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Facility profile · CCN 505319

Alderwood Post Acute & Rehabilitation

124 federal citations on record , and 3 federal enforcement actions totaling $103,091.

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Record summary

Federal record · Q1 2026
124
Total citations
124
Last 3 years
4
Actual harm+
3
Federal penalties
$103,091
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

124 on record
SurveyF-TagViolationSeveritySource
Dec 3, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.GComplaint
Nov 13, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Sep 3, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Sep 3, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 3, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 20, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint
Aug 20, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Aug 20, 2025F880Provide and implement an infection prevention and control program.EStandard
Aug 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Aug 20, 2025F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Aug 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 20, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Aug 20, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Aug 20, 2025F791Provide or obtain dental services for each resident.EStandard
Aug 20, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Aug 20, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Aug 20, 2025F760Ensure that residents are free from significant medication errors.DStandard
Aug 20, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 20, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 20, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 20, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard
Aug 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Aug 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Aug 20, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Aug 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 20, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Aug 20, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 20, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Aug 20, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Aug 20, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Aug 20, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jun 24, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jun 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jun 24, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
May 29, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Mar 28, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Mar 28, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 7, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.DComplaint
Mar 7, 2025F659Provide care by qualified persons according to each resident's written plan of care.FComplaint
Mar 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 15, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Nov 15, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Nov 15, 2024F880Provide and implement an infection prevention and control program.EStandard
Nov 15, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 15, 2024F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard
Nov 15, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Nov 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Nov 15, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Nov 15, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Nov 15, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Nov 15, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Nov 15, 2024F760Ensure that residents are free from significant medication errors.EStandard
Nov 15, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Nov 15, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Nov 15, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Nov 15, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 15, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 15, 2024F692Provide enough food/fluids to maintain a resident's health.EStandard
Nov 15, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Nov 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Nov 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 15, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Nov 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 15, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Nov 15, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Nov 15, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Nov 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Nov 15, 2024F610Respond appropriately to all alleged violations.EStandard
Nov 15, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Nov 15, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DStandard
Nov 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Nov 15, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Nov 15, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Nov 15, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Nov 15, 2024F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Nov 15, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 7, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 4, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint
Jan 4, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Dec 14, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Dec 14, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Dec 14, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Dec 14, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EComplaint
Dec 14, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Dec 14, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 14, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Dec 14, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Dec 14, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Dec 14, 2023F760Ensure that residents are free from significant medication errors.EStandard
Dec 14, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 14, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Dec 14, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 14, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 14, 2023F732Post nurse staffing information every day.CStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $103,091 and 1 payment-denial actions spanning 16 days.

DateTypeFinePayment denial
Jun 24, 2025Payment DenialSep 24, 2025 · 16 days
Jun 7, 2024Fine$65,636
Dec 14, 2023Fine$37,455
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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