Inspection Results » Allegra Nursing and Rehab

Health Inspection on November 29, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-01-08)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-08)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-01-08)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-08)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-08)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-08)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-08)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-08)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-01-08)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-08)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-01-08)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-01-08)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-08)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-01-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-08)
   • 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. (Corrected 2019-01-08)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-01-08)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-01-08)

5. Pattern: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2019-01-08)