Deficiency Records for Allis Care Center
Updated as of January 01, 2023
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? |
---|---|---|---|---|
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-28 | 2022-08-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-08-09 | 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 | 2022-06-28 | 2022-08-09 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-08-09 | N |
Keep all essential equipment working safely. | Health | 2022-06-28 | 2022-08-09 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-06-28 | 2022-08-09 | N |
Put firmly secured handrails on each side of hallways. | Health | 2022-06-28 | 2022-08-09 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-28 | 2022-08-09 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-06-28 | 2022-08-09 | 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 | 2022-06-28 | 2022-08-09 | 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 | 2022-06-28 | 2022-08-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-28 | 2022-08-09 | Y |
Respond appropriately to all alleged violations. | Health | 2022-06-28 | 2022-08-09 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-28 | 2022-08-09 | 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 | 2022-06-28 | 2022-08-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-28 | 2022-08-09 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-28 | 2022-08-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-08-09 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-28 | 2022-08-09 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-28 | 2022-08-09 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-28 | 2022-08-09 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Install resident room doors of proper design and width. | Fire Safety | 2022-06-21 | 2022-08-09 | 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 | 2022-06-21 | 2022-08-09 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-21 | 2022-08-09 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-01 | 2022-03-11 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-13 | 2022-01-06 | Y |
Respond appropriately to all alleged violations. | Health | 2021-12-13 | 2022-01-06 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-13 | 2022-01-06 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-13 | 2022-01-06 | Y |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-12-13 | 2022-01-06 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2022-01-06 | Y |
Establish staff and initial training requirements. | Fire Safety | 2021-12-07 | 2022-01-06 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-07 | 2022-01-04 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-07 | 2022-01-04 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-12-07 | 2022-01-04 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-07 | 2021-12-09 | 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 | 2021-12-07 | 2021-12-08 | 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 | 2021-12-07 | 2021-12-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-12-07 | 2021-12-08 | N |
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 |
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 |