Facility profile · CCN 225338
Cape Regency Rehabilitation & Health Care Center
49 federal citations on record .
Record summary
Federal record · Q1 202649
Total citations
35
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
49 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 20, 2025 | F908 | Keep all essential equipment working safely. | F | Standard |
| May 20, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| May 20, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| May 20, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 20, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard |
| May 20, 2025 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| May 20, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 20, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| May 20, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| May 20, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| May 20, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | E | Standard |
| May 20, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| May 20, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| May 20, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| May 20, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| May 20, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 22, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 22, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 1, 2024 | F908 | Keep all essential equipment working safely. | E | Standard |
| Apr 1, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Apr 1, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 1, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | B | Standard |
| Apr 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 1, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Apr 1, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Apr 1, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Apr 1, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Apr 1, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 1, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Apr 1, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Apr 1, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 1, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Apr 1, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| May 9, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| May 9, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Sep 22, 2022 | F908 | Keep all essential equipment working safely. | E | Standard |
| Sep 22, 2022 | F886 | Perform COVID19 testing on residents and staff. | D | Standard |
| Sep 22, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 22, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 22, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 22, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Sep 22, 2022 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Sep 22, 2022 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Sep 22, 2022 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Sep 22, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Sep 22, 2022 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Sep 22, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Sep 22, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 22, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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