Deficiency Records for Alden Debes Rehab and Hcc
Updated as of February 01, 2022
This is not the most recent data for Alden Debes Rehab and Hcc. For the most recent information, click here.
A list of the most recent deficiencies for Alden Debes Rehab and Hcc. 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? |
|---|---|---|---|---|
| Have proper power supply for life support equipment. | Fire Safety | 2021-12-10 | 2022-01-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-10 | 2021-12-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-10 | 2021-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-10 | 2021-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-10 | 2021-12-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-10 | 2021-12-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-10 | 2021-12-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-08 | 2021-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-08 | 2021-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2021-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2021-12-20 | 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 | 2021-12-08 | 2021-12-20 | 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 | 2021-12-08 | 2021-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-08 | 2021-12-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-08 | 2021-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-10 | 2021-12-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-02 | 2021-08-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-09 | 2021-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-10 | 2021-05-26 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-02-09 | 2021-03-26 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2021-02-09 | 2021-03-08 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-02-09 | 2021-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-27 | 2021-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-27 | 2021-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-27 | 2021-02-03 | 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 | 2021-01-27 | 2021-02-03 | 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 | 2021-01-27 | 2021-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-27 | 2021-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-20 | 2020-08-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-17 | 2020-01-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-17 | 2020-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-01-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-17 | 2019-08-09 | 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 | 2019-07-17 | 2019-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-17 | 2019-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-17 | 2019-07-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-17 | 2019-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-17 | 2019-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-17 | 2019-07-29 | 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 | 2019-07-11 | 2019-07-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-11 | 2019-07-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-07-24 | 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 | 2019-07-11 | 2019-07-24 | N |
| Keep all essential equipment working safely. | Health | 2019-07-11 | 2019-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-21 | 2019-05-31 | Y |
