Alliance Care Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Alliance Care Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF686Nov 23, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to ensure: a.) there was no delay in implementing recommendations made by the consulting wound care Nurse Practitioner (NP), b.) care planned interventions to promote wound healing were implemented for a resident who was identified at risk for developing a pressure ulcer (PU) and developed a Stage 2 sacral PU, and c.) a thorough assessment for (PU) risk factors was completed. This deficient practice was identified for 1 of 5 residents reviewed (Resident #49) for PU, who developed a new PU on 10/27/22, and was evidenced by the following: On 11/07/22 at 10:15 AM, the surveyor toured the 300's Unit of the facility and observed Resident #49 in bed with the head of the bed elevated, facing the door,… […]

• Actual harm, isolatedF658Jun 9, 2022

  Complaints : NJ 0 Based on interviews and record review, as well as review of pertinent facility documents on [DATE], [DATE], and [DATE], it was determined that the facility failed to follow physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] On [DATE] at 7:00 pm, Resident #1 complained of abdominal pain. The Resident had abdominal distention, and vomited coffee ground color. Registered Nurse (RN #1) received an order from the Primary Physician (PP) to send Resident # 1 to the Acute Care Hospital (ACH) for evaluation of abdominal pain. RN #1 called 911, however, the RN canceled 911 without notifying the PP. On [DATE] (the following day) at 9:45 am, Resident #1 was sent to the ACH for abdominal pain and abdominal distention. […]

• No harm, potential for more than minimal, widespreadF812Nov 23, 2022

  Based on observation, interview, and document review, it was determined that the facility failed to maintain the kitchen, and pantry areas, in a clean and sanitary manner to limit the spread of infection and potential food borne illness by failing to ensure: a.) the environment and kitchen equipment was maintained in a manner to limit the potential for microbial growth, b.) the dish machine was operated within appropriate temperature specifications per the policy, c.) the chlorine test strips were used per manufacturer's directions, and d.) resident food stored in unit refrigerators was labeled and dated. The deficient practice occurred was observed in the main kitchen, and in the second, third and fourth floor resident pantry, and was evidenced by the following: Reference: U.S. […]

• No harm, potential for more than minimal, widespreadF838Nov 23, 2022

  Based on interview and review of facility documentation, it was determined that the facility failed to ensure that facility wide assessment included the resources required to establish policies and procedures for management of on-going outbreak of Candida Auris (C. Auris, an emerging fungus that presents a serious global health threat) which dated back to October 2020 on the Ventilator Unit. This deficient practice was identified by the following. Reference F880, F882 On 11/07/22 at 10:53 AM, during entrance conference, the facility Licensed Nursing Home Administrator (LNHA) informed the survey team that the facility was currently in an outbreak of C. Auris. […]

• No harm, potential for more than minimal, widespreadF880Nov 23, 2022

  Complaint #NJ00158982 Refer to F882 Based on observations, interviews, medical record review, and review of other facility documentation, it was determined that the facility failed to minimize the spread of infection during a Candida Auris (C. Auris, an emerging fungus that presents a serious global health threat) Outbreak by failing to ensure: a) staff donned (put on) the required Personal Protective Equipment (PPE, garments or equipment used to protect the body from infection) prior to room entry of residents on transmission based precautions (isolation protocol) and performed hand hygiene when indicated b) housekeeping staff utilized cleaning products that were effective against C. […]