Allied Services Skilled Nursing Center

In the surveyor’s words

From the most serious findings on record at Allied Services Skilled Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF689May 3, 2023

  Based on a review of clinical records, select facility investigation reports, information submitted by the facility, and personnel records and staff and resident interviews, it was determined that the facility failed to ensure the competency of staff providing supervision and assistance with a resident's transfer to prevent a fall during transfer that resulted in fractured ribs and related pain for one resident out of five sampled (Resident 1). Findings include: Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses to include, diabetes, stage 5 kidney disease with dialysis and a history of a fall with thoracic vertibra 8 endplate fracture prior to the resident's admission to the facility. […]

• No harm, potential for more than minimal, patternF689May 1, 2026

  Based on observations, clinical record review, select facility policy review, and staff interviews, it was determined the facility failed to ensure residents were free from foreseeable accident hazards related to the unattended placement and unsupervised administration of medications for 2 of 21 residents reviewed (Resident 116 and Resident 136) on 1 of 4 units observed.Findings included: A review of the facility policy titled, Medication Administration, last reviewed August 20, 2025, revealed it is the facility policy that medications are administered in a safe and timely manner and as prescribed. […]

• No harm, potential for more than minimal, patternF656Sep 20, 2024

  Based on review of clinical records and staff interview it was determined the facility failed to develop and implement a comprehensive person-centered care plan that included specific and individualized interventions to address the resident's needs for adaptive equipment to ensure the prevention of the development of potential skin impairment for one out 35 residents sampled. (Resident 250). Findings include: Clinical record review revealed Resident 250 was admitted to the facility on [DATE], with diagnoses which included down syndrome (a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. […]

• No harm, potential for more than minimal, patternF658Sep 20, 2024

  Based on clinical record review, facility policy review and staff interview, it was determined the facility failed to ensure that nursing services met professional standards of quality according to the Pennsylvania Code Title 49, Professional and Vocational Standards, by failing to implement nursing practices for the administration of an intravenous medication via central venous catheter for three of six residents reviewed (Resident 334, 105 and 270). Findings include: According to the Pennsylvania Code Title 49, Professional and Vocational Standards Department of State, Chapter 21 State Board of Nursing, Chapter 21.145 Functions of the LPN (Licensed Practical Nurse) requires the following: The LPN is prepared to function as a member of the health care team by exercising sound nursing… […]

• No harm, potential for more than minimal, patternF694Sep 20, 2024

  Based on observations, review of select facility policy and clinical records, and staff interviews it was determined the facility failed to provide person-centered care as prescribed to meet the current clinical needs, and failed to follow physician orders for management of a PICC line for two residents out of 35 sampled (Residents 270, and 105). Findings include: Review of the facility policy titled Central Venous Catheter/PICC Care/Flush/Medication Administration last reviewed by the facility on July 24, 2024, revealed that it is the policy to provide dressing changes, medication and flushes to residents with a central venous catheter (CVC) or peripherally inserted central catheter (PICC a long catheter introduced through a vein in the arm, then through the subclavian vein into the… […]