Inspection Reports for
Allenbrooke Nursing & Rehab Center
3933 Allenbrooke Cove, Memphis, TN 38118, USA, TN, 38118
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Enforcement
Deficiencies: 1
Date: Oct 2, 2025
Visit Reason
The inspection was conducted due to an Immediate Jeopardy related to infection prevention and control failures involving multi-use glucometers and medication administration practices.
Findings
The facility failed to ensure proper cleaning and disinfection of multi-use glucometers, hand hygiene compliance, and use of barriers during medication administration, resulting in Immediate Jeopardy for resident health and safety. The Immediate Jeopardy was removed after corrective actions were implemented.
Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program, specifically failing to clean and disinfect multi-use glucometers properly and ensure hand hygiene during medication administration.
Report Facts
Residents with Diabetes and Hepatitis C: 4
Residents sampled for medication administration review: 14
Containers of disinfectant wipes in stock: 61
Medication carts with disinfectant wipes: 6
Blood glucose checks observed daily for monitoring: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Named in failure to clean and disinfect multi-use glucometer before and after use. |
| RN B | Registered Nurse | Named in failure to clean and disinfect multi-use glucometer before and after use and uncertain about facility policy. |
| LPN F | Licensed Practical Nurse | Failed to perform hand hygiene after glove removal and failed to clean glucometer properly. |
| LPN G | Licensed Practical Nurse | Failed to properly clean and disinfect glucometer, allow drying time, and perform hand hygiene during medication administration. |
| LPN E | Licensed Practical Nurse | Failed to clean reusable equipment properly and did not use barrier during medication administration. |
Inspection Report
Routine
Deficiencies: 7
Date: Jan 13, 2022
Visit Reason
Routine inspection survey conducted to assess compliance with regulatory requirements for nursing home care and facility operations.
Findings
The facility was found deficient in multiple areas including failure to maintain residents' dignity and privacy, inaccurate resident assessments, incomplete care plan implementation, improper medication storage, unsanitary food service practices, and inadequate infection prevention and control practices.
Deficiencies (7)
F 0550: The facility failed to maintain residents' dignity and privacy by not covering urinary catheter bags and staff failing to knock before entering rooms or using inappropriate terms for residents during dining.
F 0641: The facility failed to ensure accurate assessments for falls, pressure ulcers, hospice, dialysis, and alarms for 4 of 34 sampled residents.
F 0656: The facility failed to follow the care plan for Resident #165 by not providing fall mats on both sides of the bed as required.
F 0677: The facility failed to provide adequate assistance with activities of daily living including shaving, nail care, and grooming for 5 sampled residents.
F 0761: The facility failed to ensure medications were stored properly and securely in multiple medication storage areas and resident rooms, including expired medications and improper separation of medications.
F 0812: Six CNAs failed to serve food under sanitary conditions for 19 residents, including failure to perform hand hygiene and touching food with bare hands.
F 0880: The facility failed to implement infection prevention and control practices, including improper storage of nebulizer equipment, failure of staff to don and doff PPE correctly in isolation rooms, and failure to clean reusable PPE properly.
Report Facts
Residents affected: 5
Residents affected: 34
Residents affected: 34
Residents affected: 5
Medication storage areas observed: 8
Resident rooms observed for medication storage: 96
Staff members observed: 15
Residents observed during dining: 155
Staff members involved in infection control deficiencies: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing Services | ADNS | Confirmed urinary catheter bags should be stored in dignity bags and urine should not be visible; confirmed staff should knock before entering rooms and not use pet names; confirmed care plan compliance and infection control practices. |
| Certified Nursing Assistant #2 | CNA | Failed to knock before entering rooms and used inappropriate terms for residents during dining. |
| Certified Nursing Assistant #3 | CNA | Failed to properly clean reusable PPE and failed to remove face shield when exiting isolation room. |
| Licensed Practical Nurse #1 | LPN | Confirmed eye drops should not be stored in plastic cups at bedside. |
| Licensed Practical Nurse #2 | LPN | Confirmed Resident #165 should have fall mats on both sides of the bed. |
| Assistant MDS Coordinator #1 | Assistant MDS Coordinator | Confirmed MDS assessments should have been coded correctly for falls, pressure ulcers, hospice, and dialysis. |
| Assistant MDS Coordinator #2 | Assistant MDS Coordinator | Confirmed MDS assessment should have been coded for bed alarm use. |
| Pharmacy Consultant | Pharmacy Consultant | Confirmed medications should be stored in medication carts and not left unattended or in resident rooms. |
Inspection Report
Deficiencies: 0
Date: Jan 14, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Allenbrook Nursing and Rehabilitation Center, summarizing the results of a regulatory survey completed on January 14, 2020.
Findings
No health deficiencies were found during the survey.
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