Allendale Nursing And Rehabilitation Community
Allendale Nursing and Rehabilitation Community in Allendale, MI — inspection on March 26, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Friday was completed on 3/18/26, 3/20/26, 3/23/26 and 3/25/26.
The treatment was an ongoing
3/19/26 on the afternoon and evening shift3/20/26 on the morning, afternoon, and evening
order was discontinued.Confirming the wound clinic's order for 3 times a week wound care/treatment was not followed as ordered.Review of R42's Electronic Medical Record revealed no documentation related to the treatment order implemented on 3/19/26 or a rationale for initiating an additional treatment.
During an interview on 03/26/2026 at 12:06 PM, Assistant Director of Nursing (ADON) B reported that the additional order for wound care was due to the nurse working on 3/19/26 erroneously believing there was no order for R42's wound care thus obtaining an order from the facility provider.On 03/25/2026 at 1:08 PM, Nursing Home Administrator (NHA) provided documentation confirming the additional order from 3/19/26 was not discontinued until 3/23/26.Review of R42's Order Summary dated 2/19/26 revealed, Skin Assessment Weekly.Review of R42's weekly Skin Body Assessments for the month of March 2026 revealed the only assessment that was completed was on 3/23/26 (last skin assessment was completed on 2/27/26).Review of R42's Electronic Medical Record revealed no documentation for missed/late weekly skin assessments.Resident #41 (R41)Review of an admission Record revealed R41 was a [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: Parkinson's disease, protein-calorie malnutrition, and muscle weakness.
Further review of the admission Record revealed R41 was hospitalized from [DATE]-[DATE].Review of R41's Order Summary dated 2/23/26 revealed, Skin Assessment Weekly.Review of R41's Care Plan dated 2/23/26 revealed, Skin Integrity-(R41) is at risk for impaired skin integrity related to: recent hospitalization with overall decline from baseline, decreased mobility, advanced age, presence of pressure ulcers currently, fragile skin, advanced age, incontinence.
Complete skin inspection weekly and as needed.Review of R41's weekly Skin Body Assessments beginning on 2/23/26 revealed:A skin assessment was completed on 2/23/26.
There was no skin assessment completed on 3/2/26. An assessment was not completed again until 3/5/26 (10 days).There was no weekly skin assessment completed on 3/12/26 or 3/19/26. R41's skin assessment was not completed until 3/23/26 (18 days).Review of R41's Electronic Medical Record revealed no documentation for missed/late weekly skin assessments.
During an interview on 03/25/2026 at 1:16 PM, RNC A reported that ADON B was in charge of the wound management program and weekly wound meetings were to be held to monitor and track the progress of resident wounds. RNC A reported that weekly skin assessments were to be completed by the licensed nurses and the Certified Nursing Assistant (CNA) shower sheets were not to be utilized in place of the weekly skin assessments. RNC A reported that the licensed nurses would sign off on the CNA shower sheets but that was not a replacement for the licensed nurse assessment of resident skin. RNC A confirmed that weekly skin assessments had not been completed as directed by the facility policy.
Review of the facility policy Pressure Injury Prevention and Care last revised 01/2025 revealed, This policy is intended to supplement the clinical staff's knowledge and provide a resource to guide on wound prevention and management procedures.
The procedures and information contained herein are not intended to replace a licensed nurse's clinical judgment and experience and may not pertain to each individualized pressure injury occurrence.Purpose: To promote and facilitate pressure injury prevention and implement appropriate interventions and treatment of pressure injuries to promote and facilitate resolution of pressure injuries.Procedure:Nurses will complete the Skin Body Assessment Observation upon admission/readmission, then weekly and as needed.5.
Interventions will be implemented, and care planned to prevent pressure injury development or to promote pressure injury resolution.
Examples of interventions based on individualized resident needs may include the following.
This list is not all-inclusive, nor does