Alpha Care One Assisted Living

The maintenance manager failed to consistently check and document temperatures on a daily basis. Additionally, there was a failure to ensure weights were checked by the 15th of the month.

The facility failed to ensure that exit doors opening to the outside were equipped with continuously sounding alarms to alert staff. This deficiency affected 7 of 8 exit doors accessible to residents identified as disoriented, wandering, or diagnosed with dementia/Alzheimer's.

The facility failed to ensure that the main entrance door had a sounding device engaged. This is required for facilities with residents who are disoriented or exhibit wandering behavior to ensure an audible alarm sounds when an exit door is opened.

The facility failed to ensure the main entrance door had a continuously sounding device engaged that was audible throughout the facility. This deficiency was identified for residents with dementia, Alzheimer's disease, and major neurocognitive disorder who are at risk for wandering.

The facility failed to ensure the primary care provider was notified of a change in a resident's behavior. Specifically, a resident exhibiting agitation, threats, and possession of a sharp object was not properly referred for follow-up care, resulting in an unaddressed Type B violation.

The facility failed to ensure the primary care provider was notified of a resident's change in behavior, specifically regarding agitation and the possession of a sharp metal object. This failure to provide necessary follow-up occurred despite the resident experiencing an altercation and sustaining a rib fracture shortly after the incident.

The facility failed to notify the primary care provider (PCP) of a change in condition for a resident regarding a foot ulcer that required hospitalization. Specifically, there was no documentation that the PCP was notified when the resident refused an appointment at the wound clinic.

The facility failed to notify the primary care provider (PCP) of a change in condition for a resident regarding a foot ulcer that required hospitalization. Specifically, there was no documentation that the PCP was notified when the resident refused a wound clinic appointment. This failure to communicate acute health changes prevented necessary medical follow-up.