A list of the most recent deficiencies for Allure of Walnut. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-03 | 2023-08-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-16 | 2023-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-16 | 2023-04-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-16 | 2023-04-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-16 | 2023-04-03 | N |
| Implement 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. | Health | 2023-03-17 | 2023-03-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-16 | 2023-03-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-16 | 2023-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-07 | 2021-04-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-07 | 2021-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-07 | 2021-04-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-07 | 2021-04-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-04-07 | 2021-04-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-07 | 2021-04-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-07 | 2021-04-20 | N |
| Provide 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. | Health | 2021-03-25 | 2021-04-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-03-25 | 2021-04-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-07 | 2021-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-24 | 2019-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-24 | 2019-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-06-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-04 | 2019-06-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-04 | 2019-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-04 | 2019-06-04 | N |
