Inspection Reports for
Arbor Springs Health and Rehab Center, Ltd.
1910 Pepperell Parkway, Opelika, AL, 36801
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
11% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 4
Date: Feb 24, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulatory standards related to catheter care, respiratory care, and food safety in the nursing home.
Findings
The facility was found deficient in catheter care by failing to properly cleanse the penis during indwelling catheter care, respiratory care by administering oxygen at incorrect levels and improper cleaning/storage of nebulizer equipment, and food safety by storing and serving food past its use-by date, placing residents at risk.
Deficiencies (4)
Failed to ensure thorough cleaning of the penis during indwelling urinary catheter care for Resident Identifier #86, increasing risk for urinary tract infection.
Resident #223's oxygen was administered at three liters per minute instead of the ordered two liters per minute.
Resident #220's nebulizer mask and tubing were stored in a manner that could lead to contamination and were not rinsed daily as expected.
Food with expired use-by dates was stored and potentially served to residents, placing 114 of 117 residents at risk for foodborne illness.
Report Facts
Residents affected: 114
Oxygen flow rate ordered: 2
Oxygen flow rate observed: 3
Nebulizer medication dosage: 0.5
Nebulizer medication dosage: 3
Nebulizer medication frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #19 | Certified Nursing Assistant | Failed to cleanse the shaft of the penis during catheter care for Resident #86 |
| EI #1 | Administrator | Reviewed catheter care policy and stated it should be followed |
| EI #25 | Registered Nurse | Confirmed oxygen should be set at two liters per minute for Resident #223 |
| EI #28 | Clinical Care Coordinator | Stated nurses should refer to physician orders for oxygen settings and nebulizer care |
| EI #23 | Registered Nurse | Stated nurses were responsible for cleaning nebulizer machines daily |
| EI #2 | Director of Nursing | Confirmed expectations for oxygen and nebulizer care |
| EI #6 | Dietary Manager | Indicated expectation for staff to discard food with expired use-by dates |
| EI #8 | Observed discarding expired food items from the oven |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jun 6, 2019
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with health and safety regulations in the nursing home.
Findings
The facility was found deficient in multiple areas including maintenance issues with exposed rusty toilet bolts in resident bathrooms, failure to label tube feeding bottles properly, food storage and handling violations including improper air drying, date marking, temperature control, and handwashing practices, inadequate infection control with staff failing to wash hands properly, and malfunctioning hot food storage equipment.
Deficiencies (5)
Toilet bolts in resident bathrooms were exposed, rusty, and missing covers across multiple halls.
Tube feeding bottles for residents were not labeled with required information.
Food storage and handling violations including wet-nesting of utensils, unlabeled or expired food, improper temperature control of milk and hot foods, and frozen food not maintained solidly frozen.
Nursing staff failed to wash hands after glove removal and before leaving resident rooms during incontinence care.
Hot Box used for holding hot foods failed to maintain temperatures above 135 degrees Fahrenheit consistently.
Report Facts
Residents affected: 153
Residents affected: 12
Residents affected: 2
Temperature: 50
Temperature: 95
Temperature: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding exposed rusty toilet bolts and maintenance efforts | |
| Registered Nurse / Infection Control Nurse | Interviewed regarding tube feeding bottle labeling responsibility | |
| Licensed Practical Nurse | Interviewed regarding failure to label tube feeding bottles | |
| Certified Dietary Manager | Interviewed regarding food storage, handling, and temperature control issues | |
| Assistant Dietary Manager | Observed and interviewed regarding handwashing and food handling practices | |
| Certified Nursing Assistant | Observed and interviewed regarding failure to wash hands during incontinence care | |
| Facility Administrator | Interviewed regarding Hot Box equipment status and repair plans |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jun 21, 2018
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, individualized care planning, and infection prevention and control at Arbor Springs Health and Rehab Center.
Findings
The facility was found deficient in ensuring timely meal service to residents, developing individualized care plans for side rail use and catheter care, and implementing proper infection control practices including catheter care and hand hygiene by staff.
Deficiencies (3)
Failure to ensure Resident Identifier (RI) #84 did not have to wait for supper meal while others were dining.
Failure to develop individualized care plan addressing use of top 1/4 side rails for RI #66 and urinary catheter care plan for RI #89.
Failure to ensure catheter tubing and bag for RI #31 were not on the floor and failure of CNAs to remove gloves and wash hands after catheter care for RI #76.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 2
Tables in dining room: 12
Delay in meal service: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietitian | Interviewed regarding meal service delay for RI #84 | |
| District Manager Chef | Interviewed regarding importance of timely meal service for RI #84 | |
| Director of Nursing (DON) | Interviewed regarding care plan deficiencies and infection control practices | |
| Registered Nurse/Care Plan Coordinator | Interviewed regarding individualized care plan for side rails | |
| Licensed Practical Nurse (LPN) | Interviewed regarding catheter care plan for RI #89 | |
| Certified Nursing Assistant (CNA) | Observed and interviewed regarding catheter care and infection control | |
| Registered Nurse (RN)/Infection Control | Interviewed regarding catheter care and infection control policies |
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