Inspection Reports for
Altoona Health & Rehab
6532 Walnut Grove Road, Altoona, AL, 35952
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 8, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding an allegation of physical abuse by a Licensed Practical Nurse (EI #5) against Resident Identifier #1 on 01/31/2023.
Complaint Details
The complaint investigation was initiated based on report number AL00043217 regarding physical abuse of Resident #1 by Licensed Practical Nurse EI #5 on 01/31/2023. The investigation was substantiated based on eyewitness accounts. The facility reported the incident to the Alabama Department of Public Health and local police, terminated EI #5, and implemented corrective actions including staff education and monitoring.
Findings
The investigation substantiated that EI #5 physically abused Resident #1 by pinching and slapping the resident's hand/arm. The abuse was witnessed by two Registered Nurses (EI #3 and EI #4). Additionally, EI #3 and EI #4 failed to immediately report the abuse as required by facility policy. The facility took corrective actions including termination of EI #5, staff education, and ongoing monitoring.
Deficiencies (2)
Failure to protect Resident #1 from physical abuse by Licensed Practical Nurse EI #5 who was witnessed pinching and slapping the resident.
Failure of Registered Nurses EI #3 and EI #4 to immediately report witnessed physical abuse to the abuse coordinator as required by facility policy.
Report Facts
Residents affected: 1
Complaint/report number: AL00043217
Dates of corrective actions: In-service training from 02/01/2023 to 02/03/2023; Quality Assurance meeting on 02/01/2023; Weekly abuse monitoring started 02/01/2023 for 6 weeks or longer
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | EI #5, accused and substantiated for physical abuse of Resident #1, terminated effective 02/07/2023 | |
| Registered Nurse (RN) | EI #3, witnessed abuse but failed to immediately report | |
| Registered Nurse (RN) | EI #4, witnessed abuse but failed to immediately report | |
| Social Service Director/Abuse Coordinator | EI #2, received abuse report and initiated investigation | |
| Assistant Director of Nursing (ADON) | EI #6, notified of abuse allegation and placed EI #5 on administrative leave | |
| Regional Administrator | EI #1, confirmed substantiation of abuse investigation |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 8, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding an allegation of physical abuse by a Licensed Practical Nurse (EI #5) against Resident Identifier #1 on 01/31/2023.
Complaint Details
The complaint investigation was initiated based on report number AL00043217 regarding physical abuse of Resident Identifier #1 by Licensed Practical Nurse EI #5 on 01/31/2023. The investigation was substantiated based on eyewitness accounts. The facility reported the incident to the Alabama Department of Public Health and local police, terminated EI #5, and implemented corrective actions.
Findings
The facility substantiated the allegation of physical abuse where EI #5 was witnessed pinching and slapping RI #1. The investigation found that EI #3 and EI #4, both Registered Nurses, failed to immediately report the abuse as required by facility policy. The facility took corrective actions including termination of EI #5, staff education, and ongoing monitoring.
Deficiencies (2)
Failed to protect Resident Identifier #1 from physical abuse by Licensed Practical Nurse (EI #5) who was witnessed pinching and slapping the resident.
Failed to immediately report witnessed physical abuse to the abuse coordinator by Registered Nurses EI #3 and EI #4.
Report Facts
Residents Affected: 1
Complaint/Report Number: AL00043217
Plan of Correction Monitoring Period: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Employee Identifier #5, accused and substantiated for physical abuse of Resident Identifier #1 | |
| Registered Nurse (RN) | Employee Identifier #3, witnessed abuse but failed to immediately report | |
| Registered Nurse (RN) | Employee Identifier #4, witnessed abuse but failed to immediately report | |
| Social Service Director/Abuse Coordinator | Employee Identifier #2, received abuse report and conducted investigation | |
| Assistant Director of Nursing (ADON) | Employee Identifier #6, notified of abuse allegation and placed EI #5 on administrative leave | |
| Regional Administrator | Employee Identifier #1, confirmed substantiation of abuse investigation |
Inspection Report
Routine
Deficiencies: 4
Date: Jun 13, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, medication administration, food safety, and COVID-19 testing protocols at Altoona Health & Rehab.
Findings
The facility failed to develop a complete care plan for a resident on anticoagulant medication, had a medication administration error rate of 14.81% exceeding the 5% threshold, failed to ensure food temperatures were taken before serving, and did not perform routine COVID-19 testing for all staff as required by CDC and CMS guidance.
Deficiencies (4)
Failed to develop a care plan addressing the use of anticoagulant medication for Resident Identifier #29.
Medication administration error rate was 14.81%, exceeding the 5% limit, including errors in dosing and insulin pen priming.
Failed to ensure temperatures were taken of all six bowls of soup heated in the microwave prior to serving.
Failed to perform routine COVID-19 testing for all staff per CDC and CMS guidance, with 6 of 16 unvaccinated staff not tested as required.
Report Facts
Residents reviewed for care plans: 23
Medication error rate: 14.81
Medication errors: 4
Residents affected by medication errors: 4
Residents receiving soup: 6
Staff members: 79
Vaccinated staff: 63
Staff not up-to-date with COVID-19 vaccination: 51
Staff with exemptions: 16
Unvaccinated staff not tested as required: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Nurse | Employee Identifier #21, confirmed care plan oversight for anticoagulant medication | |
| Director of Nursing | Employee Identifier #2, stated expectation for care plans to address anticoagulant medication and acknowledged COVID-19 testing deficiencies | |
| Registered Nurse | Employee Identifier #10, involved in medication administration errors including insulin pen priming and clonazepam dosing | |
| Licensed Practical Nurse | Employee Identifier #16, involved in medication administration errors including insulin pen priming and gastrostomy tube medication administration | |
| Pharmacy Consultant | Employee Identifier #14, provided expert guidance on insulin pen priming | |
| Cook | Employee Identifier #6, failed to take temperatures of food prior to serving | |
| Cook Supervisor | Employee Identifier #5, confirmed expectation for food temperature checks | |
| Unspecified Staff | Employee Identifiers #9, #12, #22, #23, #24, #25, unvaccinated staff not tested as required |
Inspection Report
Census: 46
Deficiencies: 1
Date: Feb 27, 2020
Visit Reason
The inspection was conducted to assess compliance with food procurement and food service sanitation standards, specifically regarding the use of dishwashing machines and tray drying procedures.
Findings
The facility failed to ensure trays were allowed to air dry before use during meal service on 2/26/2020, resulting in wet trays being used for meal service which was deemed unsanitary and had the potential to affect up to 12 of 46 residents.
Deficiencies (1)
Facility failed to ensure trays were allowed to air dry before use during meal service, resulting in wet trays being used.
Report Facts
Residents affected: 12
Census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Aide | Interviewed about wet trays during meal service | |
| Cook | Interviewed about wet trays during meal service |
Inspection Report
Deficiencies: 0
Date: Feb 6, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Altoona Health & Rehab, summarizing the findings of a regulatory survey completed on 2019-02-06.
Findings
No health deficiencies were found during the survey.
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