A list of the most recent deficiencies for Alliance Health at Marie Esther. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-10-25 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-26 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-05-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-14 | 2023-05-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-26 | 2023-05-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-01 | 2022-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-01 | 2022-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-01 | 2022-01-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-01 | 2022-01-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-12-01 | 2022-01-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-01 | 2019-08-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-17 | 2019-08-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-17 | 2019-08-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-17 | 2019-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-17 | 2019-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-17 | 2019-08-01 | N |
| Keep all essential equipment working safely. | Health | 2019-06-17 | 2019-08-01 | N |
