Capstone Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Capstone Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF580Dec 10, 2024

  Based on record review and interview during a recertification survey, the facility did not immediately consult with and or notify resident's physician of a significant change in the resident's physical, mental, or psychosocial status for 1 (Resident #115) of 2 residents reviewed. Specially, Resident #115 had a history of chronic respiratory failure, had increased congestion and cough. Resident's health care proxy expressed concern to Registered Nurse #4. Registered Nurse #4 assessed Resident #115 and was noted with altered mental status, decrease in oxygen saturation from 98% to 94%, and abnormal lung sounds. There was no documented evidence that the physician was notified of the change in condition including change in mental status and respiratory distress. […]

• No harm, potential for more than minimal, patternF550Dec 10, 2024

  Based on observation, record review and interviews during the recertification survey, the facility did not ensure each resident was treated with respect and dignity and cared for in a manner that promotes maintenance or enhancement of his or her quality of life for 6 (Resident #'s 2, 12, 28, 44, 97, and 114) of 35 residents reviewed. Specifically, (a.) Resident #'s 2, 12, 28, and 114 were provided plastic flatware with their meals instead of silver flatware. (b.) Residents #44 and #97 were not talked to in a dignified manner by staff providing care. This is evidenced by: A facility policy Dignity and Quality of Life Policy, not dated, documented that each resident shall be cared for in a manner that promoted and enhanced quality of life, dignity, respect, and individuality. […]

• No harm, potential for more than minimal, patternF584Dec 10, 2024

  Based on observation and interviews conducted during the recertification survey, the facility did not provide effective housekeeping and maintenance services on 1 of 3 resident units and the building exterior. Specifically, the exterior of the building and walls were not clean. This is evidenced by: During observation on 12/03/2024 at 11:17 AM, the walls beneath the hand sanitizer dispensers attached to the walls outside room #s 366, 374, 337, 387, and by the elevator on unit 3 had multiple streak stains around the dispenser that descended to the baseboard. During observations on 12/04/2024 at 5:29 PM, the walls beneath the hand sanitizer dispensers attached to the walls outside room #s 237, 266, 274, 279, and 287 had multiple streak stains that descended to the baseboard. […]

• No harm, potential for more than minimal, patternF697Dec 10, 2024

  Based on observation, record review, and interviews during the recertification survey, the facility did not ensure pain management was provided to each resident in accordance with professional standards of care for 3 (Resident #'s 22, 25, and 317) of 4 residents reviewed for pain management. Specifically over a two-month period, the facility did not evaluate their existing pain and the cause(s), and managing or preventing pain, consistent with the comprehensive assessment and plan of care, current professional standards of practice, and the resident's goals and preferences. […]

• No harm, potential for more than minimal, patternF725Dec 10, 2024

  Based on observation, record review, and interviews during an abbreviated survey (NY00353512), the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility's staffing minimum staffing levels were not met each day from 12/02/2024 through 12/10/2024 per facility assessment. This is evidenced by: Upon entrance to the facility on [DATE] there were 118 residents residing on 3 units. The Facility assessment dated 2024 and based on a resident population profile from 7/23/2023 to 7/23/2024 documented, the facility's staffing plan for direct residential care. […]