A list of the most recent deficiencies for Alliance Health at West Acres. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-27 | 2023-09-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-27 | 2023-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-27 | 2023-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-27 | 2023-09-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-09-05 | 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 | 2023-07-27 | 2023-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-20 | 2021-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-11-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-15 | 2020-02-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-15 | 2020-02-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-15 | 2020-02-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-15 | 2020-02-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | 2020-02-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-15 | 2020-02-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | 2020-02-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-01-15 | 2020-02-29 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-10-26 | 2018-12-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-26 | 2018-12-05 | 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 | 2018-10-26 | 2018-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-12-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-26 | 2018-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-20 | 2018-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-20 | 2018-11-30 | N |
