A list of the most recent deficiencies for Goodwin House Alexandria. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-05-10 | 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 | 2023-04-05 | 2023-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-05 | 2023-05-10 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-05 | 2023-05-10 | 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 | 2021-10-25 | 2021-11-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-25 | 2021-11-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-10-25 | 2021-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-14 | 2021-11-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-21 | 2019-05-23 | 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 | 2019-03-21 | 2019-05-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-31 | 2019-03-15 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-01-31 | 2019-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-31 | 2019-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-31 | 2019-03-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-31 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-31 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-15 | N |
