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Deficiency Records for Mission at Alpine Rehabilitation Center
View the most recent health deficiencies and inspection results for Mission at Alpine Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mission at Alpine Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-20 | 2025-10-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-20 | 2025-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-20 | 2025-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-20 | 2025-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-20 | 2025-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-20 | 2025-10-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-20 | 2025-10-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-20 | 2025-10-20 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-08-20 | 2025-10-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-20 | 2025-10-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-20 | 2025-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-20 | 2025-10-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-08-20 | 2025-10-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-08-20 | 2025-10-20 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-08-20 | 2025-10-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-20 | 2025-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-20 | 2025-10-20 | N |
| 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 | 2025-08-20 | 2025-10-20 | 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 | 2025-08-20 | 2025-10-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-08-20 | 2025-10-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-20 | 2025-10-20 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-08-20 | 2025-10-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-20 | 2025-10-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-20 | 2025-10-20 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-20 | 2025-10-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-20 | 2025-10-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-20 | 2025-10-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-20 | 2025-10-20 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-08-20 | 2025-10-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-20 | 2025-10-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-20 | 2025-10-01 | N |
| 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 | 2023-11-30 | 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 |