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Deficiency Records for Alaris Health at Belgrove
A list of the most recent deficiencies for Alaris Health at Belgrove. 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 Alaris Health at Belgrove. 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? |
|---|---|---|---|---|
| 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 | 2024-12-05 | 2025-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-05 | 2025-01-07 | 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 | 2024-12-05 | 2025-01-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-12-05 | 2025-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-05 | 2025-01-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-05 | 2025-01-07 | 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 | 2024-12-05 | 2025-01-07 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-12-05 | 2025-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-05 | 2025-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-12-05 | 2025-01-07 | 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 | 2024-12-05 | 2025-01-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-05 | 2025-01-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-12-05 | 2025-01-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2025-01-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-06 | 2023-12-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2023-12-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-07-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-29 | 2023-07-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-29 | 2023-07-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-07 | 2023-05-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-07 | 2023-05-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-07 | 2023-05-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-18 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-18 | 2021-06-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-18 | 2021-06-11 | N |
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