The Seasons at Alexandria

In the surveyor’s words

From the most serious findings on record at The Seasons at Alexandria, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Aug 15, 2025

  Based on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) document, and review of the facility's documents, policies, and procedure, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for the total census of 99 residents. On [DATE], the Local Health Department (LHD) informed the facility that Resident (R) 121 had been diagnosed with Legionnaire's disease while in the hospital. Testing conducted by a third-party water specialist revealed positive areas for legionella in the facility. […]

• Immediate jeopardy, isolatedF656Aug 14, 2024

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs for five of five sampled residents, Resident (R) 4, R37, R38, R40, and R41. R4, who was left unsupervised outside in 90-degree weather for 30 to 45 minutes on 08/04/2024 required a transfer to the Emergency Department (ED) for evaluation of mental status changes and a temperature of 105 degrees Fahrenheit (F) and as of 08/07/2024, the resident had not yet returned to the facility. […]

• Immediate jeopardy, isolatedF689Aug 14, 2024

  Based on observation, interview, record review, review of the website localconditions.com, review of the website my.clevelandclinic.org, and review of the facility's policy, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one of five sampled residents, Resident (R) 4. On 08/04/2024, R4 was assisted outside in his wheelchair by State Trained Nurse Assistant (STNA) 40 and was left unattended in 90 degree Fahrenheit (F) weather for 30 to 45 minutes. […]

• Immediate jeopardy, isolatedF600Jun 6, 2024

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to protect two (2) of thirty-nine (39) sampled residents (R) from physical and verbal abuse by staff (R24 and R11). During the first week of May 2024 (exact date unknown), State tested Nurse Aide (STNA) 20 witnessed STNA 9 providing care to R24, and observed STNA 9 being rough while providing care to the resident. However, STNA 20 failed to report the incident of possible physical abuse by STNA 9 towards R24 to administrative staff. Therefore, STNA 9 continued to work, and on 05/19/2024, STNA 9 held R11's wrist and hit the resident repeatedly with her fist in the left upper arm. STNA 8 heard STNA 9 state to R11, I told you not to hit me. I hit harder than you and you don't hit women. […]

• Immediate jeopardy, isolatedF607Jun 6, 2024

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure its staff implemented the facility's abuse policy regarding reporting allegations of physical abuse for one of 39 sampled residents, (R) 24. State tested Nurse Aide (STNA) 20, during the first week of May 2024 (exact date unknown), observed STNA 9 being rough when providing care for R24. Review of the facility's abuse policy dated 11/01/2023, revealed employees must always report abuse or suspicion of abuse immediately to the Administrator or designee. STNA 20 failed to report the allegation of abuse to the Administrator or designee, and STNA 9 continued to work providing care to facility residents. […]