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Deficiency Records for Allison Pointe Healthcare Center
A list of the most recent deficiencies for Allison Pointe Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Allison Pointe Healthcare 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-20 | 2024-03-10 | Y |
| Install proper backup exit lighting. | Fire Safety | 2023-12-05 | 2023-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2023-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2023-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-05 | 2023-12-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-05 | 2023-12-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-06 | 2023-12-07 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-12-06 | 2023-12-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-06 | 2023-12-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-03 | 2023-12-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-03 | 2023-12-07 | 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 | 2023-11-03 | 2023-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-03 | 2023-12-07 | 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 | 2023-11-03 | 2023-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2023-12-07 | 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 | 2023-11-03 | 2023-12-07 | N |
| 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 | 2023-11-03 | 2023-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-03 | 2023-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-03 | 2023-12-07 | N |
| 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 | 2023-11-03 | 2023-12-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-11-03 | 2023-12-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-03 | 2023-12-07 | 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 | 2023-11-03 | 2023-12-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-03 | 2023-12-07 | 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 | 2023-11-03 | 2023-12-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-03 | 2023-12-07 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-11-03 | 2023-12-07 | N |
| 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 | 2023-11-03 | 2023-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-12-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-20 | 2023-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-29 | 2023-09-15 | 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 | 2023-08-29 | 2023-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-05-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-24 | 2023-05-25 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-24 | 2023-05-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-31 | 2022-09-06 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-22 | 2022-08-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-22 | 2022-08-18 | 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 | 2022-06-22 | 2022-08-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-22 | 2022-08-18 | 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 | 2022-06-22 | 2022-08-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-08-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-26 | 2022-08-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-26 | 2022-08-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-18 | 2022-08-01 | 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 | 2022-06-28 | 2022-06-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-06-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-26 | 2022-06-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-26 | 2022-06-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-26 | 2022-06-27 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-26 | 2022-06-27 | N |
| 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 | 2022-05-26 | 2022-06-27 | 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 | 2022-05-26 | 2022-06-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-26 | 2022-06-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-06-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-05-26 | 2022-06-27 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-05-26 | 2022-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-27 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-05-26 | 2022-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-26 | 2022-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-26 | 2022-06-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-26 | 2022-06-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-26 | 2022-06-27 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-26 | 2022-06-27 | N |
| 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 | 2022-05-26 | 2022-06-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-26 | 2022-06-27 | 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 | 2022-05-26 | 2022-06-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-27 | 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 | 2022-05-26 | 2022-06-27 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-05-26 | 2022-06-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-26 | 2022-06-27 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-03-18 | 2022-04-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-18 | 2022-04-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-29 | 2022-01-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-29 | 2022-01-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-29 | 2022-01-24 | Y |
| 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 | 2021-12-29 | 2022-01-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-02 | 2022-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2022-01-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2022-01-05 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-12-02 | 2022-01-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-08 | 2021-11-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-28 | 2021-11-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-11-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2021-11-23 | 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 | 2021-10-28 | 2021-11-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-11-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-21 | 2021-11-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-11 | 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 | 2021-10-21 | 2021-11-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-16 | 2019-08-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-16 | 2019-08-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-16 | 2019-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-16 | 2019-08-07 | 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 | 2019-07-16 | 2019-08-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-16 | 2019-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-16 | 2019-08-07 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-16 | 2019-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-08-07 | N |
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