Inspection Results » Capitol Village

Health Inspection on August 3, 2018 ^[1]

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

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-08-30)
   • 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. (Corrected 2018-08-30)

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

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-08-30)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-30)

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

   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-08-30)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-30)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-08-30)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-08-30)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-30)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-30)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-30)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-08-30)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-30)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-30)

4. Widespread: No actual harm with potential for minimal harm

   • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-08-30)