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Deficiency Records for Alameda Healthcare and Wellness Center
A list of the most recent deficiencies for Alameda Healthcare and Wellness 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 Alameda Healthcare and Wellness 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-10 | 2024-09-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-10 | 2024-09-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-10 | 2024-09-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-10 | 2024-09-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-10 | 2024-09-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-10 | 2024-09-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-08-10 | 2024-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-10 | 2024-09-10 | 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 | 2024-08-10 | 2024-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-10 | 2024-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-14 | 2024-08-26 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-08 | 2024-05-25 | Y |
| 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 | 2024-04-25 | 2024-05-18 | Y |
| Provide appropriate foot care. | Health | 2024-04-23 | 2024-05-18 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-23 | 2024-05-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-18 | 2024-04-18 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-26 | 2024-03-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-05 | 2023-09-20 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-29 | 2023-07-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-15 | 2023-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-23 | 2022-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-11-04 | Y |
| 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 | 2022-10-05 | 2022-11-04 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-09-06 | 2022-09-27 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-15 | 2022-08-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-11 | 2022-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-07 | 2022-02-02 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-01-07 | 2022-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-30 | 2022-01-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-30 | 2022-01-24 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-11 | 2019-10-08 | 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 | 2019-09-11 | 2019-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-19 | 2019-08-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-19 | 2019-08-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-19 | 2019-08-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-19 | 2019-08-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-19 | 2019-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-19 | 2019-08-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-19 | 2019-08-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-19 | 2019-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-19 | 2019-08-16 | 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 | 2019-07-19 | 2019-08-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-19 | 2019-08-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-19 | 2019-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-19 | 2019-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-19 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-19 | 2019-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-19 | 2019-08-16 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-07-19 | 2019-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-31 | 2018-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-31 | 2018-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-31 | 2018-10-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-31 | 2018-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-10-01 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2018-08-31 | 2018-10-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-31 | 2018-10-01 | N |
| Keep all essential equipment working safely. | Health | 2018-08-31 | 2018-10-01 | N |
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