A list of the most recent deficiencies for Allen Oaks Nursing and Rehab Center. 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? |
|---|---|---|---|---|
| Honor 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. | Health | 2024-01-31 | 2024-02-22 | Y |
| Ensure 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. | Health | 2024-01-31 | 2024-02-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-31 | 2024-02-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2024-01-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-13 | 2023-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-13 | 2023-05-22 | 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 | 2023-04-13 | 2023-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-04-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2022-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2022-12-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2022-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-19 | 2022-11-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-18 | 2022-06-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-09 | 2022-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-09 | 2022-04-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-09 | 2022-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-09 | 2022-04-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-09 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-04-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-09 | 2022-04-04 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-09 | 2022-04-04 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-09 | 2022-04-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-09 | 2022-04-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-09 | 2022-04-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-09 | 2022-04-04 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-08-19 | 2021-09-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-30 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-03 | 2020-03-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-03-03 | 2020-03-16 | N |
