Deficiency Records for Alexandria Care Center

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Updated as of March 01, 2024

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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-10-24 2023-11-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-24 2023-11-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-24 2023-11-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-10-24 2023-11-06 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-10-24 2023-11-06 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-10-03 2023-10-06 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 2023-10-03 2023-10-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-10-03 2023-10-06 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-21 2022-10-03 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2022-09-21 2022-10-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-08-12 2022-08-29 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 2022-08-12 2022-08-29 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-08-12 2022-08-29 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-08-12 2022-08-29 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-08-12 2022-08-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-12 2022-08-29 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 2022-08-12 2022-08-29 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 2022-08-12 2022-08-29 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-08-12 2022-08-29 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-19 2022-08-22 Y
Provide and implement an infection prevention and control program. Health 2022-01-13 2022-01-26 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 2021-09-17 2021-10-25 N
Construct fire resistant interior walls. Fire Safety 2021-09-17 2021-10-25 N
Install an approved automatic sprinkler system. Fire Safety 2021-09-17 2021-10-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-17 2021-10-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-17 2021-10-25 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-09-03 2021-09-30 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 2021-09-03 2021-09-30 N
Provide and implement an infection prevention and control program. Health 2021-09-03 2021-09-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-23 2021-09-24 Y