Capitol River Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Capitol River Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF880Mar 3, 2023

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent potential spread of COVID-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2) and other infections, when staff failed to protect residents in the facility by not following acceptable infection control practices for COVID-19. The facility failed to separate positive COVID-19 residents from residents who had tested negative for COVID-19 or had only been exposed to COVID-19, for three residents (Resident #2, Resident #4, and Resident #6), at an increased risk of contracting COVID-19 due to prolonged exposure. […]

• Immediate jeopardy, isolatedF689Sep 29, 2023

  Based on interview and record review, the facility staff failed to provide 24-hour protective oversight for one sampled resident (Resident #1) when they failed to conduct visual checks on the resident on 09/22/23 from 6:45 P.M. to 8:26 A.M. At that time, staff found the resident in his/her room on the floor with blood on his/her hands and face. Hospital staff determined the resident suffered a fracture to the right sixth rib. Facility census was 93. The Administrator was notified on 9/27/23 at 4:23 P.M., of an Immediate Jeopardy (IJ) which began on 9/22/23. The IJ was removed on 9/24/23 as confirmed by surveyor onsite verification. 1. […]

• Actual harm, isolatedF888Aug 17, 2022

  Based on record review and interview, facility staff failed to implement polices and procedures to ensure all staff were fully vaccinated for Coronavirus 2019 (COVID-19), failed to ensure the medical exemption for one provider under contract or other arrangement included the required information and failed to ensure providers under contract or other arrangement were vaccinated or exempt from vaccination. The facility had 4% of employees not fully vaccinated or with an approved exemption, four resident COVID-19 infections in the previous four weeks, and zero resident hospitalization s. The facility census was 84. 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 19, 2024

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and outdated use. The facility census was 85 1. Review of the facility's Food Storage (Dry, Refrigerated, and Frozen) policy, dated 2016. showed: -Food shall be stored on shelves in a clean, dry area, free from contaminants; -Foods shall be stored at proper temperatures and using appropriate methods to ensure the highest level of food safety; -Label food items held for longer than 24 hours with the name of the food, if not in original packaging, and the date by which it should be sold,consumed or discarded; -Discard food that has passed the expiration date, and discard food that has been prepared in the facility after seven days of storing proper… […]

• No harm, potential for more than minimal, widespreadF801Feb 8, 2024

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. The facility census was 87. 1. Review of the facility's Organizational Plan and Roles of Key Staff policy, dated 2016, showed The Director of Food and Nutrition Services credentials will follow state regulations. The Director of Food and Nutrition Services credentials may include a Sanitation Certification, a 90-hour approved Dietary Manager's Course, or a two or four year degree in nutrition or food service as approved by the state. […]