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Deficiency Records for Alderwood Manor
View the most recent health deficiencies and inspection results for Alderwood Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Alderwood Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-13 | 2026-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-13 | 2026-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-13 | 2026-03-23 | 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 | 2026-02-13 | 2026-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-13 | 2026-03-23 | 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 | 2026-02-13 | 2026-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-02-13 | 2026-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-13 | 2026-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-13 | 2026-03-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-13 | 2026-03-23 | N |
| 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 | 2026-02-13 | 2026-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-13 | 2026-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Meet other general requirements. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-02-13 | 2026-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-12 | 2025-10-17 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-30 | 2024-12-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-30 | 2024-12-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-30 | 2024-12-06 | N |
| 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 | 2024-10-30 | 2024-12-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-10-30 | 2024-12-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-30 | 2024-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-30 | 2024-12-06 | 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 | 2024-10-30 | 2024-12-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-30 | 2024-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-30 | 2024-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-30 | 2024-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-30 | 2024-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-30 | 2024-12-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-30 | 2024-11-25 | 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 | 2024-10-30 | 2024-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-12 | 2024-07-12 | 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 | 2024-06-12 | 2024-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-16 | 2023-12-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-09-18 | 2023-10-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-07 | 2023-08-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-07 | 2023-08-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-07 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-08-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-07 | 2023-08-18 | N |
| 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 | 2023-07-07 | 2023-08-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-07 | 2023-08-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-07 | 2023-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-07 | 2023-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-07 | 2023-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-07 | 2023-08-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-07 | 2023-08-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-07 | 2023-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-07 | 2023-08-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-07 | 2023-08-18 | 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 | 2023-07-07 | 2023-08-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-07 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-07 | 2023-08-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-07 | 2023-07-28 | 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 | 2023-07-07 | 2023-07-28 | N |
| Meet other general requirements. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-07-14 | Y |