Rehabilitation Center of Allison

In the surveyor’s words

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

• Actual harm, isolatedF684May 5, 2026

  Based on clinical record review, facility policy, resident, and staff interviews, the facility didn't provide necessary treatment and services for a skin tear for 1 of 4 residents (Resident #5). Staff failed to implement physician treatment orders for 10 days, which resulted in the wound bed deteriorating and the surrounding skin becoming soft and broken down. The facility reported a census of 40 residents. Findings include:Resident #5's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. She understood others and made herself understood. She didn't show behaviors or resist care. […]

• Actual harm, isolatedF697May 5, 2026

  Based on observation, clinical record review, staff interview, and facility policy/procedure, the facility failed to ensure Resident #1 received a timely medical evaluation and assessment following a fall, for 1 of 4 residents reviewed (Resident #1). The failure resulted in harm to Resident #1, who sustained a right hip fracture and experienced severe, prolonged pain for two days before receiving surgical treatment. The facility identified a census of 40 residents. Findings include:Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 3, indicating severely cognitively impaired. Resident #1 sometimes understood others and others sometimes understood Resident #1. No behaviors existed and Resident #1 didn't resist cares. […]

• No harm, potential for more than minimal, widespreadF727Mar 21, 2025

  Based on schedule review, time card review, staff interview, and facility policy review the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day as required by the Federal Regulations. The facility reported a census of 40 residents. Findings include: According to a calendar dated February 2025 compared to Attendance on Demand forms dated 2/1/25 through 2/28/25, the facility failed to staff an RN on 2/8/25 as required. During an interview 3/14/25 at 3:20 PM the Director of Nursing (DON) confirmed 2/8/25 as the only day she couldn't account for the required 8 hours of RN coverage.

• No harm, potential for more than minimal, patternF812Mar 28, 2024

  Based on observation, policy review, and staff interview the facility failed to keep their hands off the drinking rim surfaces of the glasses and failed to cover foods for transport during meal service. The facility reported a census of 42 residents. Findings include: During an observation of the noon meal on 3/25/24 from 11:27 AM to 12:30 PM Staff A Registered Nurse, Staff B Dietary Aide, Staff C Certified Nursing Aide (CNA), and Staff D Certified Medication Aide served 14 glasses to 14 residents in the dining area handling the cups with fingers on the drinking rim surface of the glasses. […]

• No harm, potential for more than minimal, isolatedF550May 5, 2026

  Based on resident and staff interviews, policy review, the facility failed to treat residents with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 2 of 4 resident reviewed. (Resident #6 and Resident #7). The facility identified a census of 40 residents.Findings include:1. Resident #6's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. She understood others, made herself understood, and didn't show behaviors. Resident #6 depended on staff for toileting hygiene, upper and lower body dressing, and transfers. She required supervision for personal hygiene and used a wheelchair independently. […]