Inspection Reports for
Aliceville Manor Nursing Home
703 Seventeenth Street, Northwest, Aliceville, AL, 35442
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 1
Date: Jun 27, 2023
Visit Reason
The inspection was conducted to assess compliance with professional standards of practice related to respiratory care, specifically the provision of oxygen therapy at the prescribed rate for Resident #31.
Findings
The facility failed to ensure that oxygen therapy was provided at the prescribed rate of 5 liters per minute for Resident #31 with COPD. Observations and interviews revealed that oxygen was often administered at lower rates than ordered, despite orders from the Nurse Practitioner and expectations from the Director of Nursing.
Deficiencies (1)
Failure to provide oxygen therapy at the prescribed rate of 5 liters per minute for Resident #31.
Report Facts
Oxygen flow rate ordered: 5
Oxygen flow rate observed: 2.5
Oxygen flow rate observed: 3
Oxygen saturation: 86
Date of admission: Dec 27, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #20 | Registered Nurse | Documented assessment of Resident #31 and breathing treatment on 06/20/2023 |
| RN #17 | Registered Nurse | Interviewed regarding oxygen orders and documented oxygen saturation and adjustments on 06/20/2023 |
| Nurse Practitioner | Nurse Practitioner | Ordered oxygen therapy at 5 liters per minute on 06/20/2023 and provided interview regarding oxygen order expectations |
| Director of Nursing | Director of Nursing | Stated nursing staff should have followed oxygen orders on 06/20/2023 |
Inspection Report
Census: 73
Deficiencies: 3
Date: Sep 26, 2019
Visit Reason
The inspection was conducted to assess compliance with nursing home regulations including care planning and food safety practices.
Findings
The facility failed to develop a baseline care plan within 48 hours for one resident and failed to ensure staff wore hair nets in the kitchen and took temperatures of all foods on the tray line, potentially affecting all residents receiving meals.
Deficiencies (3)
Failure to ensure Resident Identifier #58 had a baseline care plan within 48 hours of admission.
Staff did not wear hair nets while in the kitchen.
Staff failed to take temperatures of all foods on the tray line.
Report Facts
Residents affected: 1
Residents affected: 73
Food items observed: 14
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Aug 23, 2018
Visit Reason
The inspection was conducted as a result of a complaint investigation (AL00035830) regarding neglect and failure to provide proper care to residents during the 11-7 shift on August 10, 2018.
Complaint Details
The complaint investigation was triggered by report AL00035830 concerning neglect of six residents (RI #27, 29, 49, 51, 83, and 334) who did not receive care during the 11-7 shift on August 10, 2018. The investigation included interviews, record reviews, and video evidence which confirmed neglect by a Certified Nursing Assistant (EI #15) who was subsequently terminated.
Findings
The facility was found deficient in multiple areas including neglect of six residents who did not receive proper care during the 11-7 shift, failure to maintain a safe and clean environment in the Dementia Unit dining area, improper food handling and storage practices in the kitchen, failure to properly dispose of garbage and maintain dumpster area, and failure to follow infection control procedures during medication administration.
Deficiencies (5)
Failure to maintain the Dementia Unit dining area floor free of brown stains and water dripping from air conditioner vent causing slip hazard.
Failure to protect residents from neglect; six residents did not receive care such as bathing, turning, or cleaning during the 11-7 shift.
Failure to ensure kitchen equipment was clean and sanitized; mixer bowl had food debris and plates were wet in the plate warmer; milk temperature was not taken before meals.
Failure to properly dispose of garbage; dumpster lid was left open with trash and debris on and around it, causing foul odor and pest attraction.
Failure to follow infection prevention and control procedures; eye drop medication bottle cap was placed on over the bed table without a barrier, risking contamination.
Report Facts
Residents affected: 6
Residents affected: 77
Date of survey completion: Aug 23, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #8 | Maintenance Director | Interviewed regarding maintenance issues with air conditioner condensation and dumpster lid responsibility |
| EI #15 | Certified Nursing Assistant | Named as responsible for neglecting residents during the 11-7 shift; terminated after investigation |
| EI #2 | Director of Nursing | Interviewed regarding neglect investigation and corrective actions |
| EI #1 | Administrator | Interviewed regarding neglect investigation and corrective actions |
| EI #10 | Certified Dietary Manager | Interviewed regarding food service deficiencies and dumpster area |
| EI #7 | Licensed Practical Nurse | Observed and interviewed regarding improper eye drop medication administration |
| EI #9 | Registered Nurse/Infection Control | Interviewed regarding infection control policy for medication administration |
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