Inspection Results » Capital City Gardens Rehabilitation and Nursing Continuing Education

Health Inspection on October 25, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-11-21)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2018-11-21)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-21)
   • 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. (Corrected 2018-11-21)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-21)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-11-21)
   • Provide activities to meet all resident's needs. (Corrected 2018-11-21)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-21)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-21)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-21)
   • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (Corrected 2018-11-21)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-11-21)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-21)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-11-21)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-21)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-21)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-21)