A list of the most recent deficiencies for Alden Estates of Northmoor. 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-25 | 2023-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-09 | 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 | 2023-10-25 | 2023-11-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-25 | 2023-11-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-25 | 2023-11-09 | 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 | 2023-10-25 | 2023-11-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-25 | 2023-11-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-26 | 2023-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-01 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-25 | 2023-11-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-10-30 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-20 | 2023-10-30 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-26 | 2023-10-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-21 | 2023-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-03-24 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-03 | 2022-12-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-03 | 2022-08-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-03 | 2022-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-03 | 2022-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-03 | 2022-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-03 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-21 | 2022-07-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-08 | 2022-07-13 | 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 | 2022-07-08 | 2022-07-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-08 | 2022-07-11 | 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 | 2022-07-08 | 2022-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-08 | 2022-07-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-08 | 2022-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-08 | 2022-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-08 | 2022-07-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-21 | 2022-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-21 | 2022-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-21 | 2022-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-06-24 | 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 | 2021-08-20 | 2021-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-20 | 2021-09-06 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-03 | 2021-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-03 | 2021-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-03 | 2021-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-28 | 2021-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-28 | 2021-06-17 | 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 | 2021-05-28 | 2021-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-28 | 2021-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-06-17 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-05-28 | 2021-06-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-03 | 2021-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-17 | 2021-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-10 | 2021-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-10 | 2021-03-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-10 | 2021-03-31 | Y |
