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Deficiency Records for Alden Terrace Convalescent Hospital
A list of the most recent deficiencies for Alden Terrace Convalescent Hospital. 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 Alden Terrace Convalescent Hospital. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-04 | 2024-06-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-20 | 2024-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-02-22 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-25 | 2023-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-25 | 2023-11-08 | 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 | 2023-10-25 | 2023-11-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-25 | 2023-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-03 | 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 | 2023-10-13 | 2023-11-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-13 | 2023-11-01 | 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 | 2023-10-13 | 2023-10-30 | N |
| 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 | 2023-10-13 | 2023-10-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-13 | 2023-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-13 | 2023-10-28 | N |
| 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 | 2023-10-13 | 2023-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-13 | 2023-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-10-28 | 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 | 2023-10-13 | 2023-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-05-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-18 | 2022-11-07 | 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 | 2022-10-14 | 2022-11-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-14 | 2022-11-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-14 | 2022-11-03 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-10-14 | 2022-11-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-30 | 2020-01-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-30 | 2020-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-30 | 2020-01-29 | 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 | 2019-12-30 | 2020-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-30 | 2020-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-30 | 2020-01-29 | 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 | 2019-12-30 | 2020-01-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-12-30 | 2020-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-30 | 2020-01-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-12-30 | 2020-01-29 | 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 | 2019-12-30 | 2020-01-29 | 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 | 2019-12-30 | 2020-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-30 | 2020-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-30 | 2020-01-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-30 | 2020-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-26 | 2020-01-21 | N |
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