Focused Care At Allenbrook

Penalties

• Sep 4, 2025 — Fine ($8,400)

Inspection findings

1. Mar 13, 2026 Health · 3 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Apr 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 3, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 3, 2026 · CMS health inspection

2. Sep 4, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     CMS health inspection

3. Dec 11, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Dec 31, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Dec 13, 2024 · CMS fire safety

4. Sep 30, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 18, 2024 · CMS health inspection

5. Dec 14, 2023 Health · 1 finding
   • Serious Scope/severity H Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 5, 2024 · CMS health inspection

6. Nov 2, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Nov 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0661 Resident Assessment and Care Planning Deficiencies

     Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

     Corrected Nov 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Nov 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 20, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Nov 20, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Nov 2, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• COLLINS-GAINES, JOSHUA — adp of the snf, NOT APPLICABLE, since 02/12/2024
• COLLINS-GAINES, JOSHUA — operational/managerial control, NOT APPLICABLE, since 02/12/2024
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 02/01/2017
• CONLEY, SHAWN — corporate officer, NOT APPLICABLE, since 05/01/2018
• MCKENZIE, MARK — indirect ownership interest, NOT APPLICABLE, since 02/01/2017
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 02/01/2017
• MCKENZIE, MARK — corporate officer, NOT APPLICABLE, since 07/01/2018
• POWELL, SAVANNAH — operational/managerial control, NOT APPLICABLE, since 07/01/2024
• POWELL, SAVANNAH — adp of the snf, NOT APPLICABLE, since 07/01/2024
• ROBERTS, MATTHEW — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• ROBERTS, MATTHEW — adp of the snf, NOT APPLICABLE, since 01/01/2024
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 07/01/2018
• STRUBBE, LORETTA — indirect ownership interest, NOT APPLICABLE, since 07/01/2018
• STRUBBE, LORETTA — corporate officer, NOT APPLICABLE, since 07/01/2018
• FOCUSED POST ACUTE CARE PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2017
• FOCUSED POST ACUTE CARE PARTNERS LLC — direct ownership interest, NOT APPLICABLE, since 02/01/2017
• FOCUSED POST ACUTE CARE PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 03/07/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 03/07/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2017
• FPACP ALLENBROOK LLC — direct ownership interest, NOT APPLICABLE, since 02/01/2017