Deficiency Records for Alden Park Strathmoor
Updated as of November 01, 2018
This is not the most recent data for Alden Park Strathmoor. For the most recent information, click here.
A list of the most recent deficiencies for Alden Park Strathmoor. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-02 | 2018-08-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-02 | 2018-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-02 | 2018-08-17 | Y |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-16 | 2018-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-15 | 2018-06-01 | 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 | 2018-05-15 | 2018-06-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-04 | 2018-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-04 | 2018-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-04 | 2018-05-23 | 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 | 2018-05-04 | 2018-05-23 | 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 ne | Health | 2018-05-04 | 2018-05-23 | 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 | 2018-05-04 | 2018-05-23 | 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 | 2018-05-04 | 2018-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-16 | 2018-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-19 | 2018-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-19 | 2018-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-27 | 2017-12-22 | Y |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2017-04-20 | 2017-05-28 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-04-13 | 2017-05-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-13 | 2017-05-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-13 | 2017-05-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-13 | 2017-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-05-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-13 | 2017-05-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-13 | 2017-05-17 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-04-20 | 2017-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-20 | 2017-05-15 | 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 | 2017-04-20 | 2017-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-20 | 2017-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-20 | 2017-05-15 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2017-04-20 | 2017-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-20 | 2017-05-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-18 | 2017-02-01 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-08-24 | 2016-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-19 | 2016-06-03 | Y |
| The appropriate emergency electrical system. | Fire Safety | 2016-03-16 | 2016-05-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-16 | 2016-04-25 | N |
| Resident room doors of proper design and width. | Fire Safety | 2016-03-16 | 2016-04-25 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-24 | 2016-04-18 | Y |
| Proper power supply for life support equipment. | Fire Safety | 2016-03-16 | 2016-04-10 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-03-17 | 2016-04-08 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-17 | 2016-04-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-17 | 2016-04-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-17 | 2016-04-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-17 | 2016-04-08 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-16 | 2016-04-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-16 | 2016-04-04 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-03-16 | 2016-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-20 | 2015-12-07 | Y |
