Inspection Results » Alexandria Care Center

  1. Health Inspection on April 9, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-05-03)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-03)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-03)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-05-03)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-03)
      • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2019-05-03)
      • 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 ne (Corrected 2019-05-03)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-03)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-03)
      • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2019-05-03)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-03)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-05-03)
      • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2019-05-03)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-05-03)
      • 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. (Corrected 2019-05-03)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-05-03)
      • Provide and implement an infection prevention and control program. (Corrected 2019-05-03)
      • Assess the resident when there is a significant change in condition (Corrected 2019-05-03)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-05-03)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-03)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-03)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-03)
    3. Pattern: No actual harm with potential for minimal harm
      • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected N/A)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-05-03)

  2. Health Inspection on October 20, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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. (Corrected 2018-11-01)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html