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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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-16 | 2024-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-30 | 2024-09-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-30 | 2024-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-09-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-24 | 2023-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-24 | 2023-11-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-24 | 2023-11-06 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-24 | 2023-11-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-03 | 2023-10-06 | 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 | 2023-10-03 | 2023-10-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-03 | 2023-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-21 | 2022-10-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-21 | 2022-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-12 | 2022-08-29 | 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 | 2022-08-12 | 2022-08-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-12 | 2022-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-12 | 2022-08-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-12 | 2022-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-12 | 2022-08-29 | 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 | 2022-08-12 | 2022-08-29 | 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 | 2022-08-12 | 2022-08-29 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-12 | 2022-08-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-19 | 2022-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-01-26 | N |
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