Allegiant Wellness and Rehab

Inspectors wroteBased on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety in the facility's kitchen, reviewed for food safety1. The facility failed to correctly label and date 6 storage bags of pudding mix, 1 bag of scalloped potatoes, 4 packages of biscuit mix and 1 bag of strawberry gelatin. 2. The facility failed to correctly label a cart of water and juice stored in the reach-in refrigerator.3. The facility failed to discard a salad with a creation date of 07/17/2025 and was labeled discard by 2nd shift. 4. The facility failed to securely store a box of frozen green peas/mixed vegetables leaving it exposed to air. These failures could place residents at risk for food-borne illness and cross contamination.

Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four of eight (CNA A, LVN B, LVN C, and MA ) staff members and ten of ten residents (Resident #3, #4, #11, #16, #25, #37, #39, #57, #63 & #64) reviewed for infection control procedures. 1) LVN C failed to disinfect the blood pressure machine in between vital sign checks for Residents #63, #57, and #25. 2) MA D failed to cleanse the key used to open Lidocaine packages before and after usage when administering lidocaine patches to Resident #25 and #3. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure it was free of a medication error rate of five percent (5%) or greater for 2 of 30 opportunities during medication pass resulting in an 6 percent (6%) error rate for 2 (Residents #25, and #63) of 4 residents observed for medication pass. 1. MA D failed to administer Resident #25's Biofreeze Cool the pain external gel 4% (gel for pain) her lower back.2. MA D failed to administer Resident #63's MiraLAX Oral powder 17grm (for constipation) with the appropriate amount of fluid. These failures could place residents at risk for not receiving therapeutic dosages of their medications as ordered by the physician and a decreased health status. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure nurse staffing data was posted daily and readily accessible to residents and visitors with all required information for 2 of 3 days reviewed (07/22/2025 and 07/23/2025) for nurse staffing posting. The facility failed to post the daily staffing information in a prominent place on 07/22/2025 and 07/23/2025. This failure could place residents, families, and visitors at risk of not being informed of the census and number of staff working each day to provide care on all shifts. During an observation on 07/22/2025 at 9:00 AM, there was no daily staff posting in or around the front entrance or at the nurse's station. During an observation and interview on 07/23/2025 at 11:11 a.m., information regarding the current nurse staffing and census information was not available in a public posting. [...]

Inspectors wroteBased on observation, interviews and record review, the facility failed to develop a comprehensive person-centered care plan for 1 of 5 residents (Resident #1) reviewed for comprehensive care plans. Resident #1's care plan did not address the resident's wound care needs provided by the facility with goals and interventions. This deficient practice could result in a loss of quality of life due to residents receiving improper care.

Inspectors wroteBased on interview and record review, the facility failed to provide adequate supervision and assistance to prevent accidents and/or injury for 1 of 3 residents (Resident #1) reviewed for accidents and supervision. CNA A and RN B failed to ensure that Resident #1 did not receive a solid food tray, as Resident #1 was an NPO (no food by mouth) resident, with a G-Tube. As a result, Resident #1 consumed approximately 50% of the tray food given to her by CNA A. This failure could place residents at risk of aspiration (the accidental inhalation of food, liquid, saliva, or stomach contents into the airway and lungs, potentially leading to complications like pneumonia) causing serious injury or death.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen observed for: 1. The facility failed to ensure food items, placed in the refrigerator were properly sealed, dated, and labeled. 2. The facility failed to ensure food items, placed in the dry storage area, were sealed and kept off of the floor. This failure could affect residents by placing them at risk for food-borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to keep garbage storage receptacles in a sanitary condition according to professional standards for 1 of 1 kitchen for kitchen sanitation and failed to ensure the facility's only garbage storage dumpster was maintained in a sanitary condition to prevent the harborage and feeding of pest. 1. The facility failed to ensure trash receptacles in the kitchen were closed with a lid. 2. The failed to ensure the trash dumpster's door outside of the kitchen was closed and failed to ensure trash was not left outside of the dumpster. This failure could place residents at risk of contracting disease by attracting pest and disease carrying rodents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for 3 of 9 residents (Residents #1, #2 and #3) reviewed for care plans in that: Resident #1, Resident #2 and Resident#3's comprehensive care plan did not reflect they used continuous oxygen. This failure could place residents at risk of receiving inadequate interventions not individualized to their care needs.

Inspectors wroteBased on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 1 of 1 treatment carts reviewed. The facility failed to ensure one facility treatment cart was locked when unattended. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversions.

Inspectors wroteBased on observation, interviews and record reviews the facility failed to maintain medical records that were complete and accurately documented for 1 (Resident #4) of 4 residents reviewed for resident records. The facility failed to accurately document Resident #4's skin tear on the elbow that occurred on 05/24/24. This failure could affect any resident, placing them at risk of inaccurate information and resulting inappropriate care. This failure could place residents at risk for skin tears injuries.