Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Caprice Health Care Center during CMS and state inspections, most recent first.
Call lights were not kept within reach for two residents who were dependent on staff for ADLs and had cognitive or memory impairment. One resident with Alzheimer's disease and upper-extremity impairment had the call light tucked under items on a recliner about five feet away, and an LPN had to locate and clip it to his shirt. Another resident with respiratory failure and severe decision-making impairment had the call light on the floor behind a supply cart about five feet away, and a CNA had to find and place it near her hand. Both care plans directed staff to explain call light use and keep it within reach.
Several residents with complex medical needs were found in bed with mechanical lift pads left underneath them after transfers. Staff, including CNAs and nursing leadership, confirmed that this practice was not in line with facility procedures and did not support resident dignity or skin integrity, as required by facility policy.
Surveyors found that respiratory equipment, such as ventilator circuits and tracheostomy oxygen setups, was not dated for three residents with complex respiratory needs. Staff confirmed that equipment was not labeled with the date of last change, as required by facility policy and physician orders, making it impossible to ensure timely changes and proper infection control.
A resident's medical record contained inaccurate documentation regarding the presence of wounds, as a Nurse Practitioner copied and pasted information from another entry without proper revision. Despite other clinical records and staff confirming the resident had no wounds, several progress notes incorrectly indicated otherwise, leading to a deficiency in maintaining accurate medical records.
Call Lights Not Kept Within Reach of Two Residents
Penalty
Summary
The facility failed to ensure call lights were within reach for two residents reviewed for call light access. Resident #11 had diagnoses including Alzheimer's disease, spinal stenosis of the lumbar region with neurogenic claudication, and discitis, and the MDS showed moderate cognitive impairment, impairment on one side of the upper extremities, and dependence on staff for ADLs. His care plan identified him as at risk for falls and included interventions to encourage use of the call light, explain its use, and keep it within reach at all times when in the room. During observation, he was sitting up in bed and his call light was not visible or in reach; he stated he did not know what it was when asked. The LPN followed the cord from the wall outlet around the curtain and bedside table to a recliner about five feet away, where the call light was tucked beneath items. The LPN stated it should not have been there and clipped it to his shirt. Resident #12 had diagnoses including chronic respiratory failure with hypoxia, tracheostomy, dependence on respirator ventilator, and dysphagia. Her MDS showed a memory problem, severe impairment for decision making regarding tasks of daily living, and dependence on staff for ADLs. Her care plan also included interventions to encourage use of the call light, explain its use, and keep it within reach at all times when in the room. During observation, she was lying in bed with the call light not visible and shrugged when asked where it was. The CNA entered the room, did not know where the call light was, and then followed the cord to locate it on the floor behind a supply cart about five feet away before placing it near the resident's hand. The facility policy stated the call light should be explained and demonstrated and kept within reach of the resident.
Failure to Remove Mechanical Lift Pads Compromises Resident Dignity
Penalty
Summary
The facility failed to ensure that all residents requiring mechanical lifts for transfers were treated in a dignified manner, as evidenced by observations and staff interviews. Four residents with significant medical conditions, including vascular dementia, hemiplegia, neurogenic bladder, Alzheimer's disease, major depressive disorder, kyphosis, contractures, hypokalemia, and generalized edema, were found in their beds with mechanical lift pads left underneath them after being transferred. These findings were confirmed through direct observation and interviews with both CNAs and nursing leadership, who acknowledged that the lift pads were not removed after residents were returned to bed. Staff interviews further revealed that leaving the mechanical lift pads under residents was not in accordance with facility procedures and did not promote the dignity or skin integrity of the residents. The facility's own policy on Quality of Life and Dignity states that each resident should be cared for in a manner that promotes and enhances dignity and respect, which was not followed in these instances.
Failure to Date Respiratory Equipment for Residents with Tracheostomies and Ventilators
Penalty
Summary
The facility failed to ensure that respiratory equipment, including ventilator circuits, tracheostomy collars, and oxygen tubing, was properly dated to confirm timely changes as required by facility policy and physician orders. During observations, it was noted that three residents with significant respiratory needs—such as chronic respiratory failure, tracheostomy, ventilator dependence, and severe cognitive or physical impairments—had respiratory equipment in use that was not labeled with the date of last change or the initials of the responsible staff. Interviews with the respiratory therapist and registered nurse confirmed that the equipment was not dated, and that it was the responsibility of the respiratory therapy department to ensure proper labeling and timely changes. Record reviews for these residents showed that their care plans and physician orders required respiratory equipment to be changed at specific intervals, typically every thirty or ninety days, and as needed. Facility policy also mandated that oxygen setups be labeled with the date and staff initials at the time of change. The lack of dating on the equipment meant there was no way to verify that changes were occurring as required, potentially compromising infection control practices for these residents, all of whom were highly dependent on staff for their care.
Inaccurate Medical Record Documentation Due to Copy-Paste Error
Penalty
Summary
The facility failed to ensure the accuracy of medical records for one resident. Review of the clinical record for a resident with multiple diagnoses, including vascular dementia, hemiplegia, neurogenic bladder, chronic respiratory failure, and calorie malnutrition, showed inconsistencies in documentation regarding the presence of wounds. The quarterly Minimum Data Set assessment indicated the resident did not have any unhealed pressure ulcers or injuries, and nursing notes confirmed the resident was at high risk for impaired skin integrity but maintained skin integrity with preventative care. However, Nurse Practitioner notes on several dates documented that the resident had current wounds, which was inconsistent with other clinical documentation and staff interviews. During interviews, the wound LPN confirmed the resident did not have any wounds or skin impairment at the time, and both the DON and the Nurse Practitioner verified that the notes indicating wounds were inaccurate. The Nurse Practitioner admitted to copying and pasting information from another entry without making necessary revisions, resulting in erroneous documentation in the resident's medical record.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near North Lima
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Woods Rehabilitation And Nursing | 0.4 mi | ★★★★★ | 10 | 0 |
| Shepherd Of The Valley Poland | 0.4 mi | ★★★★★ | 9 | 0 |
| Aventura At Assumption Village | 0.6 mi | ★★★★★ | 19 | 1 |
| Briarfield Place | 0.7 mi | ★★★★★ | 3 | 0 |
| Greenbriar Center | 2 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.