A list of the most recent deficiencies for Alois Alzheimer Center. 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? |
---|---|---|---|---|
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-06 | 2023-10-13 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-06 | 2023-10-13 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-22 | 2022-10-31 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-22 | 2022-10-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-10-31 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-22 | 2022-10-31 | 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 | 2022-09-22 | 2022-10-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-09-21 | 2022-10-31 | N |