Inspection Reports for Alpine Meadow Rehab & Nursing

The inspection was conducted based on a complaint investigation regarding the facility's failure to promptly obtain and report laboratory test results to the ordering practitioner and concerns about infection prevention practices during meal delivery.

The facility failed to promptly notify the ordering physician of abnormal laboratory results for one resident, resulting in a 9-day delay before antibiotic treatment was initiated. Additionally, the facility did not implement proper infection prevention and control practices, specifically failing to perform hand hygiene when delivering lunch trays between multiple resident rooms.

The complaint investigation found that laboratory results for resident 6 were not promptly communicated to the provider, causing a delay in antibiotic treatment. Observations and interviews revealed staff did not perform hand hygiene when delivering meals, increasing risk of infection transmission.

The inspection was conducted due to allegations of abuse involving two residents who reported inappropriate touching by a Certified Nurse Assistant (CNA). The investigation also included review of medication administration practices.

The facility failed to ensure residents were free from abuse, with two residents reporting inappropriate touching by a CNA. The facility also failed to timely report one abuse allegation and did not thoroughly investigate another. Additionally, medication administration errors were found with insulin given late for three residents.

The complaint investigation involved allegations that a CNA inappropriately touched two residents on their genitals and another resident was patted on the buttocks. The facility suspended the CNA involved and conducted an investigation. One allegation was not reported to the State Survey Agency within 24 hours as required. The investigation found some allegations not verified due to resident confusion, but others were substantiated by resident statements and staff interviews.

The inspection was a complaint investigation combined with an unannounced annual inspection to review compliance with nursing care facility regulations.

The inspection found zero rule noncompliances, indicating full compliance with all applicable nursing care facility regulations during the visit.

The inspection was complaint-related and unannounced, but no rule noncompliances were found, indicating no substantiated deficiencies.

The inspection was conducted due to a complaint investigation regarding failure to timely report and thoroughly investigate an unwitnessed fall resulting in a fracture, and concerns about medication errors, respiratory care, infection control, and food safety.

The facility failed to timely report a resident's fall with fracture to the State Survey Agency and did not thoroughly investigate the incident. Medication errors were observed with a 25% error rate, including incorrect doses and late administration. Respiratory care was inadequate with oxygen tubing not changed as ordered. Infection prevention and control practices were deficient during a COVID-19 outbreak, including improper PPE use and meal tray handling. Food safety issues were noted with improperly stored and expired food items.

The complaint investigation focused on failure to timely report and investigate a resident's fall with fracture, medication errors, respiratory care deficiencies, infection control lapses during a COVID-19 outbreak, and food safety violations.

The inspection was conducted due to a COVID-19 outbreak and concerns regarding the facility's infection prevention and control program, specifically related to staff PPE use, meal tray handling, and timely COVID-19 testing of symptomatic residents.

The facility failed to maintain an effective infection prevention and control program during a COVID-19 outbreak. Staff did not properly dispose of PPE, did not wear eye protection entering COVID-positive rooms, meal trays were not bagged or identified, and a symptomatic resident was not promptly tested for COVID-19. Cross contamination risks were identified due to improper PPE use and handling of contaminated items.

The visit was complaint-related due to concerns about infection control practices during a COVID-19 outbreak. The complaint was substantiated based on observations, interviews, and record review indicating multiple infection control failures.

The inspection was conducted due to a complaint investigation triggered by a choking incident involving a resident who received food not prepared according to physician orders, resulting in emergency medical attention.

The facility failed to ensure that residents received food prepared according to their prescribed mechanically altered diets, resulting in a choking incident with one resident and other residents receiving incorrect diet textures. The facility also lacked adequate supervision and staff competency in food and nutrition services, contributing to the deficiencies. Immediate Jeopardy was identified due to these failures.

The complaint investigation was triggered by a choking incident on 8/6/23 involving Resident 1 who was served a regular diet instead of the prescribed pureed diet, resulting in aspiration and emergency medical intervention. The facility was found to have systemic failures in diet order implementation and staff training.

The inspection was conducted in response to allegations of abuse, neglect, exploitation, or mistreatment involving two residents at the facility.

The facility failed to thoroughly investigate all alleged violations and did not submit the results of investigations to the State Survey Agency within five working days. Specifically, for 2 out of 5 sampled residents, the investigation was incomplete and not reported as required.

The complaint involved allegations that Resident 2 was attempting to trip other residents, kicking wheelchairs, and making inappropriate gestures to Resident 3 and others. The facility reported the incident but failed to submit a follow-up investigation report to the State Survey Agency within the required timeframe. The Administrator was unable to provide documentation of a thorough investigation.

The inspection was conducted to investigate complaints related to nutritional status, medication regimen reviews, hydration, and food service safety at Alpine Meadow Rehabilitation and Nursing.

The facility failed to ensure residents maintained adequate nutritional status, timely acted on pharmacist recommendations, provided drinks consistent with resident needs, and served food in accordance with professional standards. Specifically, one resident experienced significant weight loss without timely interventions, pharmacist recommendations were delayed or not followed, a resident on thickened liquids received regular thin liquids, and desserts were delivered uncovered during meal service.

The complaint investigation focused on nutritional care, medication regimen review follow-up, hydration practices, and food service safety. Issues included significant weight loss without adequate intervention, delayed pharmacist recommendation implementation, improper hydration consistency, and improper food handling during meal service.