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Deficiency Records for Alden Estates of Countryside, Inc
View the most recent health deficiencies and inspection results for Alden Estates of Countryside, Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Alden Estates of Countryside, Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-11-25 | 2025-12-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-03 | 2025-12-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-23 | 2025-07-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-06-23 | 2025-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-23 | 2025-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Use approved construction type or materials. | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-23 | 2025-07-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-06-23 | 2025-07-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-23 | 2025-07-07 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-23 | 2025-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-23 | 2025-07-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-06-23 | 2025-07-07 | 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 | 2025-06-23 | 2025-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-23 | 2025-07-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-06-23 | 2025-07-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-06-23 | 2025-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-23 | 2025-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-23 | 2025-07-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-23 | 2025-07-07 | 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 | 2025-06-23 | 2025-07-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-23 | 2025-07-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-23 | 2025-07-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-14 | 2025-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-14 | 2025-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-14 | 2025-05-12 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-04-14 | 2025-05-12 | 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 | 2025-04-14 | 2025-05-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-14 | 2025-05-12 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-12-03 | 2025-01-02 | Y |
| 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 | 2024-12-03 | 2025-01-02 | 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 | 2024-12-03 | 2025-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-03 | 2025-01-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-03 | 2025-01-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-18 | 2024-12-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-27 | 2024-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-27 | 2024-04-24 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-03-27 | 2024-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-27 | 2024-04-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-27 | 2024-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-27 | 2024-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-27 | 2024-04-16 | 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 | 2024-03-27 | 2024-04-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-27 | 2024-04-16 | 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 | 2024-03-27 | 2024-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-27 | 2024-04-16 | 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 | 2024-03-27 | 2024-04-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-27 | 2024-04-16 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-03-27 | 2024-04-16 | 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 | 2024-03-27 | 2024-04-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-27 | 2024-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-03-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-27 | 2024-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-03-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-08 | 2023-12-28 | 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 | 2023-12-08 | 2023-12-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-27 | 2023-11-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-27 | 2023-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-14 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-05 | 2023-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-05 | 2023-01-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-05 | 2022-12-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-05 | 2022-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-05 | 2022-12-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-05 | 2022-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-05 | 2022-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-05 | 2022-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2022-12-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-05 | 2022-12-19 | N |