Capitol Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 3, 2022

  Based on facility policy review, clinical record review, review of facility investigation documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that each resident received adequate supervision and assistance to prevent accidents, which resulted in actual harm, evidenced by an acute fracture of the left humeral neck (upper arm), for one of five residents reviewed (Resident 3). Findings Include: Review of facility policy titled Lifting Machine, Using a Mechanical, undated, revealed At least two (2) nursing assistants are needed to safely move a resident with a mechanical lift Types of lifts that may be available in the facility are: .Sit-to-stand lifts. […]

• No harm, potential for more than minimal, patternF755Jan 14, 2026

  Based on facility policy review, clinical record review, review of facility documentation, and staff interviews, it was determined that the facility failed to provide pharmaceutical services to meet the needs of each resident for six of 24 residents reviewed (Residents 5, 6, 7, 8, 9, and 10).Findings include:Review of the facility policy, titled Administering Medications with a last revised date of April 2019, revealed 4. Medications are administered in accordance with prescriber orders, including any required time frame. 7. […]

• No harm, potential for more than minimal, patternF554Nov 14, 2025

  Based on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to determine a resident's right to self-administer medications was clinically appropriate for one of one residents reviewed for self-administration of medications (Resident 103).Findings include: Review of facility policy, titled Self-Administration of Medications, dated February 2021, revealed, in part, If it is deemed safe and appropriate for a resident to self -administer medications, this is documented in the medical record and the care plan. The decision that a resident can safely self-administer medications is re-assessed periodically based on changes in the resident's medical and/or decision-making status. […]

• No harm, potential for more than minimal, patternF606Nov 14, 2025

  Based on facility policy review, review of select employee files, and a staff interview, it was determined that the facility failed to verify if individuals have been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law; have had a finding entered into the state nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of property; or have a disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property for four of five employee files reviewed (Employees 5, 6, 7, and 8).Findings include:Review of facility policy, titled Abuse,… […]

• No harm, potential for more than minimal, patternF761Nov 14, 2025

  Based on observations, facility policy reviews, and staff interviews, it was determined that the facility failed to properly label drugs in one of three medication carts observed (North Unit West); failed to store medications properly in one of three medication carts observed (North Unit West); and failed to discard expired medications in one of three medication carts observed (Guild Unit) and one of two medication rooms observed (South Unit).Findings Include: Review of facility policy, titled Administering Medications, dated April 2019, revealed, in part, 13. The expiration/beyond use date on the medication label is checked prior to administering. When opening a multi-dose container, the date opened is recorded on the container. […]