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Deficiency Records for Alta View Post Acute
A list of the most recent deficiencies for Alta View Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Alta View Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-15 | 2024-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-15 | 2024-09-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | 2024-09-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-15 | 2024-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-15 | 2024-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-21 | 2024-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-21 | 2024-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-21 | 2024-04-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-21 | 2024-04-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-21 | 2024-04-12 | N |
| 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. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-21 | 2024-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-21 | 2024-04-12 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-17 | 2024-01-21 | Y |
| 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. | Health | 2023-10-22 | 2024-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-22 | 2024-01-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-30 | 2024-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-22 | 2023-12-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-22 | 2023-12-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-22 | 2023-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-22 | 2023-12-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-22 | 2023-12-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-22 | 2023-12-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-22 | 2023-12-21 | N |
| 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. | Health | 2023-10-22 | 2023-12-21 | N |
| Post nurse staffing information every day. | Health | 2023-10-22 | 2023-12-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-22 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-22 | 2023-12-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-22 | 2023-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-22 | 2023-12-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-23 | 2023-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-09-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-26 | 2023-08-18 | Y |
| 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. | Health | 2023-06-30 | 2023-07-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-30 | 2023-07-24 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-06-30 | 2023-07-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-28 | 2023-07-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-15 | 2023-07-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-02 | 2023-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-10 | 2023-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-05-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-25 | 2023-05-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-29 | 2023-04-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-09 | 2023-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-13 | 2023-03-31 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-09 | 2023-01-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-05 | 2023-01-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-05 | 2023-01-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-10 | 2022-08-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-10 | 2022-08-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-10 | 2022-08-10 | Y |
| 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. | Health | 2022-06-10 | 2022-08-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-08-10 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-10 | 2022-08-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-10 | 2022-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-10 | 2022-08-10 | Y |
| Post nurse staffing information every day. | Health | 2022-06-10 | 2022-08-10 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-10 | 2022-08-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-10 | 2022-08-10 | Y |
| 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. | Health | 2022-06-10 | 2022-08-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-10 | 2022-08-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-10 | 2022-08-10 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-06-10 | 2022-08-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-10 | 2022-08-10 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-10 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-08-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-10 | 2022-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-10 | 2022-08-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-11 | 2022-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-13 | 2022-05-24 | Y |
| 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. | Health | 2022-05-13 | 2022-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-18 | 2022-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-04-22 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-07 | 2022-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-25 | 2022-03-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-25 | 2022-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-06 | 2022-02-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-06 | 2022-01-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-06 | 2022-01-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-20 | 2021-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-20 | 2021-12-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-20 | 2021-12-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-06 | 2021-12-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-23 | 2021-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-18 | 2021-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-18 | 2021-12-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-18 | 2021-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-09 | 2021-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-09 | 2021-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2021-12-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-28 | 2021-11-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-28 | 2021-11-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-26 | 2021-11-10 | Y |
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