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Deficiency Records for Alpha Home - A Waters Community

View the most recent health deficiencies and inspection results for Alpha Home - A Waters Community. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Alpha Home - A Waters Community. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2025-12-05 2026-01-19 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2025-12-05 2026-01-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-12-05 2026-01-19 N
Provide activities to meet all resident's needs. Health 2025-12-05 2026-01-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-12-05 2026-01-19 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2025-12-05 2026-01-19 N
Ensure each resident receives an accurate assessment. Health 2025-12-05 2026-01-19 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-12-05 2026-01-19 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-12-05 2026-01-19 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2025-12-05 2026-01-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-12-05 2026-01-08 N
Install an approved automatic sprinkler system. Fire Safety 2025-12-05 2026-01-06 N
Implement emergency and standby power systems. Fire Safety 2025-12-05 2026-01-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-12-05 2026-01-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-12-05 2026-01-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-05-28 2025-06-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-28 2025-06-20 Y
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 2025-05-28 2025-06-20 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-09-26 2024-12-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-09-26 2024-12-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-26 2024-10-30 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-09-26 2024-10-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-26 2024-10-30 N
Ensure each resident receives an accurate assessment. Health 2024-09-26 2024-10-30 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-09-26 2024-10-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-09-26 2024-10-30 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-09-26 2024-10-30 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 2024-09-26 2024-10-30 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 2024-09-26 2024-10-30 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2024-09-26 2024-10-30 N
Provide and implement an infection prevention and control program. Health 2024-09-26 2024-10-30 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-09-26 2024-10-30 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 2024-09-26 2024-10-30 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-09-26 2024-10-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-09-16 2024-10-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-26 2024-01-18 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-01-31 2023-09-28 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-11 2023-09-21 N
Implement emergency and standby power systems. Fire Safety 2023-08-11 2023-09-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-11 2023-09-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-11 2023-09-21 N
Have proper medical gas storage and administration areas. Fire Safety 2023-08-11 2023-09-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-11 2023-09-21 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-08-11 2023-09-21 N
Conduct testing and exercise requirements. Fire Safety 2023-08-11 2023-09-21 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-08-11 2023-09-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-08-11 2023-09-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-11 2023-09-08 N
Provide enough food/fluids to maintain a resident's health. Health 2023-08-11 2023-09-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-11 2023-09-08 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-11 2023-09-08 N
Ensure each resident receives an accurate assessment. Health 2023-08-11 2023-09-08 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-08-11 2023-09-08 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 2023-08-11 2023-09-08 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-11 2023-09-08 N

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