Capitol House Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Capitol House Nursing and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF605Jul 22, 2026

  Based on record review and interviews, the facility failed to ensure each resident's drug regimen was free of unnecessary medications. The facility failed to ensure direct care nursing staff documented monitoring results of psychotropic medications for side effects and effectiveness for 1 (#10) of 6 residents reviewed for unnecessary medications. Findings:Review of the facility's policy titled Use of Psychotropic Medication with a revision date of 02/2025 revealed the following, in part:Policy Explanation and Compliance Guidelines:13. The effects of the psychotropic medications on a resident's physical, mental, and psychosocial well-being will be evaluated on an ongoing basis, such as:d. […]

• No harm, potential for more than minimal, patternF812Jun 11, 2025

  Based on observations and interviews, the facility failed to store and prepare food under sanitary conditions by failing to ensure: 1. Ceiling vents in the kitchen were clean, free of rust and debris; 2. Ceiling tiles (6) in the kitchen and (2) in the adjacent Dining areas were free from water stains. The deficiency had the potential to affect 64 residents who were served meals from the kitchen. Findings: On 06/09/2025 at 8:13 a.m., the initial tour of the facility's kitchen was conducted with S4DM. […]

• No harm, potential for more than minimal, patternF584Dec 26, 2024

  Based on observations and interviews, the facility failed to ensure maintenance services were provided to maintain a safe, clean, comfortable, and homelike environment for 4 of 4 (#R1, #R2, #R3 and #R4) residents' rooms observed for environmental concerns. The facility failed to ensure A/C (air conditioning) window units were clean, free of debris, and received regular maintenance Findings: Resident #R1 Review of Resident #R1's Clinical Record revealed she was admitted to the facility on [DATE] with a BIMs of 15, which indicated cognitively intact. An observation was made on 12/23/2024 at 10:30 a.m. of Resident #R1's room A/C window unit. […]

• No harm, potential for more than minimal, patternF812Jun 13, 2024

  Based on observation, interviews, and record review, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect 78 residents who were served meals from the kitchen. Findings: Review of the facility's policy titled, Food Safety Requirements, dated 08/2022, revealed in part: Food will be stored, prepared, distributed, and served in accordance with professional standards for food service safety. 3. Facility staff shall inspect all food, food products, and beverages upon receipt and ensure proper storage a. Refrigerated storage-foods that require refrigeration shall be refrigerated immediately upon receipt. On 06/10/2024 at 9:00 a.m., an initial tour of the kitchen was conducted with S7DM. […]

• No harm, potential for more than minimal, patternF576Jul 27, 2023

  Based on record review and interviews, the facility failed to ensure residents received mail on Saturdays. This had the potential to affect 97 Residents residing in the facility. Findings: Review of the facility's policy titled, Resident Right to Privacy in Communication revealed the following: Policy: It is the policy of this facility to support and facilitate a resident's right to privacy in communications with individuals and entities within and external to the facility. Definitions: Promptly means delivery of mail or other materials to the resident within 24 hours of delivery by the postal service Policy Explanation and Compliance Guidelines: 2. […]