Capital Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Capital Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Jul 1, 2021

  Based on record review and resident and staff interview the facility failed to develop an individualized care plan for 4 of 39 residents whose care plans were reviewed (Resident #19, #21, #40 and #43). The findings included: 1. Resident #19 was admitted to the facility on [DATE] and had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident's active care plan had an entry that was dated 12/31/19 and noted the resident was at risk for pressure ulcers. One of the interventions listed was to observe the resident's skin upon return from [CONDITION(S)]. The most recent Minimum Data Set (MDS) Assessment (Quarterly) dated 3/24/21 revealed the resident was cognitively impaired. The MDS did not indicate the resident received [CONDITION(S)]. […]

• No harm, potential for more than minimal, patternF657Jul 1, 2021

  Based on record review and staff interview the facility failed to update residents' care plans to reflect the care required for 2 of 39 residents whose care plans were reviewed (Resident #19 and #21). The findings included: Resident #19 was admitted to the facility on [DATE] and had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . 1a. The resident's current care plan revealed an entry dated 12/31/19 that noted the resident was to be transferred with minimal assist with pull to stand at parallel bar. […]

• No harm, potential for more than minimal, patternF677Jul 1, 2021

  Based on observations, record review and staff interviews, the facility failed to provide nail care for 5 of 6 dependent residents reviewed for Activities of Daily Living (ADL) (Residents #67, #13, #53, #28 and #36). Findings included: 1. Resident #67 had been admitted on [DATE]. Her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Resident #67's most recent quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated she had severe cognitive impairment, was able to feed herself with supervision and required extensive to total care for all other ADLs. Resident #67's ADL Care Plan initiated on 4/10/2017 indicated she had an ADL self-care performance deficit related to dementia. The care plan goal was to improve [her] current level of function. […]

• No harm, potential for more than minimal, patternF814Jul 1, 2021

  Based on observation and staff interviews the facility failed to maintain one of one dumpster in good condition that contained waste and was free of leaks. The findings included: During the initial tour on 6/28/21 at 10:15 AM the dumpster was observed with the dietary manager. The dumpster had a rusty hole on the right long side of the dumpster that dripped. A pool of sludge approximately 20 inches long and 2-4 inches wide with wet sludge. Four flies were observed hovering over the wet sludge. […]

• No harm, potential for more than minimal, patternF686Mar 31, 2021

  Based on staff and physician interviews and record review the facility failed to assess and initiate pressure ulcer care on a resident with a newly identified wound for five days for 1 of 1 resident reviewed for pressure ulcer care. (Resident #1) Findings included: Resident #1 was admitted to the facility on [DATE]. A review of Resident #1 ' s minimum data set assessment dated [DATE] revealed he was assessed as moderately cognitively impaired. He had no behaviors. Resident #1 required extensive assistance with bed mobility and eating. He was assessed to be totally dependent on staff for transfers, dressing, toilet use, and personal hygiene. He was always incontinent of bowel and bladder and had a condom catheter. Resident #1 ' s active diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]