Alternative Healthcare Solutions LLC

In the surveyor’s words

From the most serious findings on record at Alternative Healthcare Solutions LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761May 21, 2026

  Based on observations and staff interviews, it was determined that the facility failed to ensure medications and supplements from unauthorized access.Findings include: 1.On 05/21/2026 at 8:40 AM, during medication administration observations, Registered Nurse (employee #5), were observed leaving the medication cart unlocked and unattended while administering medications to residents. Further observation revealed a four unsecured basket attached to the medication cart containing supplements, syringes, needles and saline flush syringes that were readily accessible to unauthorized individuals. During an interview with the Head Nurse (employee #4) on 05/21/2026 at 8:55 AM, she states that the drawers have locks, so they must remain closed.

• No harm, potential for more than minimal, widespreadF804May 21, 2026

  Based on observations made in the kitchen in the company of the kitchen coordinator (employee #6), it was determined that the nutritional value of the food was not being ensured due to improper storage in the refrigerator which can affect all admitted residents. Findings include:1. During the kitchen visit, the following food storage practices were observed in the refrigerator:a. On May 20, 2026, at 9:02 AM, food was observed stored in cardboard boxes and placed less than 18 inches from the ceiling, causing condensation and affecting food safety.b. The institution's policy, titled Safety in Receiving and Storing Food, refers to the correct distance from the ceiling and proper use and storage in the refrigerator, but it does not specify that food cannot be left stored in cardboard boxes.

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Based on observation, interviews, and food temperature measurements, it was determined that the facility failed to maintain proper food handling practices for disease prevention and food safety which can affect 13 out of 13 residents admitted . Findings include:Observations made on 05/21/2026 at 11:00 AM In the production process, the proximity of the [NAME] table when placing cold foods affects them and they presented a temperature of 46 degrees Fahrenheit. It affects food safety.In the dry storage area, the following were observed: Dust particles and poor organization are identified in the dry warehouse. In an interview conducted on May 20, 2026, at 2:28 PM with the clinical dietitian (employee #8), the possibility of relocating the production area was discussed. […]

• No harm, potential for more than minimal, widespreadF867May 21, 2026

  Based on review of Quality Assessment Performance Improvement-QAPI and interview with facility QAPI officer (employee #2) on 05/21/26 at 11:55 am, it was determined that the facility failed to assure QAPI program feedback and data system monitoring performed by the Director of Nursing and Administrator are included in every committee meeting.Findings include:During review of trimestral QAPI committee meeting 2025 and 2026 on 05/21/26 at 11:55 am, the following was identified:1.QAPI committee meeting performed on 09/25/25 did not evidence the participation of the Director of Nursing. […]

• No harm, potential for more than minimal, widespreadF868May 21, 2026

  Based on review of Quality Assessment Performance Improvement-QAPI and interview with facility QAPI officer (employee #2) on 05/21/26 at 11:55 am, it was determined that the facility failed to maintain a QAPI committee with participation of the required members established in 483.75 (g)(1):Findings include:Review of trimestral QAPI committee meeting 2025 and 2026 on 05/21/26 at 11:55 am, the following was identified: QAPI committee meeting performed on 09/25/25 did not evidence the participation of the Director of Nursing.QAPI committee meeting of 06/27/25 attendance list did not demonstrate participation of the Administrator.Review of QAPI rules and regulation last updated on January 2026 with QAPI officer (employee #2) on 05/21/26 at 11:50 am evidence that Administrator, Director of… […]