Alpine Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Alpine Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 8, 2025

  THIS DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, review of physician standing orders, review of hospital records, staff interview, and policy review, the facility failed to ensure residents were free from constipation and had interventions to prevent constipation on the care plan. This resulted in Actual Harm when Resident #75 did not have a bowel movement for five days before a stool softener was prescribed and was transferred out to the hospital and diagnosed with a fecal impaction. This affected one (Resident #75) of three residents reviewed for constipation. The census was 73. Findings include: Record review revealed Resident #75 was admitted on [DATE] and discharged on [DATE]. […]

• Actual harm, isolatedF690Apr 8, 2025

  Based on record review, review of hospital records, staff interview, and review of facility policy, the facility failed to ensure residents were treated timely for a urinary tract infections (UTI). This resulted in Actual harm when Resident #75 developed signs and symptoms of a UTI and wasn't treated for the UTI for six days. She transferred out to the hospital and it was discovered the resident had a significant distention in the bladder with renal pelvictasis, (renal pelviectasis, is when urine gathers in the center of the kidney, called the pelvis. This makes the kidney larger than normal. This condition can affect one or both kidneys.) This affected one (Resident #75) of one resident reviewed for UTI. There were no other residents in the facility with a UTI. […]

• Actual harm, isolatedF686Nov 23, 2022

  Based on record review, observation, resident and staff interviews, review of facility policy, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to implement physician-ordered interventions for residents with pressure ulcers, failed to thoroughly assess resident's skin and failed to identify pressure ulcers until they had already reached an advanced stage. This resulted in Actual Harm when Resident #76 developed an avoidable unstageable pressure ulcer to the left heel on 09/16/22 and Resident #55 developed an avoidable unstageable pressure ulcer to the right heel on 11/17/22. This affected two (#55 and #76) of three residents reviewed for pressure ulcers. The facility census was 84. Findings include: 1. […]

• Actual harm, isolatedF689Nov 23, 2022

  Based on record review, staff interview, and review of facility policy, the facility failed to conduct a thorough investigation to determine potential hazards and resident-specific interventions to reduce and/or eliminate falls and falls with injury. This resulted in Actual Harm when Resident #87 experienced a fall on 11/06/22 which was not investigated to implement effective interventions. Resident#87 sustained a right comminuted hip fracture from the fall. This affected one (#87) of three residents reviewed for falls. The census was 84. Finding include: Review of the medical record for Resident #87 revealed an admitted [DATE] with a diagnosis of Alzheimer's disease. […]

• Actual harm, isolatedF684Dec 17, 2021

  Based on medical record review, staff interview and policy review, the facility failed to implement the bowel protocol for a resident who had not had a bowel movement in three days. Actual harm occurred when Resident #39 was not documented to have a bowel movement for four days and was subsequently sent to the hospital for abdominal distention, pain, and constipation. This affected one (Resident #39) and had the potential to affect all 65 residents residing in the facility. The facility census was 65. Findings include: Record review revealed Resident #39 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]