Deficiency Records for Allenbrooke Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Allenbrooke Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-13 | 2022-02-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-13 | 2022-02-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-02-11 | N |
| Ensure 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. | Health | 2022-01-13 | 2022-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-11 | 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 | 2020-01-13 | 2020-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-13 | 2020-04-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-13 | 2020-04-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-13 | 2020-04-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-13 | 2020-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-13 | 2020-02-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-13 | 2020-02-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-13 | 2020-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-13 | 2020-01-29 | N |
| Ensure 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. | Health | 2019-01-30 | 2019-02-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-01-28 | 2019-02-11 | N |
