Allure of Peru

In the surveyor’s words

From the most serious findings on record at Allure of Peru, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 17, 2023

  Based on record review and interview, the facility failed to prevent a safe and secure transfer for one of three (R1) residents reviewed for safe transfers in a sample of three. This failure resulted in R1 falling on 11/15/2023 and receiving a Displaced oblique distal diaphyseal fracture of the left femur. Findings Include: R1's V7/ Physician Assistant History and Physical, dated 11/15/2023, documents the following,(R1's) left leg shortened and internally rotated. Motor limited due to pain. R1's Trauma Level 2 History and Physical, dated 11/15/2023, from V8/ Orthopedic Surgeon documents, [AGE] year-old female Caucasian patient who was brought into the trauma bay, who fell from her wheelchair while being transferred in vehicle. (R1) was found to have a distal left femur fracture. […]

• Actual harm, isolatedF684Apr 21, 2023

  Based on observation, interview, and record review, the facility failed to recognize the immediate need for transferring a Covid-19 positive resident to the hospital for necessary medical treatment for one (R26) of four residents reviewed for hospitalization in the sample of 29. This failure resulted in delay of treatment resulting in R26 expiring in the emergency room . Findings include: The facility's Guidelines for Physician Notification of Change in Resident Condition policy, revised ,d+[DATE], documents: Purpose: to define resident care situations that require physician notification. […]

• Actual harm, isolatedF686May 19, 2022

  Based on observation, interview, and record review, the facility failed to identify and assess a pressure ulcer at admission for one of two residents (R42) reviewed for pressure ulcers in the sample of 37. This failure resulted in R42's wound worsening in condition from admit to a Deep Tissue Injury then to a Stage 4 pressure ulcer. Findings include: The facility's Wound and Ulcer Policy, dated 1/10/18, documents, When a resident is found to have a wound a licensed nurse will complete, either on admission or during their stay, the following: Document assessment of the wound/ulcer in the medical record. Initiate the treatment protocol appropriate for the stage of ulcer or for the wound assessed. Document wound/ulcer treatment provision on the treatment administration record. […]

• No harm, potential for more than minimal, widespreadF761Mar 18, 2026

  Based on observation, interview, and record review, the facility failed to ensure that controlled substances were reconciled and stored appropriately. This has the potential to affect all 82 residents residing in the facility. The facility's Medication Storage policy, undated, documents to ensure all medications housed on the premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperatures, light, ventilation, moisture control, segregation, and security. This form also documents that schedule II drugs and back-up stock of schedule III, IV, and V medications are stored under double-lock and key. […]

• No harm, potential for more than minimal, widespreadF880May 16, 2024

  Based on observation, interview, and record review the facility failed to utilize PPE (Personal Protective Equipment), failed to perform hand hygiene during medication pass, failed to initiate enhanced barrier precautions and failed to sanitize equipment after usage in an enhanced barrier precaution room for six residents (R2, R12, R32, R58, R14 and R281) of 24 reviewed for infection control. This has the potential to affect 79 residents residing in the facility. Findings include: The facility's Cleaning and Disinfection of Resident-Care Equipment, dated 7/1/23, documents that resident-care equipment can be a source of indirect transmission of pathogens. […]