Deficiency Records for Allenbrooke Nursing and Rehabilitation Center

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

Deficiency Records for Allenbrooke Nursing and Rehabilitation Center

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