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Deficiency Records for Alden Park Strathmoor
A list of the most recent deficiencies for Alden Park Strathmoor. 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 Park Strathmoor. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-23 | 2024-07-01 | 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 | 2024-06-06 | 2024-06-14 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-04-23 | 2024-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-23 | 2024-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-05-07 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-04-23 | 2024-05-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-23 | 2024-04-26 | 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 | 2024-04-23 | 2024-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-04-12 | 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 | 2024-04-04 | 2024-04-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-04 | 2024-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-04 | 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 | 2024-04-04 | 2024-04-12 | 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 | 2024-04-04 | 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 | 2024-04-04 | 2024-04-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-30 | 2023-07-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-22 | 2023-07-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-22 | 2023-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-22 | 2023-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-22 | 2023-07-12 | 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 | 2023-06-22 | 2023-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-22 | 2023-07-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-30 | 2023-07-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-30 | 2023-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-30 | 2023-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-30 | 2023-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-30 | 2023-07-02 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2023-06-30 | 2023-06-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-07 | 2023-03-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-20 | 2022-11-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-29 | 2022-11-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-29 | 2022-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-29 | 2022-10-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-29 | 2022-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-14 | 2022-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-10-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-14 | 2022-10-02 | 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 | 2022-09-14 | 2022-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-14 | 2022-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-29 | 2022-09-29 | N |
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