Caprice Health Care Center

In the surveyor’s words

From the most serious findings on record at Caprice Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF558Mar 10, 2026

  Based on observations, medical record reviews, resident interviews, staff interviews, and facility policy review, the facility failed to ensure call lights were within reach of residents. This affected two residents (#11 and #12) of seven residents reviewed for call lights. The facility census was 69.Findings include: 1. Review of the medical record for Resident #11 revealed he was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, spinal stenosis of the lumbar region with neurogenic claudication, and discitis.Review of the Significant Change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 had moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF550Apr 24, 2025

  Based on record review, staff interview, and observations, the facility failed to ensure all residents were treated in a dignified manner. This affected four (Resident #40, Resident #6, Resident #22, Resident #34) of 29 residents that required a mechanical lift for transfers. The facility census was 64. Findings include: Review of Resident #40's clinical record revealed an admitted [DATE] with diagnoses including vascular dementia, hemiplegia, neurogenic bladder, chronic respiratory failure, and calorie malnutrition. Review of the Minimum Data Set assessment dated [DATE] revealed Resident #40 required a mechanical lift for transfers. […]

• No harm, potential for more than minimal, isolatedF695Apr 24, 2025

  Based on observations, interviews, record review and facility policy review, the facility failed to ensure respiratory equipment was dated to make certain it was changed at appropriate intervals to decrease the risk of acquired pneumonia or infection. This affected three residents (#26, #27, #127) of six residents reviewed for respiratory care. The facility census was 64. Findings include: 1. Review of the medical record for Resident #26 revealed an admitted [DATE] with diagnoses including chronic respiratory failure, dependence on respirator (breathing machine), tracheostomy, quadriplegia, and gastrostomy (feeding tube). Review of Resident #26's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed severely impaired cognition and altered level of consciousness. […]

• No harm, potential for more than minimal, isolatedF842Apr 24, 2025

  Based on record review and staff interview, the facility failed to ensure the accuracy of medical records. This affected one of 32 residents whose records were reviewed, Resident #40. Facility census was 64. Findings include: Review of Resident #40's clinical record revealed an admitted [DATE] with diagnoses including vascular dementia, hemiplegia, neurogenic bladder, chronic respiratory failure, and calorie malnutrition. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #40 did not have any unhealed pressure ulcers or injuries. Review of the Nurses Skin/ Wound notes dated 04/10/25 timed 10:05 A.M. revealed Resident #40 was at high risk for impaired skin integrity. Resident #40 required maximum to total assistance for bed mobility. […]

• No harm, potential for more than minimal, isolatedF604Oct 27, 2022

  Based observation, interview, record review, and policy review the facility failed to ensure monitoring and evaluation of bilateral wrist restraints was documented while used for Resident #28. This affected one resident (Resident #28) of two residents reviewed for abuse, neglect, and exploitation. The facility reported one resident (Resident #28) who had physical restraints. The facility census was 66. Findings include: Review of the medical record for Resident #28 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Quarterly Minimum Data Set (MDS) 3.0 assessment, dated 09/14/22, revealed Resident #28 had severely impaired cognition. […]