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Deficiency Records for Aledo Rehab and Health Care Center
A list of the most recent deficiencies for Aledo Rehab and Health 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 Aledo Rehab and Health 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-09 | 2024-08-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-05 | 2024-08-29 | N |
| 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 | 2024-06-05 | 2024-08-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-05 | 2024-08-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-05 | 2024-08-29 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-08-01 | 2024-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-08-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-09 | 2024-08-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-20 | 2024-08-03 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-20 | 2024-08-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-05 | 2024-08-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-05 | 2024-08-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-05 | 2024-08-03 | 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 | 2024-06-05 | 2024-08-03 | 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 | 2024-06-05 | 2024-08-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-05 | 2024-08-03 | N |
| Post nurse staffing information every day. | Health | 2024-06-05 | 2024-08-03 | 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 | 2024-06-05 | 2024-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-08-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-05 | 2024-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-08-03 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-12 | 2024-07-15 | 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 | 2024-06-12 | 2024-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-22 | 2024-06-14 | 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 | 2024-05-22 | 2024-06-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-15 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-13 | 2024-06-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-13 | 2024-06-03 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-03-25 | 2024-04-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-25 | 2024-04-12 | 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 | 2024-02-29 | 2024-03-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-19 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-02-29 | 2024-03-19 | 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 | 2024-02-18 | 2024-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-02-24 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-11 | 2024-01-29 | Y |
| 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 | 2024-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-01-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2024-01-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-08-25 | 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 | 2023-08-14 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-08-25 | Y |
| 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 | 2023-06-16 | 2023-07-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-16 | 2023-07-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-16 | 2023-07-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-16 | 2023-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-16 | 2023-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-15 | 2023-06-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-15 | 2023-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-15 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-06-30 | 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 | 2023-06-15 | 2023-06-30 | 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 | 2023-06-15 | 2023-06-30 | 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 | 2023-06-15 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-06-30 | 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 | 2023-06-15 | 2023-06-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-01 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-11-18 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-03 | 2022-11-18 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-03 | 2022-11-18 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-09-21 | 2022-09-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-18 | 2022-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-18 | 2022-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-05-27 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-05-18 | 2022-05-27 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-13 | 2022-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-13 | 2022-05-04 | 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 | 2022-04-13 | 2022-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-13 | 2022-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-13 | 2022-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-27 | 2022-05-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-04-14 | 2022-05-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-14 | 2022-05-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-20 | 2022-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-20 | 2022-04-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-31 | 2022-02-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-31 | 2022-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-31 | 2022-02-11 | Y |
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