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Inspection visit

Inspection

CAPITAL CITY GARDENS REHABILITATION AND NURSING CECMS #3653159 citations on this visit
9 citations recorded

Citations

9 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0689SeriousS&S Kimmediate jeopardy

    F689 - Accidents

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0345GeneralS&S Fpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0374GeneralS&S Fpotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0711SeriousS&S Kimmediate jeopardy

    F711 - Physician Visits

    Provide a written emergency evacuation plan.

  • 0925SeriousS&S Kimmediate jeopardy

    F925 - Maintain an effective pest control program so that the facility is free of

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

  • 0600SeriousS&S Kimmediate jeopardy

    F600 - Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0835GeneralS&S Epotential for harm

    F835 - Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • 0609GeneralS&S Epotential for harm

    F609 - The facility must develop and implement written policies and procedures that:

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

FAQ · About this visit

Common questions about this visit

What happened during the October 29, 2024 survey of CAPITAL CITY GARDENS REHABILITATION AND NURSING CE?

This was a inspection survey of CAPITAL CITY GARDENS REHABILITATION AND NURSING CE on October 29, 2024. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at CAPITAL CITY GARDENS REHABILITATION AND NURSING CE on October 29, 2024?

Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.