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Deficiency Records for Alpine Skilled Nursing and Rehabilitation Center
A list of the most recent deficiencies for Alpine Skilled Nursing and Rehabilitation 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 Alpine Skilled Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2025-01-08 | 2025-02-15 | 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 | 2025-01-08 | 2025-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-08 | 2025-02-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-13 | 2025-02-07 | 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 | 2025-01-13 | 2025-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-13 | 2025-02-07 | 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 | 2025-01-13 | 2025-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-13 | 2025-02-07 | N |
| Post nurse staffing information every day. | Health | 2025-01-13 | 2025-02-07 | 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 | 2025-01-13 | 2025-02-07 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-13 | 2025-02-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-01-13 | 2025-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-13 | 2025-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-13 | 2025-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-05 | 2024-12-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-05 | 2024-12-31 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-31 | 2024-03-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-06 | 2024-03-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-06 | 2024-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-06 | 2024-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-06 | 2024-03-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-06 | 2024-03-18 | 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 | 2024-02-06 | 2024-03-18 | 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 | 2024-02-06 | 2024-03-18 | 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 | 2024-02-06 | 2024-03-18 | 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 | 2024-02-06 | 2024-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-03-18 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-02-06 | 2024-03-18 | 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 | 2024-01-31 | 2024-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-31 | 2024-03-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-06-27 | 2024-02-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-21 | 2024-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-20 | 2023-04-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-20 | 2023-04-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-20 | 2023-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-04-30 | 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 | 2023-03-20 | 2023-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-20 | 2023-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-04-30 | 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 | 2023-03-20 | 2023-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-20 | 2023-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-04-30 | 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 | 2023-03-20 | 2023-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-20 | 2023-04-30 | 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 | 2023-03-20 | 2023-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-20 | 2023-04-30 | 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 | 2023-03-21 | 2023-04-30 | N |
| 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 | 2023-03-21 | 2023-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 2023-04-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-18 | 2023-02-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-18 | 2023-02-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-30 | 2022-10-17 | 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 | 2022-08-30 | 2022-10-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-16 | 2022-07-28 | Y |
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