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Deficiency Records for Alexandria Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Alexandria Rehabilitation and Healthcare 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 Rehabilitation and Healthcare 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?
Reasonably accommodate the needs and preferences of each resident. Health 2024-04-03 2024-06-28 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 2024-04-03 2024-06-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-04-03 2024-06-28 N
Ensure each resident receives an accurate assessment. Health 2024-04-03 2024-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-03 2024-06-28 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 2024-04-03 2024-06-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-03 2024-06-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-03 2024-06-28 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-04-03 2024-06-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-03 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-04-03 2024-06-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-12 2022-08-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-07-12 2022-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-12 2022-08-30 N
Have proper power supply for life support equipment. Fire Safety 2022-07-12 2022-08-30 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-29 2022-08-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-06-29 2022-08-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-29 2022-08-03 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-29 2022-08-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-29 2022-08-03 N
Assess the resident when there is a significant change in condition Health 2022-06-29 2022-08-03 N
Ensure each resident receives an accurate assessment. Health 2022-06-29 2022-08-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-29 2022-08-03 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 2022-06-29 2022-08-03 N
Observe each nurse aide's job performance and give regular training. Health 2022-06-29 2022-08-03 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 2022-06-29 2022-08-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-29 2022-08-03 N
Dispose of garbage and refuse properly. Health 2022-06-29 2022-08-03 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2022-06-29 2022-08-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-29 2022-08-03 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-06-29 2022-08-03 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-06-29 2022-08-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-30 2020-03-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2020-01-30 2020-03-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-01-30 2020-03-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-30 2020-03-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-30 2020-03-09 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 2020-01-30 2020-03-09 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-30 2020-03-09 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 2020-01-30 2020-03-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-30 2020-03-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-01-30 2020-03-09 N
Provide and implement an infection prevention and control program. Health 2020-01-30 2020-03-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-30 2019-02-17 N

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