Capital View Transitional Care Center

In the surveyor’s words

From the most serious findings on record at Capital View Transitional Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 22, 2022

  Based on observation, interviews and document review the facility failed to ensure the infection control program included ongoing trending and analysis of community transmission Covid 19 levels to prevent the spread of infections. This deficient practice had the potential to affect all 19 residents who reside at this facility Findings include: The CDC COVID Data Tracker indicated [NAME] County community transmission rate was listed as high on 7/22/22. Review of the CDC guidance dated 2/2/22 indicated, Interim Infection Prevention and Control Recommendations for Healthcare Personnel (HCP) During the Coronavirus Disease 2019 (COVID-19) Pandemic indicated staff working in health care facilities should follow standard and transmission based precautions, utilize source control, which included… […]

• No harm, potential for more than minimal, patternF880Feb 1, 2024

  Based on observation, interview and document review, the facility failed to follow nationally recognized best practices regarding isolation precaution for communicable diseases for 1 of 4 residents (R7) this had the potential to affect 8 residents who resided on the unit. Additionally, the facility failed to ensure hand hygiene was performed during incontinent cares for 1 of 1 resident (R6) reviewed for infection control practices. Findings include: R7's admission minimum data set (MDS) dated [DATE], indicated R7 was cognitively intact, did not refuse cares, and incontinent of bladder and bowel. R7 had impairment to both upper extremities. […]

• No harm, potential for more than minimal, patternF883Feb 1, 2024

  Based on interview and record review, the facility failed to accurately assess residents' eligibility to receive the pneumococcal vaccination according to The Centers of Disease and Control and Prevention (CDC) for 5 of 5 (R7, R6, R74, R4) residents reviewed for vaccinations. Findings include: R7's admission MDS dated [DATE], indicated R7 was cognitively intact and had diagnoses of diabetes and chronic kidney failure. Furthermore, R7's MDS indicated R7 was up to date with the pneumococcal vaccine. R7's facility immunization record dated 12/26/23, indicated R7's PPV status was up to date and was received 10/9/17. R72's immunization record lacked what PPV dose(s) had previously been given. […]

• No harm, potential for more than minimal, isolatedF684Nov 19, 2025

  Based on observation, interview and record review the facility failed to ensure a skin tear had continued monitoring and treatment for 1 of 1 resident (R17) reviewed for non-pressure skin injuries. Findings include: R17's face sheet dated 11/12/25, indicated R17 was recently admitted to the facility and had diagnoses of pathological compression fractures of the cervical spine and squamous cell cancer involving the bone.R17's Wound Care Alert dated 11/12/25, indicated R17 had a skin tear on the right forearm that was covered with a mepelix (foam protective dressing). The document lacked indication of an assessment or description of the skin tear. […]

• No harm, potential for more than minimal, isolatedF609Jun 17, 2025

  Based on interview and document review, the facility failed to ensure allegations of abuse were reported to the State Agency (SA) immediately (within two hours) for 1 of 3 residents (R1) reviewed for allegations of abuse. Findings include: R1's 5-day Minimum Data Set (MDS) dated [DATE] indicated R1 had moderately impaired cognition with diagnoses which included diverticulitis with recent surgery on the gastrointestinal tract. A Facility Reported Event (FRI) submitted to the SA on 6/11/25 at 4:25 p.m. indicated on the evening shift of 6/6/25 R1 told a social worker a nurse had put their hands on R1's neck, and pushed her back into bed. R1 was not sure if the nurse was going to choke her. […]