Deficiency Records for Mission at Alpine Rehabilitation Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Mission at Alpine Rehabilitation 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?
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 2023-11-30 2024-01-15 N
Ensure that residents are free from significant medication errors. Health 2023-11-30 2024-01-15 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 2023-11-30 2024-01-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-11-30 2024-01-15 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-11-30 2024-01-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-30 2024-01-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-30 2024-01-15 Y
Conduct testing and exercise requirements. Fire Safety 2023-11-29 2023-12-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-29 2023-12-31 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 2023-11-29 2023-12-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-29 2023-12-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-29 2023-12-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-29 2023-12-31 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-29 2023-12-31 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-11-29 2023-12-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-16 2022-04-10 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-02-16 2022-04-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-16 2022-04-10 N
Provide activities to meet all resident's needs. Health 2022-02-16 2022-04-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-16 2022-04-10 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-16 2022-04-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-16 2022-04-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-15 2022-02-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-02-15 2022-02-15 N
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 2020-01-23 2020-02-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-23 2020-02-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-23 2020-02-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-23 2020-02-24 N