Facility profile · CCN 365315
Capital City Gardens Rehabilitation And Nursing Ce
49 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $205,182.
Record summary
Federal record · Q1 202649
Total citations
29
Last 3 years
3
Actual harm+
3
Federal penalties
$205,182
Total fines
2
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 |
|---|---|---|---|---|
| Mar 6, 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 | Complaint |
| Mar 6, 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. | E | Complaint |
| Mar 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 6, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 6, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 6, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 6, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 6, 2025 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Mar 6, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 6, 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 |
| Dec 12, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Nov 21, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Nov 21, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Oct 29, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Oct 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Oct 29, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Oct 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Aug 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 23, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jun 21, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Jun 21, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 14, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Nov 7, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 7, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Nov 7, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Nov 7, 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 |
| Aug 14, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Apr 24, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Mar 16, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 16, 2023 | 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 |
| Oct 9, 2019 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 9, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 9, 2019 | 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. | F | Standard |
| Oct 9, 2019 | 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 |
| Oct 9, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Oct 9, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Oct 9, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 9, 2019 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Oct 9, 2019 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 9, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 9, 2019 | 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 |
| Oct 9, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Oct 9, 2019 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Oct 9, 2019 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Oct 9, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Oct 9, 2019 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Oct 9, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Oct 9, 2019 | 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 |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $205,182 and 1 payment-denial actions spanning 49 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 29, 2024 | Fine | $196,256 | — |
| Oct 29, 2024 | Payment Denial | — | Nov 27, 2024 · 49 days |
| Apr 24, 2023 | Fine | $8,926 | — |
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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