A list of the most recent deficiencies for Alpine Breeze Health and Wellness. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-23 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-23 | 2023-12-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-23 | 2023-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-23 | 2023-12-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-23 | 2023-12-07 | 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 | 2023-10-23 | 2023-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-23 | 2023-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-23 | 2023-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-23 | 2023-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | 2023-12-07 | 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 | 2023-10-23 | 2023-12-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-23 | 2023-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-23 | 2023-12-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-23 | 2023-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-23 | 2023-12-07 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-23 | 2023-12-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-23 | 2023-12-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-23 | 2023-12-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-23 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-23 | 2023-12-07 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-10-23 | 2023-12-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-23 | 2023-12-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Meet other general requirements. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-23 | 2023-12-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-06 | 2023-07-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-12 | 2023-07-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-12 | 2023-07-06 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-06-12 | 2023-07-06 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-12 | 2023-07-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-20 | 2023-04-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-13 | 2023-02-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-15 | 2023-02-14 | Y |
| 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 | 2022-05-26 | 2022-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-26 | 2022-07-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-26 | 2022-07-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-26 | 2022-07-07 | 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 | 2022-05-26 | 2022-07-07 | 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 | 2022-05-26 | 2022-07-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-26 | 2022-07-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-26 | 2022-07-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-26 | 2022-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-07-07 | 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 | 2022-05-26 | 2022-07-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-07-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-26 | 2022-07-07 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-26 | 2022-07-07 | 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 | 2022-05-26 | 2022-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-26 | 2022-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-26 | 2022-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-26 | 2022-06-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-26 | 2022-06-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-26 | 2022-06-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-26 | 2022-05-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-09 | 2022-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-08 | 2021-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-29 | 2021-11-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-29 | 2021-11-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-09-29 | 2021-11-13 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-10-25 | 2019-12-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-25 | 2019-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-25 | 2019-12-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-25 | 2019-12-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-25 | 2019-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-25 | 2019-12-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-25 | 2019-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-12-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-25 | 2019-12-02 | N |
| Meet other general requirements. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-25 | 2019-12-02 | N |
