Alliance Health at Marina Bay

In the surveyor’s words

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

• Actual harm, isolatedF688Jun 14, 2023

  Based on observations, record review, and interviews, the facility failed to prevent a decline in range of motion causing the development of a contracture for one Resident (#122), out of a total sample of 31 residents. Findings include: Resident #122 was admitted to the facility in April 2022 with diagnoses the included but were not limited to chronic obstructive pulmonary disease, chronic respiratory failure, unspecified severe protein calorie malnutrition, adult failure to thrive, depression, and other abnormalities of gait and mobility. […]

• No harm, potential for more than minimal, patternF692Nov 21, 2025

  Based on record review, observation, and interviews, the facility failed to maintain acceptable parameters of nutritional status for one Resident (#131) with an unplanned weight loss, out of a total sample of 30 residents. Specifically, the facility failed for Resident #131 to implement dietary recommendations/interventions after weight loss had been identified, and he/she continued to lose weight. Findings include: Review of the facility's policy titled Consultant Dietician, dated as last revised 11/1/2021, indicated but was not limited to the following:-The consultant Dietician has weekly regular hours of sufficient duration to provide consultation to staff regarding Residents' dietary needs and assistance with the revision and implementation of Nutritional Policies and Procedures.-The… […]

• No harm, potential for more than minimal, patternF759Nov 21, 2025

  Based on observations, records reviewed, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when two out of three nurses observed during a medication pass made five errors out of 27 opportunities, resulting in a medication error rate of 18.52%. Specifically,1. For Resident #161, Nurse #3 prepared his/her medications, failed to identify the Resident and attempted to administer the medications to Resident #162; and,2. For Resident #93, failed to administer the correct does of Calcium plus Vitamin D; and3. […]

• No harm, potential for more than minimal, patternF759Sep 23, 2024

  Based on observation, interview, and record review, the facility failed to ensure it was free from a medication error rate of greater than five percent when one of two nurses made seven errors out of 40 opportunities, totaling a medication error rate of 17.5%. These errors impacted one Resident (#14), out of three residents observed. Specifically, the nurse administered the wrong dose of Buspar (for anxiety), Neurontin (for seizures or nerve pain), and Tylenol (for mild to moderate pain), and failed to administer Anoro Ellipta (inhaler for lung conditions), Fluticasone Propionate (inhaler for lung conditions), Ipratropium Bromide (aerosol for lung conditions), and Lidocaine patches (local anesthetic for pain management) as ordered. […]

• No harm, potential for more than minimal, patternF812Sep 23, 2024

  Based on observation, record review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to properly label and date food products, and to maintain safe and clean equipment in four of five nourishment kitchenettes. Findings include: Review of the facility's policy titled Food & Nutrition Services, revised 12/5/21, indicated but was not limited to the following: - Food brought in by family or visitors will be in a secure container/bag, dated and will be subject to disposal based on sanitary, safe consumption. […]