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Deficiency Records for Alexandria Care Center

A list of the most recent deficiencies for Alexandria Care Center. 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 Alexandria Care Center. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-06-20 2024-07-12 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-11 2024-02-02 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-01-11 2024-02-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-11 2024-02-02 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-01-11 2024-02-02 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-01-11 2024-02-02 N
Ensure each resident receives an accurate assessment. Health 2024-01-11 2024-02-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-11 2024-02-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-11 2024-02-02 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-01-11 2024-02-02 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-01-11 2024-02-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-11 2024-02-02 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-11 2024-02-02 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-01-11 2024-02-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-11 2024-02-02 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-11 2024-02-02 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-01-11 2024-02-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-11 2024-02-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-11 2024-02-02 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 2024-01-11 2024-02-02 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-11 2024-02-02 N
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 2024-01-11 2024-02-02 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 2024-01-11 2024-02-02 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-11 2024-02-02 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-01-11 2024-02-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-11 2024-02-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-11 2024-02-02 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-01-11 2024-02-02 N
Provide and implement an infection prevention and control program. Health 2024-01-11 2024-02-02 N
Construct fire resistant interior walls. Fire Safety 2024-01-17 2024-01-29 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-17 2024-01-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-11 2023-12-25 Y
Provide and implement an infection prevention and control program. Health 2023-12-11 2023-12-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-27 2023-10-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-22 2023-10-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-19 2023-10-12 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-29 2023-09-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-29 2023-09-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-29 2023-09-22 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-29 2023-09-22 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-08-16 2023-09-09 Y
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 2023-08-02 2023-08-23 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-31 2023-08-18 Y
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Health 2023-07-21 2023-08-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-21 2023-08-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-07-21 2023-08-14 Y
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 2023-05-11 2023-06-01 Y
Provide and implement an infection prevention and control program. Health 2023-05-11 2023-06-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-13 2023-02-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-13 2023-02-09 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-01-13 2023-02-09 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-13 2023-02-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-13 2023-02-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-13 2023-02-09 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 2023-01-13 2023-02-09 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-13 2023-02-09 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 2023-01-13 2023-02-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-13 2023-02-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-01-13 2023-02-09 N
Post nurse staffing information every day. Health 2023-01-13 2023-02-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-13 2023-02-09 N
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 2023-01-13 2023-02-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-13 2023-02-09 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-01-13 2023-02-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-01-12 2023-02-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-01-12 2023-02-09 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-01-12 2023-02-09 N
Construct fire resistant interior walls. Fire Safety 2023-01-12 2023-02-09 N
Install an approved automatic sprinkler system. Fire Safety 2023-01-12 2023-02-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-12 2023-02-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-01-12 2023-02-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-01-12 2023-02-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-01-12 2023-02-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-12 2023-02-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-01-12 2023-02-09 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-01-12 2023-02-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-01-12 2023-02-09 N
Provide and implement an infection prevention and control program. Health 2022-11-18 2022-12-02 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-11-10 2022-11-26 Y
Provide and implement an infection prevention and control program. Health 2022-09-02 2022-09-19 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-08-25 2022-09-19 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 2022-08-16 2022-08-26 Y
Provide and implement an infection prevention and control program. Health 2022-08-16 2022-08-26 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-06-16 2022-08-10 Y
Provide and implement an infection prevention and control program. Health 2022-06-13 2022-07-02 Y
Provide and implement an infection prevention and control program. Health 2022-04-06 2022-04-16 Y
Keep residents' personal and medical records private and confidential. Health 2022-01-23 2022-02-04 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 2022-01-18 2022-01-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-01-18 2022-01-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-18 2022-01-31 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-12-23 2022-01-03 Y
Keep residents' personal and medical records private and confidential. Health 2021-12-13 2021-12-23 N
Provide and implement an infection prevention and control program. Health 2021-12-13 2021-12-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-18 2021-11-30 Y
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2021-11-18 2021-11-30 Y
Honor the resident's right to choose his or her attending physician. Health 2021-11-11 2021-11-19 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-10-18 2019-11-13 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-10-18 2019-11-13 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-10-18 2019-11-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-10-18 2019-11-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-18 2019-11-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-18 2019-11-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-18 2019-11-13 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 2019-10-18 2019-11-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-10-18 2019-11-13 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 2019-10-18 2019-11-13 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-10-18 2019-11-13 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 2019-10-18 2019-11-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-18 2019-11-13 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-10-18 2019-11-13 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-10-18 2019-11-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-18 2019-11-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-10-18 2019-11-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-18 2019-11-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-18 2019-11-08 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-10-18 Not Fixed N

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