Altercare of Alliance CTR for Rehab & NC Inc

In the surveyor’s words

From the most serious findings on record at Altercare of Alliance CTR for Rehab & NC Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Mar 14, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the facility Payroll Based Journal (PBJ) submission data and staff interview, the facility failed to ensure submission of the Payroll Based Journal data as required. This had the potential to affect all 85 residents residing in the facility. Findings include: Review of the facility Payroll Based Journal (PBJ) submission data report revealed no evidence of data submitted by the facility for fiscal year 2023 for the third quarter (April 1 to June 30). Interview with the facility Administrator on 03/14/24 at 10:40 A.M. revealed the facility corporate office submits the PBJ data. […]

• No harm, potential for more than minimal, widespreadF812Feb 7, 2023

  Based on observation, interviews, and facility policy, the facility failed to ensure the kitchen was clean and sanitary, and failed to ensure Dietary #314 was not wearing false nails. The facility had identified all 81 residents received meals through the kitchen. Findings include: 1. Observation of the kitchen on 02/06/23 from 9:08 A.M. to 9:29 A.M. with Dietary #314 revealed: The inside of the microwave, beside the two-compartment sink, had food splatters on the sides and top of the microwave. The bottom shelf of the sandwich reach in refrigerator had food debris, a bread twist tie, and a buildup of a white substance at the back of the shelf. The inside of the microwave, on the table by the shelf with seasonings, had red splatters on the top of of the unit. […]

• No harm, potential for more than minimal, widespreadF761Oct 27, 2022

  Based on observation, interview, review of temperature logs, and policy review the facility failed to ensure medications were stored wth proper temperature controls. This had the potential to affect all residents residing in the facility. Findings included: 1. Observation on 10/24/22 at 10:02 A.M., with Licensed Practical Nurse (LPN) #197 revealed the medication refrigerator was 26 degrees Fahrenheit. There were insulins ([MEDICATION(S)] (1), [MEDICATION(S)] (3), [MEDICATION(S)] (18), [MEDICATION(S)] (2), acetaminophen suppository (22), [MEDICATION(S)] eye drops (1), and one vial of [CONDITION(S)] that was stored in the refrigerator door. […]

• No harm, potential for more than minimal, widespreadF803Oct 27, 2022

  Based on observation, review of menus, and interview, the facility failed to ensure the appropriate amount of food was served in accordance with menus. This had the potential to affect 72 (Residents #1, #2, #3, #4, #5, #6, #7, #8, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #27, #28, #29, #30, #31, #32, #33, #34, #35, #37, #38, #39, #40, #41, #42, #44, #45, #46, #47, #48, #49, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #66, #67, #68, #69, #70, #71, #72, #73, #127, #277, #329, #330, #331) of 79 residents who had orders for regular or mechanical soft texture. […]

• No harm, potential for more than minimal, patternF761Oct 27, 2023

  Based on observation, interview, record review, and facility policy review the facility failed to store medications properly for Residents #5, #20, #22, and #55 in the medication cart on the South and Speret units. This affected four residents (#5, #20, #22, and #55) of 12 residents (#4, #5, #8, #20, #22, #23, #24, #26, #32, #55, #64, and #69) the South and Speret units who receive narcotic medications. The facility census was 72. Findings include: 1. Review of the medical record for Resident #5 revealed an admitted [DATE]. Diagnoses included Alzheimer's disease, antisocial behavior, and major depressive disorder. Review of care plan for Resident #5 dated 06/14/22 revealed he had aggressive behaviors. […]