Alliance Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 9, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to date mark numerous open food packages in the dry storage room, the refrigerator, and the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 3/6/2023 at 10:29 a.m. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2021

  Based on observation and staff interview, the facility failed to maintain the ice machine in the facility kitchen to prevent the spread of foodborne illness and ensure the safety of the 70 residents that resided at the facility. The findings include: During an initial tour of the kitchen on 07/26/2021 at 10:22 AM, the interior of the ice machine was observed. The interior roof panel of the ice machine had dark brown, slimy biological growth in several areas. The substance was seen in the corners and deep recesses of the upper compartments and along the horizontal surfaces above the ice. Condensation was visible on and around the substance. (Photographic evidence was obtained) On 07/26/2021 at 11:30 AM, the Dietary Manager (DM) was asked to look inside the kitchen ice machine. […]

• No harm, potential for more than minimal, isolatedF623Feb 27, 2025

  Based on record review and an interview with staff, the facility failed to notify the office of the State Long-Term Care Ombudsman of a discharge for one (Residents #104) of three residents whose records were reviewed for transfers/discharges, from a total survey sample of 31 residents. The findings include: A review of the medical record revealed that Resident #104 was admitted to the facility on [DATE] and then discharged on [DATE]. His diagnoses included, but were not limited to, acute on chronic systolic heart failure, cellulitis of the right limb, bacteremia, chronic kidney disease (CKD), and Plural effusion. A review of the Discharge Summary note, dated 12/05/24, revealed that Resident #104 was discharged home at 12:30 PM that day under hospice care. […]

• No harm, potential for more than minimal, isolatedF656Feb 27, 2025

  Based on observations, resident and staff interviews, medical record review, and facility policy and procedure review, the facility failed to ensure the implementation of the comprehensive person-centered care plan for one (Resident #7) of four residents reviewed for falls, out of six residents identified for falls with major injuries, from a total survey sample of 31 residents. Failure to implement the necessary fall interventions on a resident's care plan places them at risk for additional falls and associated injury/pain. The findings include: Resident #7 was observed and interviewed on 02/27/2025 at 9:40 AM. She was lying in bed covered with a blanket up to her chin. No fall mats were observed on the floor on either side of the bed. […]

• No harm, potential for more than minimal, isolatedF558Mar 9, 2023

  Based on observations, a review of resident records, and interviews with staff, the facility failed to ensure a resident's call light was within reach at all times in the event the resident needed assistance for one (Resident #24) of one sampled resident observed with a call light out of reach, from a total of 28 residents in the sample. The findings include: A record review for Resident #24 found she was admitted to the facility on [DATE]. She had diagnoses including, but not limited to, repeated falls, hypertension, malnutrition and hip fracture. Resident #24 required extensive assistance with bed mobility and toilet use, and total assistance with transfers. She used a wheelchair as a mobility aid. An observation of Resident #24 was conducted on 3/7/23 at 9:32 AM. She was in her bed. […]