CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mt Alverna Home Inc
View the most recent health deficiencies and inspection results for Mt Alverna Home Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mt Alverna Home Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-02 | 2025-07-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-12 | 2025-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-12 | 2025-01-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-11-05 | 2024-11-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-05 | 2024-11-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-05 | 2024-11-20 | Y |
| 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 | 2024-09-03 | 2024-09-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-03-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-14 | 2024-01-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-14 | 2024-01-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-18 | 2019-10-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-07-18 | 2019-10-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-07-18 | 2019-10-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-18 | 2019-10-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-18 | 2019-10-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-18 | 2019-10-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-18 | 2019-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-10-09 | 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 | 2019-07-18 | 2019-10-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-18 | 2019-10-09 | 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 | 2019-07-18 | 2019-10-09 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-07-18 | 2019-10-09 | 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 | 2019-07-18 | 2019-10-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-18 | 2019-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-18 | Not Fixed | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Develop a communication plan. | Fire Safety | 2019-07-18 | Not Fixed | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-07-18 | Not Fixed | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-18 | Not Fixed | N |