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Deficiency Records for Amethyst Health of Algoma
View the most recent health deficiencies and inspection results for Amethyst Health of Algoma. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Amethyst Health of Algoma. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-03 | 2025-11-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-08 | 2025-03-01 | 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 | 2025-01-08 | 2025-02-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-08 | 2025-02-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-08 | 2025-02-07 | 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 | 2025-01-08 | 2025-02-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-08 | 2025-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-08 | 2024-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-08 | 2024-08-29 | 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 | 2023-11-08 | 2024-08-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-08 | 2024-08-26 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2023-11-08 | 2024-08-23 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-06-11 | 2024-07-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2024-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-04-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2024-01-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-08 | 2023-12-22 | Y |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-11-08 | 2023-12-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 2023-12-22 | Y |
| 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 | 2023-11-08 | 2023-12-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-08 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-08 | 2023-12-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-08 | 2023-12-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-10-13 | 2023-11-13 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-13 | 2023-11-13 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-13 | 2023-11-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-12 | 2022-11-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-12 | 2022-11-14 | 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 | 2022-10-12 | 2022-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2022-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-12 | 2022-10-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-10-12 | 2022-10-24 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-25 | Not Fixed | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | Not Fixed | N |