Deficiency Records for Alameda Healthcare and Wellness Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Alameda Healthcare and Wellness Center. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-05 | 2023-09-20 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-29 | 2023-07-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-15 | 2023-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-23 | 2022-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-11-04 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-10-05 | 2022-11-04 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-09-06 | 2022-09-27 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-15 | 2022-08-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-11 | 2022-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-07 | 2022-02-02 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-01-07 | 2022-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-30 | 2022-01-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-30 | 2022-01-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-21 | 2021-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-06 | 2021-10-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-21 | 2021-10-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-16 | 2021-10-25 | Y |
| 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 | 2021-09-16 | 2021-10-25 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-05-13 | 2021-06-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-13 | 2021-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-06-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-29 | 2021-04-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-29 | 2021-04-13 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-11 | 2019-10-08 | 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 | 2019-09-11 | 2019-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-09-11 | 2019-10-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-19 | 2019-08-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-19 | 2019-08-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-19 | 2019-08-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-19 | 2019-08-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-19 | 2019-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-19 | 2019-08-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-19 | 2019-08-16 | 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 | 2019-07-19 | 2019-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-19 | 2019-08-16 | 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 | 2019-07-19 | 2019-08-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-19 | 2019-08-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-19 | 2019-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-19 | 2019-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-19 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-19 | 2019-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-19 | 2019-08-16 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-07-19 | 2019-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2018-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-31 | 2018-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-31 | 2018-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-31 | 2018-10-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-31 | 2018-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-10-01 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2018-08-31 | 2018-10-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-31 | 2018-10-01 | N |
| Keep all essential equipment working safely. | Health | 2018-08-31 | 2018-10-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-07 | 2017-09-26 | 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 | 2017-08-07 | 2017-09-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-08-07 | 2017-09-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-03 | 2017-09-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-08-03 | 2017-09-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-03 | 2017-09-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-03 | 2017-09-06 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-08-03 | 2017-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-03 | 2017-09-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-03 | 2017-09-06 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-08-03 | 2017-09-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-03 | 2017-09-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-09-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-08-03 | 2017-09-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-03 | 2017-09-06 | N |
