Deficiency Records for Alaska Gardens Health and Rehabilitation
Updated as of January 01, 2021
This is not the most recent data for Alaska Gardens Health and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-20 | 2019-12-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-24 | 2019-11-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-24 | 2019-11-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-24 | 2019-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-12 | 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 | 2019-07-25 | 2019-08-07 | 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 |
| 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 |
| 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-04 | 2019-05-15 | Y |
| 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 | Y |
| 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 | Y |
| 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 |
| Be properly staffed | 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-17 | 2019-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-17 | 2019-02-14 | Y |
| 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 | 2019-01-17 | 2019-02-14 | Y |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2019-01-17 | 2019-02-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-17 | 2019-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-17 | 2019-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-16 | 2019-02-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-16 | 2019-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-16 | 2019-02-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-16 | 2019-02-14 | 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 | 2018-11-16 | 2019-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-09 | 2018-12-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-09 | 2018-12-19 | Y |
| 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 | 2018-11-16 | 2018-12-10 | Y |
| 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 | 2018-08-09 | 2018-09-06 | Y |
| 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 | 2018-08-09 | 2018-09-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-09 | 2018-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-06 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-07-20 | 2018-08-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-06 | 2018-07-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-06-06 | 2018-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-06 | 2018-07-10 | 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 | 2018-06-06 | 2018-07-10 | N |
| 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 | 2018-06-06 | 2018-07-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-06 | 2018-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-06 | 2018-07-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-06 | 2018-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-06 | 2018-07-10 | 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 | 2018-06-06 | 2018-07-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-06 | 2018-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-06 | 2018-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-06 | 2018-07-10 | 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 | 2018-06-06 | 2018-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-06 | 2018-07-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-06-06 | 2018-07-10 | 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 | 2018-06-06 | 2018-07-10 | 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 | 2018-06-06 | 2018-07-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-06 | 2018-07-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-06 | 2018-07-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-31 | 2018-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-31 | 2018-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-15 | 2018-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-20 | 2018-03-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-06-14 | 2017-07-10 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-14 | 2017-07-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-14 | 2017-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-14 | 2017-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-14 | 2017-07-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-14 | 2017-07-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-14 | 2017-07-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-14 | 2017-07-10 | N |
