Inspection Reports for
Adams Rehabilitation and Healthcare Center
1555 Hillabee Street, Alexander City, AL, 35010
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jun 3, 2021
Visit Reason
The inspection was conducted to review compliance with Medicare/Medicaid beneficiary notice requirements, specifically regarding the issuance of Advance Beneficiary Notices (ABN) to residents.
Findings
The facility failed to ensure that the estimated cost to continue physical therapy services was listed on the Advance Beneficiary Notice of Noncoverage (ABN) for one resident (RI #39). The facility policy required timely notices regarding Medicare eligibility and coverage, but the ABN did not include the estimated cost if the resident chose to continue services without Medicare assistance.
Deficiencies (1)
Failure to include the estimated cost to continue physical therapy services on the Advance Beneficiary Notice of Noncoverage (ABN) for Resident Identifier #39.
Report Facts
Residents reviewed for beneficiary notices: 3
Date Part A Medicare services began for RI #39: Jan 18, 2021
Date Part A Medicare services ended for RI #39: Apr 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Restorative Nurse | Employee Identifier #1 who completed and issued the ABN notices and stated the facility practice regarding estimated cost disclosure |
Inspection Report
Deficiencies: 0
Date: Feb 28, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Adams Rehabilitation and Healthcare Center, summarizing the findings of a survey completed on 2019-02-28.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Deficiencies: 4
Date: Feb 8, 2018
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory standards related to medication labeling, Do Not Resuscitate (DNR) consent forms, infection prevention and control practices at Adams Rehabilitation and Healthcare Center.
Findings
The facility was found deficient in ensuring insulin vials were properly labeled with opened dates, completing DNR consent forms with required information, and adhering to infection control protocols including hand hygiene, cleaning of medical equipment, and proper disposal of catheter care waste. These deficiencies affected multiple residents and staff practices.
Deficiencies (4)
Failure to ensure Resident Identifier #19's vial and box of insulin contained an opened date.
Failure to ensure DNR - Do Not Resuscitate Consent forms were completed with required information for Residents #12, #36, and #49.
Failure to safeguard resident-identifiable information and maintain medical records in accordance with accepted professional standards.
Failure to implement infection prevention and control program including improper cleaning of stethoscope and pulse oximeter, failure to wash hands after glove removal, touching paper towel dispenser handle after handwashing without re-washing, and improper disposal of catheter care waste on the floor.
Report Facts
Residents sampled: 15
Residents affected: 1
Residents sampled: 4
Residents affected: 3
Nurses observed: 2
Certified Nursing Assistants observed: 1
Units of insulin drawn: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Employee Identifier #3 observed administering insulin and involved in infection control deficiencies | |
| Licensed Practical Nurse (LPN) | Employee Identifier #4 observed during glucometer cleaning and interviewed about hand hygiene | |
| Certified Nursing Assistant (CNA) | Employee Identifier #5 observed placing catheter care waste on floor | |
| Administrator | Employee Identifier #1 interviewed regarding responsibility for DNR consent forms | |
| Registered Nurse, Director of Nursing, Infection Control Coordinator | Employee Identifier #2 interviewed regarding infection control practices |
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