A list of the most recent deficiencies for Alexandria Care 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 | 2024-01-11 | 2024-02-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-11 | 2024-02-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-11 | 2024-02-02 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-11 | 2024-02-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-11 | 2024-02-02 | N |
| 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 necessary and PRN use is limited. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-11 | 2024-02-02 | 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 | 2024-01-11 | 2024-02-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-01-11 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-02-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-11 | 2024-02-02 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-11 | 2024-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-01-17 | 2024-01-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-17 | 2024-01-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-11 | 2023-12-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2023-12-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-27 | 2023-10-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-22 | 2023-10-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-19 | 2023-10-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-29 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-29 | 2023-09-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-29 | 2023-09-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-16 | 2023-09-09 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-08-02 | 2023-08-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-31 | 2023-08-18 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2023-07-21 | 2023-08-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-21 | 2023-08-14 | Y |
| 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 | 2023-05-11 | 2023-06-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-13 | 2023-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-13 | 2023-02-09 | 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 | 2023-01-13 | 2023-02-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-13 | 2023-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-09 | 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 | 2023-01-13 | 2023-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-02-09 | 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 | 2023-01-13 | 2023-02-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-13 | 2023-02-09 | N |
| Post nurse staffing information every day. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-13 | 2023-02-09 | 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 | 2023-01-13 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-01-13 | 2023-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-02 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-10 | 2022-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-09-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-25 | 2022-09-19 | Y |
| 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 necessary and PRN use is limited. | Health | 2022-08-16 | 2022-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-08-26 | Y |
| 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 | 2022-06-16 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-07-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-06 | 2022-04-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-23 | 2022-02-04 | Y |
| 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 | 2022-01-18 | 2022-01-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-18 | 2022-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-18 | 2022-01-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-23 | 2022-01-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-13 | 2021-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2021-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-11-30 | 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 | 2021-11-18 | 2021-11-30 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2021-11-11 | 2021-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-06 | 2021-10-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-29 | 2021-08-12 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-18 | 2019-11-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-18 | 2019-11-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-18 | 2019-11-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-18 | 2019-11-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-18 | 2019-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-18 | 2019-11-13 | 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 | 2019-10-18 | 2019-11-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-13 | 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 | 2019-10-18 | 2019-11-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-18 | 2019-11-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-18 | 2019-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-18 | 2019-11-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-18 | 2019-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-18 | 2019-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-18 | 2019-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-18 | 2019-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-18 | 2019-11-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | Not Fixed | N |
