Inspection Reports for
Albertville Nursing Home

750 Alabama Highway 75 North, Albertville, AL, 35951

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

8% better than Alabama average
Alabama average: 3.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2018
2019

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Nov 21, 2019

Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to develop and provide baseline care plans to residents within 48 hours of admission.

Complaint Details
The complaint investigation found that the facility did not develop or provide baseline care plans within 48 hours for two residents, limiting their involvement in care decisions.
Findings
The facility failed to ensure that two residents (RI #125 and RI #350) received their baseline care plans within 48 hours of admission, affecting their ability to participate in care planning. Interviews with staff confirmed the care plans were not developed or provided timely.

Deficiencies (2)
Failure to provide RI #125 a copy of the baseline care plan within 48 hours of admission.
Failure to develop RI #350's baseline care plan within 48 hours of admission.

Employees mentioned
NameTitleContext
Licensed Practical NurseEI #2 was responsible for developing RI #125's baseline care plan and confirmed it was not provided within 48 hours.
Licensed Practical NurseEI #3 stated the weekend administrator was responsible for RI #350's baseline care plan, which was not developed within 48 hours.

Inspection Report

Deficiencies: 2 Date: Sep 20, 2018

Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding timely transmission of Minimum Data Set (MDS) assessments and resident involvement in care plan conferences.

Findings
The facility failed to ensure timely transmission of MDS assessments for multiple residents, affecting nine residents reviewed, and failed to ensure two residents attended their care plan conferences to participate in decisions about their care.

Deficiencies (2)
Failure to transmit residents' Minimum Data Set (MDS) assessments in a timely manner for nine residents.
Failure to ensure two residents attended their care plan conferences to be involved in care decisions.

Employees mentioned
NameTitleContext
Registered Nurse/MDS CoordinatorInterviewed regarding reasons for late MDS transmissions and resident care plan attendance.
Licensed Practical Nurse/MDS TransmitterInterviewed regarding reasons for late MDS transmissions.

Inspection Report

Routine
Deficiencies: 6 Date: Sep 21, 2017

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, accurate resident assessments, care planning, infection control, and staff training at Albertville Nursing Home.

Findings
The facility was found deficient in maintaining resident dignity during care, accurately coding resident assessments for oxygen use, revising care plans to reflect dietary alterations, ensuring physician orders for diet modifications, infection control practices during wound care and resident transport, and providing in-service training to staff on altered pureed diets.

Deficiencies (6)
Failure to maintain resident dignity during transport to shower, resulting in feces and urine dropped in hallway.
Failure to accurately code oxygen use on Quarterly Minimum Data Set assessments for Resident #9.
Failure to revise Resident #12's care plan to reflect dietary alteration requested by spouse.
Failure to obtain and follow physician's order for Resident #12's altered pureed diet and honey consistency liquids.
Failure to follow infection control procedures during wound care for Resident #5 and failure to prevent contamination during transport of Resident #8.
Failure to provide in-service training to Certified Nursing Assistants on altered pureed diets, specifically preparation of biscuit and gravy.
Report Facts
Residents sampled for incontinence care: 5 Residents sampled for MDS assessments: 20 Residents sampled for care plan review: 21 Residents sampled for diet order review: 13 Residents affected by altered pureed diet training deficiency: 7

Employees mentioned
NameTitleContext
Certified Nursing Assistant (EI #1)Named in dignity violation for transporting resident without waste receptacle.
Licensed Practical Nurse (EI #2), Infection Control/Staff Development CoordinatorInterviewed regarding dignity and infection control policies.
Licensed Practical Nurse (EI #3), MDS CoordinatorInterviewed regarding inaccurate MDS oxygen coding.
Director of Nursing (EI #4)Interviewed regarding oxygen therapy coding and care plan/diet order issues.
Dietary Manager (EI #9)Interviewed regarding diet tray inconsistencies.
Speech Therapist (EI #6)Interviewed regarding care plan development and CNA training on altered diets.
Certified Nursing Assistant (EI #7)Interviewed regarding diet tray liquid consistencies.
Licensed Practical Nurse (EI #5)Observed and interviewed regarding infection control violations during wound care.

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