024-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-31 | 2023-02-23 | 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 | 2023-01-31 | 2023-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-31 | 2023-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-31 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-31 | 2023-02-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-29 | 2022-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-29 | 2022-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-29 | 2022-12-22 | Y |
| 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 | 2021-11-03 | 2021-12-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-02 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-08 | 2021-11-05 | 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 | 2021-10-08 | 2021-11-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-02 | 2021-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-02 | 2021-11-03 | N |
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