Inspection Reports for
Arabella Health & Wellness of Phenix City

3900 Lakewood Drive, Phenix City, AL, 36867-2448

Back to Facility Profile

Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

36% better than Alabama average
Alabama average: 3.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2020

Inspection Report

Routine
Deficiencies: 3 Date: Jan 6, 2020

Visit Reason
The inspection was conducted to evaluate compliance with respiratory care protocols and food safety standards in the facility.

Findings
The facility failed to ensure proper storage of nebulizer treatment masks, exposing them to contamination, and failed to properly sanitize food service pans by not immersing them fully in hot water for the required time. Additionally, the 3-compartment sink drain pipe improperly extended into the floor drain, posing a backflow risk.

Deficiencies (3)
Nebulizer treatment mask was uncovered and had a hair brush resting on it, violating storage protocol.
3-compartment sink's drain pipe extended into the floor drain, risking backflow contamination.
Food service pans were not properly sanitized by immersion in hot water for at least 30 seconds.
Report Facts
Residents affected: 1 Residents affected: 75 Pans not immersed properly: 4 Hot water temperature: 170 Sanitizing immersion time: 30 Drain pipe extension: 3

Employees mentioned
NameTitleContext
Licensed Practical NurseEI #4 interviewed about nebulizer treatment mask storage and treatment orders
Director of NursingEI #2 interviewed about policy on storing breathing treatment masks
Maintenance SupervisorEI #6 interviewed about 3-compartment sink drain pipe
Certified PlumberInterviewed about potential harm from drain pipe extending into floor drain
Shift SupervisorEI #7 observed and interviewed about sanitizing pans in kitchen
Certified Dietary ManagerEI #3 interviewed about policy and procedure for sanitizing pans
AdministratorEI #1 interviewed about drain pipe issue and sanitizing pans compliance

Inspection Report

Routine
Deficiencies: 3 Date: Nov 29, 2018

Visit Reason
The inspection was conducted to evaluate compliance with regulatory standards related to care planning, food safety, dietary staff hygiene, and infection prevention and control practices at Arabella Health & Wellness of Phenix City.

Findings
The facility was found deficient in developing a comprehensive care plan for a hospice resident, maintaining proper food storage and handling practices including expired food and improper ice scoop storage, ensuring dietary staff hair was properly restrained, and preventing cross-contamination during ice distribution to residents.

Deficiencies (3)
Failed to develop a care plan for hospice services for Resident Identifier #14.
Two stored loaves of bread had expired use-by dates; ice scoop was stored improperly on top of ice; two dietary staff had exposed hair not contained in hair restraints.
Certified Nursing Assistant used the same bag of ice to serve multiple residents, risking cross-contamination.
Report Facts
Residents affected: 3 Residents affected: 69 Residents affected: 69 Total residents receiving ice: 81

Employees mentioned
NameTitleContext
Assistant Director of Nursing/Minimum Data Set (MDS)Interviewed regarding lack of hospice care plan for Resident Identifier #14
Dietary ManagerInterviewed regarding expired bread, ice scoop storage, and dietary staff hair restraint policies
Dietary AideObserved with exposed facial hair without beard cover
Dietary StaffObserved with hair not fully covered by hair net
Certified Nursing Assistant (CNA)Observed using same bag of ice to serve multiple residents
Director of Nursing/Infection ControlInterviewed regarding ice distribution policy and cross-contamination risks

Inspection Report

Census: 53 Capacity: 78 Deficiencies: 1 Date: Oct 19, 2017

Visit Reason
The inspection was conducted to evaluate the facility's infection control practices, specifically related to laundry staff hand hygiene and handling of soiled linens.

Findings
The facility failed to ensure laundry staff washed their hands between handling dirty and clean clothes, posing a potential risk of cross contamination to residents. Observations and interviews confirmed noncompliance with the facility's policy on hand hygiene after contact with soiled linen.

Deficiencies (1)
Laundry staff failed to wash hands between handling dirty and clean clothes, risking infection spread.
Report Facts
Residents affected: 53 Total capacity: 78

Employees mentioned
NameTitleContext
Housekeeping/LaundryInterviewed regarding hand hygiene and PPE use in laundry
Director of NursingInterviewed regarding hand hygiene policy and potential harm to residents

Viewing

Loading inspection reports...