A list of the most recent deficiencies for Alleghany Health and Rehab. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-27 | 2023-06-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-27 | 2023-06-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-27 | 2023-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-27 | 2023-06-05 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-27 | 2023-06-05 | N |
| 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 | 2023-04-27 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-06-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-27 | 2023-06-05 | Y |
| Ensure 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. | Health | 2023-04-27 | 2023-06-05 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-04-27 | 2023-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-02 | 2021-09-27 | 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 | 2021-09-02 | 2021-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-09-27 | 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 | 2021-09-02 | 2021-09-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-02 | 2021-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-09-27 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-09-02 | 2021-09-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-02 | 2019-04-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-04-02 | 2019-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-02 | 2019-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-21 | 2019-04-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-21 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-21 | 2019-04-10 | N |
