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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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