Deficiency Records for Asbury Care Center of Alamo
Updated as of July 01, 2021
This is not the most recent data for Asbury Care Center of Alamo. For the most recent information, click here.
A list of the most recent deficiencies for Asbury Care Center of Alamo. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-01-20 | 2021-02-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-20 | 2021-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-20 | 2021-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-20 | 2021-02-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-08-26 | 2020-08-28 | Y |
| 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 | 2020-03-04 | 2020-03-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-20 | 2020-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-20 | 2020-03-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-03-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-20 | 2020-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-20 | 2020-03-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-20 | 2020-03-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-20 | 2020-03-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-16 | 2020-01-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-16 | 2020-01-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-16 | 2020-01-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-06 | 2019-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-06 | 2019-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-11-27 | 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 | 2019-11-21 | 2019-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2019-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-21 | 2019-11-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-21 | 2019-11-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-21 | 2019-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-11-27 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-21 | 2019-11-27 | 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 | 2019-11-21 | 2019-11-27 | 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 | 2019-11-21 | 2019-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-11-27 | 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 | 2019-11-21 | 2019-11-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-21 | 2019-11-27 | 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 | 2019-11-21 | 2019-11-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-21 | 2019-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-11-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-21 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-11-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-11-21 | 2019-11-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-21 | 2019-11-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-06 | 2019-09-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-06 | 2019-09-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-06 | 2019-09-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-09-06 | 2019-09-28 | Y |
| 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 | 2019-09-06 | 2019-09-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-06 | 2019-09-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-11 | 2019-07-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-11 | 2019-07-05 | Y |
| 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 | 2019-06-07 | 2019-07-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-07 | 2019-07-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-21 | 2019-04-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-21 | 2019-04-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-09 | 2018-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-09 | 2018-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-09 | 2018-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-09 | 2018-11-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-11-09 | 2018-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-09 | 2018-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-11-09 | 2018-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-09 | 2018-11-30 | 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 | 2018-11-09 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-11-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-09 | 2018-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-09 | 2018-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-09 | 2018-11-29 | 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 | 2018-11-09 | 2018-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2018-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-08 | 2018-11-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-09 | 2018-11-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-09 | 2018-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-09 | 2018-11-12 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-11-09 | 2018-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-20 | 2018-07-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-07-20 | 2018-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-20 | 2018-07-27 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-07-20 | 2018-07-27 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-07-20 | 2018-07-27 | Y |
| 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 | 2018-07-20 | 2018-07-27 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-20 | 2018-07-27 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-07-20 | 2018-07-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-20 | 2018-07-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-25 | 2017-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-25 | 2017-11-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-27 | 2017-11-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-25 | 2017-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-25 | 2017-11-03 | 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 | 2017-10-25 | 2017-11-02 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-10-27 | 2017-10-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-27 | 2017-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-27 | 2017-10-31 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-27 | 2017-10-31 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-10-27 | 2017-10-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-27 | 2017-10-28 | N |
| Dispose of garbage and refuse properly. | Health | 2017-10-27 | 2017-10-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-27 | 2017-10-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-27 | 2017-10-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-27 | 2017-10-28 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-27 | 2017-10-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-27 | 2017-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-06 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-08 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-08 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-25 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-25 | Not Fixed | N |
