A list of the most recent deficiencies for Aliya On 87th. 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 | 2024-03-06 | 2024-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-10 | 2024-03-27 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-10 | 2024-03-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-06 | 2024-03-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-10 | 2024-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-10 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-10 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-10 | 2024-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-10 | 2024-03-15 | N |
| 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. | Health | 2024-03-10 | 2024-03-15 | 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 | 2024-03-10 | 2024-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-10 | 2024-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-10 | 2024-03-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-10 | 2024-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-10 | 2024-03-15 | 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 | 2024-03-10 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-10 | 2024-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-10 | 2024-03-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-10 | 2024-03-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-06 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-26 | 2024-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-18 | 2023-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-18 | 2023-12-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-18 | 2023-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-31 | 2023-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-11-01 | 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 | 2023-10-31 | 2023-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-08 | 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 | 2023-08-24 | 2023-09-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-08 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-03 | 2023-05-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-03 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-03 | 2023-05-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-28 | 2023-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-28 | 2023-05-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-28 | 2023-05-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-28 | 2023-05-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-28 | 2023-05-12 | 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 | 2023-04-28 | 2023-05-12 | 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 | 2023-04-28 | 2023-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-05-12 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-28 | 2023-05-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-29 | 2023-04-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-19 | 2023-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-19 | 2023-01-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-19 | 2023-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-19 | 2023-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-23 | 2022-12-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-07 | 2022-10-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-10-18 | Y |
| 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. | Health | 2022-10-07 | 2022-10-18 | 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 | 2022-10-07 | 2022-10-18 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-23 | 2022-10-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-23 | 2022-10-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-21 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-07-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-21 | 2022-07-08 | 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 | 2022-06-21 | 2022-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-15 | 2022-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-15 | 2022-06-30 | N |
| Provide appropriate foot care. | Health | 2022-06-15 | 2022-06-30 | N |
| 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. | Health | 2022-06-15 | 2022-06-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-15 | 2022-06-30 | 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 | 2022-06-15 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-06-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-15 | 2022-06-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-05-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-30 | 2022-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-30 | 2022-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-11 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-30 | 2022-01-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-30 | 2022-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2021-12-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-01 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-01 | 2021-11-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-30 | 2021-10-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-30 | 2021-10-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-13 | 2021-08-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-13 | 2021-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-13 | 2021-07-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-29 | 2021-07-10 | Y |
