Alleghany Health and Rehab

In the surveyor’s words

From the most serious findings on record at Alleghany Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jan 28, 2025

  Based on observation, resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure residents were free from abuse and neglect having the potential to affect numerous residents on 2 of 3 nursing units. The abuse and neglect resulted in psychosocial harm for two residents (Resident #8- R8 and Resident #17-R17), which resulted in the identification of Immediate Jeopardy and Substandard Quality of Care. The findings included: 1. […]

• Immediate jeopardy, patternF607Jan 28, 2025

  The facility staff have failed to implement abuse policies and procedures to protect residents from alleged perpetrators and failed to report and investigate all allegations of abuse/neglect affecting multiple residents on 2 of 3 nursing units, resulting in psychosocial harm for two residents (Resident #8 and Resident #17). The facility staff have also failed to follow their abuse policy with regards to the prescreening of employees affecting 1 employee, in a sample of 13 employee records reviewed. This facility noncompliance led to the identification of Immediate Jeopardy and Substandard Quality of Care. The findings included: 1. […]

• Immediate jeopardy, isolatedF742Jan 28, 2025

  Based on observation, resident and staff interviews, clinical record review, and facility documentation review, the facility staff failed to ensure residents with mental disorders and a history of trauma, receive appropriate treatment and services to attain their highest practicable mental and psychosocial well-being for two residents (Resident #8 and Resident #16) in a survey sample of 19 residents. The fidnings included: 1. For Resident #8 who had a known history of trauma, the facility staff failed to ensure she received appropriate treatment and services, including trauma-informed care, to attain the highest practicable mental and psychosocial well-being. On 1/22/25 at approximately 9:30 a.m., R8 was interviewed in her room. […]

• Immediate jeopardy, isolatedF600Mar 14, 2024

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility failed to protect the resident's right to be free from abuse for three of 5 resident's (Resident #2, #3, and #4), resulting in immediate jeopardy (IJ), substandard quality of care, and a determination of a severity level three - isolated. The facility staff did not implement interventions to protect Resident #2 (R2) from sexual abuse. The facility staff also failed to put interventions in place to protect R3 and R4 from verbal abuse and aggressive behavior from R1. The Findings Include: According to R1's clinical record, medical diagnoses included Dementia, bipolar, anxiety, and mood disturbance. […]

• No harm, potential for more than minimal, widespreadF732Jan 28, 2025

  Based on observation, staff interviews and facility documentation the facility staff failed to post daily staffing information, having the potential to affect residents on 3 of 3 nursing units. The findings included: The facility staff failed to post the daily staffing information for residents and visitors to be able to view. On 1/27/25 at 3:30 p.m. during a walkthrough of the nursing facility the surveyor observed that the daily staffing post were not up to date. The posting that was in the lobby was dated 1/24/25 and the posting at the time clock area was dated 1/22/25. On 1/27/25 at 3:50 p.m. an interview was conducted with the director of nursing (DON). The DON said, the purpose is so anyone can see how many nurses and license staff are in the building for the day. […]