Deficiency Records for Allis Care Center
Updated as of January 01, 2022
This is not the most recent data for Allis Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Allis Care 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-02 | 2021-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-02 | 2021-10-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-02 | 2021-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-02 | 2021-10-01 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-02 | 2021-10-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-21 | 2021-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-21 | 2021-07-21 | 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 | 2021-06-21 | 2021-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-21 | 2021-07-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-21 | 2021-07-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-07-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-21 | 2021-07-21 | N |
| 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 | 2021-06-21 | 2021-07-21 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-21 | 2021-07-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-21 | 2021-07-21 | Y |
| Notify 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. | Health | 2021-06-21 | 2021-07-21 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-06-21 | 2021-07-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-06-21 | 2021-07-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-21 | 2021-07-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-21 | 2021-07-21 | Y |
| 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 | 2021-06-21 | 2021-07-21 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-15 | 2021-07-21 | 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 | 2021-06-15 | 2021-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-15 | 2021-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-29 | 2021-05-27 | Y |
| 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 | 2021-04-29 | 2021-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-29 | 2021-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-29 | 2021-05-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-29 | 2021-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-04 | 2021-03-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-04 | 2021-03-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-04 | 2021-03-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-04 | 2021-03-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-04 | 2021-03-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-04 | 2021-03-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-25 | 2021-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-25 | 2021-03-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-25 | 2021-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-01-25 | 2021-03-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-04 | 2020-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-04 | 2020-12-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-11-04 | 2020-12-04 | Y |
| 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 | 2020-09-30 | 2020-10-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-30 | 2020-10-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-13 | 2020-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-13 | 2020-02-19 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-01-13 | 2020-02-19 | 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 | 2020-01-13 | 2020-02-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-13 | 2020-02-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-01-13 | 2020-02-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-13 | 2020-02-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-13 | 2020-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-13 | 2020-02-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-01-13 | 2020-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-13 | 2020-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-13 | 2020-02-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-13 | 2020-02-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-13 | 2020-02-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-13 | 2020-02-19 | Y |
| 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 | 2020-01-13 | 2020-02-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-07 | 2020-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-02-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-14 | 2019-12-17 | Y |
| Honor 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. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-14 | 2019-12-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide or obtain dental services for each resident. | Health | 2019-11-14 | 2019-12-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-14 | 2019-12-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-17 | Y |
| Honor 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. | Health | 2019-09-20 | 2019-10-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-20 | 2019-10-10 | Y |
| 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 | 2019-09-20 | 2019-10-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-20 | 2019-10-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-20 | 2019-10-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-20 | 2019-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-10-10 | Y |
| Keep all essential equipment working safely. | Health | 2019-09-20 | 2019-10-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-06 | 2019-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-06 | 2019-09-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-06 | 2019-09-20 | Y |
| 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 | 2019-08-06 | 2019-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-06 | 2019-09-20 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-06 | 2019-09-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-06 | 2019-09-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-06 | 2019-09-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-15 | 2019-06-15 | Y |
| Honor 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. | Health | 2018-11-16 | 2018-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-16 | 2018-12-16 | 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 | 2018-11-16 | 2018-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-16 | 2018-12-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-16 | 2018-12-16 | 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 | 2018-11-16 | 2018-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-16 | 2018-12-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-16 | 2018-12-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-16 | 2018-12-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-16 | 2018-12-16 | 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 | 2018-11-16 | 2018-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-16 | 2018-12-16 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-05 | 2018-12-16 | N |
