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Deficiency Records for Alternative Healthcare Solutions LLC

A list of the most recent deficiencies for Alternative Healthcare Solutions LLC. 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 Alternative Healthcare Solutions LLC. 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 a means of sharing information on occupancy/needs. Fire Safety 2024-04-18 2024-05-31 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-04-18 2024-05-16 N
Establish policies and procedures for volunteers. Fire Safety 2024-04-18 2024-05-16 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-04-18 2024-05-15 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 2024-04-18 2024-05-15 N
Keep all essential equipment working safely. Health 2024-04-18 2024-05-15 N
Establish staff and initial training requirements. Fire Safety 2024-04-18 2024-05-15 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-04-18 2024-05-14 N
Establish policies and procedures for sheltering. Fire Safety 2024-04-18 2024-05-14 N
Provide family notifications of emergency plan. Fire Safety 2024-04-18 2024-05-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-18 2024-05-14 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 2024-04-18 2024-05-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-18 2024-05-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-18 2024-05-13 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 2024-04-18 2024-05-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-18 2024-04-24 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2024-04-18 2024-04-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-04-18 2024-04-19 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 2023-05-02 2023-06-12 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-05-02 2023-06-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-02 2023-05-26 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-05-02 2023-05-26 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-05-02 2023-05-18 N
Post nurse staffing information every day. Health 2023-05-02 2023-05-17 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-05-02 2023-05-17 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 2023-05-02 2023-05-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-05-02 2023-05-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-02 2023-05-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-02 2023-05-15 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 2023-05-02 2023-05-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-02 2023-05-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-05-02 2023-05-15 N
Provide and implement an infection prevention and control program. Health 2023-05-02 2023-05-15 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 2023-05-02 2023-05-05 N
Provide enough space and equipment to meet each resident's needs Health 2022-01-27 2022-03-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-01-27 2022-03-30 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-01-27 2022-03-01 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-01-27 2022-03-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-15 2022-02-28 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-01-27 2022-02-24 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-01-27 2022-02-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-21 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 2022-01-27 2022-02-21 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-01-27 2022-02-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-27 2022-02-18 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 2022-01-27 2022-02-15 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-01-27 2022-02-15 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 2022-01-27 2022-02-15 N
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Health 2022-01-27 2022-01-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-15 2022-01-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-12-15 2022-01-24 N
Install proper backup exit lighting. Fire Safety 2021-12-15 2022-01-20 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-12-15 2022-01-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-15 2022-01-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-12-15 2022-01-19 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2021-12-15 2022-01-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-12-15 2022-01-14 N
Install an approved automatic sprinkler system. Fire Safety 2021-12-15 2022-01-12 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 2021-12-15 2021-12-15 N

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