Inspection Reports for Capstone Center for Rehabilitation and Nursing

302 Swart Hill Road, Amsterdam, NY, 12010

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Inspection Report Summary

The most recent inspection on December 10, 2024, identified multiple health and life safety deficiencies, many of which were corrected by January 29, 2025. Earlier inspections showed a pattern of similar issues related to nursing staff sufficiency, resident care including activities of daily living, medication management, and maintaining a safe environment. Complaint investigations did not result in any substantiated cases or enforcement actions, and fines or license suspensions were not listed in the available reports. Prior reports noted deficiencies in infection control, psychotropic medication use, and facility maintenance, with many issues corrected within a few months. The facility’s record shows recurring citations in care and staffing areas, with some improvement as many deficiencies were addressed promptly after inspections.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 11.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

122% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

20 15 10 5 0
2022
2023
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 19 Date: Dec 10, 2024

Visit Reason
Inspection identified 16 health and 3 life safety deficiencies mostly Level 2, many corrected by January 29, 2025.

Findings
Inspection identified 16 health and 3 life safety deficiencies mostly Level 2, many corrected by January 29, 2025.

Deficiencies (19)
Activities daily living (adls)/mntn abilities
Activities meet interest/needs each resident
Administration
Care plan timing and revision
Competent nursing staff
Lab srvcs physician order/notify of results
Label/store drugs and biologicals
Notify of changes (injury/decline/room, etc. )
Pain management
Reasonable accommodations needs/preferences
Resident rights/exercise of rights
Residents are free of significant med errors
Respiratory/tracheostomy care and suctioning
Safe/clean/comfortable/homelike environment
Sufficient nursing staff
Tube feeding mgmt/restore eating skills
Discharge from exits
Doors with self-closing devices
Gas equipment - precautions for handling oxyg

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: May 28, 2024

Visit Reason
Complaint survey with 3 health deficiencies, all Level 2, including permitting residents to return, reporting alleged violations, and sufficient nursing staff; some corrected by August 2024.

Findings
Complaint survey with 3 health deficiencies, all Level 2, including permitting residents to return, reporting alleged violations, and sufficient nursing staff; some corrected by August 2024.

Deficiencies (3)
Permitting residents to return to facility
Reporting of alleged violations
Sufficient nursing staff

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Mar 1, 2024

Visit Reason
Complaint survey with 1 health deficiency related to quality of care, Level 2, corrected by March 18, 2024.

Findings
Complaint survey with 1 health deficiency related to quality of care, Level 2, corrected by March 18, 2024.

Deficiencies (1)
Quality of care

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Dec 7, 2023

Visit Reason
Covid-19 survey with 1 life safety deficiency related to subdivision of building spaces - smoke barrier, Level 2, corrected by January 25, 2024.

Findings
Covid-19 survey with 1 life safety deficiency related to subdivision of building spaces - smoke barrier, Level 2, corrected by January 25, 2024.

Deficiencies (1)
Subdivision of building spaces - smoke barrie

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 10 Date: Jan 21, 2022

Visit Reason
Complaint survey with multiple health and life safety deficiencies mostly Level 2, including ADL care, food procurement, psychotropic meds, grievances, infection control, resident rights, safe environment, dementia care, and electrical equipment; many corrected by March 2022.

Findings
Complaint survey with multiple health and life safety deficiencies mostly Level 2, including ADL care, food procurement, psychotropic meds, grievances, infection control, resident rights, safe environment, dementia care, and electrical equipment; many corrected by March 2022.

Deficiencies (10)
ADL care provided for dependent residents
Food procurement,store/prepare/serve-sanitary
Free from unnec psychotropic meds/prn use
Grievances
Infection prevention & control
Resident rights/exercise of rights
Safe/clean/comfortable/homelike environment
Treatment/service for dementia
Electrical equipment - testing and maintenanc
Maintenance, inspection & testing - doors

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