Capital Post Acute
Capital Post Acute in Sacramento, CA — inspection on February 24, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
perform hand hygiene during wound care between changing gloves.
This failure increased the
Resident 1 was admitted in February 2026 with a diagnosis of aftercare following joint replacement surgery. A review of Resident 1's MDS (Minimum data set- an assessment tool) dated 2/16/26, indicated Resident had moderate cognitive impairment.During a concurrent observation and interview on 2/26/26 at 10:37 a.m. in Resident 1's room with Licensed Nurse (LN 1), Resident 1 was observed lying supine in bed with steri-strips to the left thigh. LN 1 was observed placing wound care supplies directly on Resident 1's bed without separation of the clean and dirty area. LN 1 was observed not performing hand hygiene between changing gloves at 10:37 a.m., 10:39 a.m., and 10:41 a.m. LN 1 confirmed that she did not have a separate clean and dirty section which increased the potential for Resident 1 to get infections through cross contamination.
During an interview on 2/24/26 at 11:36 a.m. with Infection Preventionist (IP), the IP stated the expectation is to perform Hand hygiene before and after glove changes, sanitize non dedicated equipment after each use. IP stated expectation was to have a separate clean and dirty area during wound care to prevent cross contamination and spread of infections.
During an interview on 2/24/26 at 11:49 a.m. with Director of Nursing (DON), the DON stated the expectation is for staff to perform hand hygiene after each glove change and to sanitize equipment after use. DON stated there should be a separate clean and dirty area for items during wound care changes to prevent cross contamination and prevent spread of infections. DON stated the expectation was to maintain infection control practices during direct patient care.During a review of facility Policy and Procedure (P&P) titled, .Hand Hygiene. , Revised October 2023, indicated, .Hand hygiene is indicated . immediately before touching a resident . after touch a resident . immediately after glove removal.During a review of facility Policy and Procedure (P&P) titled, .
Wound Care Policy. dated 2/2026, indicated, .
Use disposable cloth (paper towel is adequate) to establish clean field .
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.