ALAMO NURSING AND REHABILITATION CENTER
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Penalty
$12,542
Outcome
ALAMO NURSING AND REHABILITATION CENTER in ALAMO, TN was fined $12,542 by CMS following 20 deficiency citations identified during federal surveys.
Details
ALAMO NURSING AND REHABILITATION CENTER (ALAMO, TN) — $12,542 in CMS Fines
Outcome: ALAMO NURSING AND REHABILITATION CENTER in ALAMO, TN was fined $12,542 by CMS following 20 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide safe and appropriate respiratory care for a resident when needed.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- Ensure medication error rates are not 5 percent or greater.
- 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.
- Provide and implement an infection prevention and control program.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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