Alliance Health at Baldwinville

In the surveyor’s words

From the most serious findings on record at Alliance Health at Baldwinville, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jan 5, 2026

  Based on observation, interviews, and record review, the facility failed to follow professional standards of practice for food storage and environmental cleaning of the facility's main kitchen.Specifically, the facility failed to ensure that:-food items were properly dated, stored, and/or discarded timely in the main kitchen-clean and sanitary surfaces were maintained in the walk-in refrigerator, walk-in freezer, and food preparation areas, placing the facility residents at risk for contamination and foodborne illnesses. Findings include: Review of the facility policy titled, Food Storage, dated 9/1/25, included but was not limited to the following: >Prepared foods in the refrigerator shall be kept covered, labeled and dated. […]

• No harm, potential for more than minimal, patternF883Sep 19, 2024

  Based on interview, record and policy review, the facility failed to implement updated timing guidance for Pneumococcal Vaccinations and ensure that Pneumococcal Vaccinations were offered and administered as consented to for three Residents (#62, #46 and #6), of 5 applicable residents reviewed, out of a total sample of 18 residents. Specifically, the facility failed to: 1. Ensure the facility policy relative to Pneumococcal Vaccination was reviewed and updated to include current Centers for Disease Control and Prevention (CDC) guidance. 2. For Resident #62, afford the opportunity to consent to or decline the Pneumococcal Vaccine when the Resident was admitted to the facility. 3. […]

• No harm, potential for more than minimal, patternF886Sep 15, 2021

  Based on observation, interview, and record review the facility's staff failed to conduct testing and specimen collection in a manner consistent with current standards of practice for conducting COVID-19 tests. Findings included: Review of the Occupational Safety and Health Administration (OSHA) website titled COVID-19 Guidance on Social Distancing at Work (osha.gov), dated OSHA4027-05 2020, indicated: Social (physical) distancing involves maintaining at least six feet of distance between people and is an effective way to help reduce the risk of exposure to the coronavirus. […]

• No harm, potential for more than minimal, patternF880Aug 9, 2021

  Based on document review, observation and interview, the facility failed to maintain infection control practices during a medication pass, impacting one Resident (#35), out of a total of eight residents observed. Findings include: Review of the Blood Glucose Monitoring Systems manufacturer's guidelines indicated the following: -The meter should be cleaned and disinfected after use on each patient. -Disinfecting procedure is needed to prevent the transmission of blood borne pathogens. On 8/4/21 at 3:38 P.M., the surveyor observed the medication pass and observed Nurse #1 perform a Finger Stick Blood Sugar (FSBS) on Resident # 20. After she completed the FSBS, she placed the glucometer on top of her medication cart. […]

• No harm, potential for more than minimal, patternF881Aug 9, 2021

  Based on policy review, document review and interview, the facility failed to implement an Antibiotic Stewardship Program. Findings include: Review of the facility's Antibiotic Stewardship policy, dated 11/19/17, included the following: -Antibiotic will be prescribed and administered to residents under the guidance of the facility's Antibiotic Stewardship Program. -The Infection Prevention Program Coordinator (IP) has the role to inform the team of strategies to improve antibiotic use. […]