Deficiency Records for Alaska Gardens Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Alaska Gardens Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-17 | 2023-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-30 | 2023-07-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-12 | 2023-06-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-12 | 2023-06-08 | 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 | 2023-05-12 | 2023-06-08 | 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 | 2023-05-12 | 2023-06-08 | N |
| 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 | 2023-05-12 | 2023-06-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-12 | 2023-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-12 | 2023-06-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-10 | 2023-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-10 | 2023-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-10 | 2023-05-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-10 | 2023-05-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-10 | 2023-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-10 | 2023-05-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-10 | 2023-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-10 | 2023-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-05-06 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-03-30 | 2023-04-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-01-31 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-11 | 2022-02-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-01-13 | 2022-02-10 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-13 | 2022-02-10 | N |
| 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 | 2022-01-13 | 2022-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-13 | 2022-02-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-13 | 2022-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-02-10 | 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 | 2022-01-13 | 2022-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-13 | 2022-02-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-13 | 2022-02-10 | N |
| Post nurse staffing information every day. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-13 | 2022-02-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-01-13 | 2022-02-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-13 | 2022-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-11 | 2022-02-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-11 | 2022-01-26 | 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 | 2022-01-11 | 2022-01-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-01-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-01-11 | 2022-01-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-11 | 2022-01-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-11 | 2022-01-26 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-01-11 | 2022-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-11 | 2022-01-26 | 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 | 2021-12-30 | 2022-01-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| 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 | 2019-04-04 | 2019-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-04 | 2019-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-04 | 2019-05-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-04 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-04 | 2019-05-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-04 | 2019-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-04 | 2019-05-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | 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 | 2019-04-04 | 2019-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-04 | 2019-05-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-26 | 2019-04-26 | 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 | 2019-03-26 | 2019-04-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-26 | 2019-04-26 | N |
