Allison Care Center

In the surveyor’s words

From the most serious findings on record at Allison Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 14, 2025

  Based on record review and interviews, the facility failed to ensure two (#1 and #3) of four residents were free from abuse out of four sample residents.Resident #2 was admitted on [DATE] with diagnoses of dementia, transient ischemic attack (TIA- a temporary blockage of blood flow to the brain), hypertension, repeated falls and dysphagia.Resident #1 was admitted on [DATE] with diagnoses of hemiparesis (weakness on one side of the body) affecting left side , cerebral infarction (disrupted blood flow to the brain), dysphagia (difficulty swallowing), dementia (loss of cognitive function), systolic heart failure (ineffective blood pumping), type two diabetes (abnormal glucose control), displaced fracture of the wrist and hypertension (high blood pressure). […]

• Actual harm, isolatedF689Mar 13, 2025

  Based on observations, record review and interviews, the facility failed to ensure three (#279, #30 and #40) of six residents reviewed for accidents out of 39 sample residents remained free from accidents. RESIDENT #279 Resident #279, was admitted on [DATE] with diagnoses of hemiplegia (weakness on one side) after an intracerebral hemorrhage (stroke) and dementia with behaviors. The resident was identified to be at very high risk for falling. On 2/12/25 Resident #279 experienced a fall shortly after admission and the facility implemented a fall care plan with interventions which included ensuring the resident's call light was in reach and encouraging the resident to use the call light. […]

• Actual harm, isolatedF692Mar 13, 2025

  Based on observations, record review and interviews, the facility failed to ensure three (#44, #59 and #13) of six residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being out of 39 sample residents. Resident #44 was admitted to the facility for long term care on 9/2/22. It was identified that Resident #44 was at risk for weight loss and nutritional decline due to Alzheimer's disease, previous history of weight loss and hyperthyroidism (increased metabolism due to an overactive thyroid gland). On 10/8/24, Resident #44 weighed 146.5 pounds (lbs). On 12/5/24, Resident #44 weighed 136 lbs, which indicated the resident had lost 10.5 lbs in two months. […]

• No harm, potential for more than minimal, patternF880Mar 13, 2025

  Based on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible development and transmission of infectious diseases. Specifically, the facility failed to: -Ensure the staff followed proper infection control procedures for a resident on enhanced barrier precautions (EBP); -Ensure resident rooms were cleaned in a sanitary manner; and, -Ensure medications were handled in a sanitary manner. Findings include: I. Failure to follow EBP A. […]

• No harm, potential for more than minimal, isolatedF600Jun 11, 2026

  Based on record review and interviews, the facility failed to ensure residents were kept free from sexual abuse for one (#1) of four residents reviewed for abuse out of five sample residents.Specifically, the facility failed to protect Resident #1 from sexual abuse by a facility employee, housekeeper (HK) #1.Findings include:Record review and interviews confirmed the facility corrected the deficient practice prior to theonsite investigation on 6/10/26, resulting in the deficiency being cited as past noncompliance with a correction date of 3/30/26.I. Incident of sexual abuse on 3/28/26On 3/28/26 a facility employee witnessed HK #1 as he waited for Resident #1 in the hair salon when it was time for the resident's haircut. […]