Inspection Reports for
Aspire Physical Recovery Center at Hoover, LLC
575 Southland Drive, Hoover, AL, 35226-3732
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
31% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 8
Date: Jun 25, 2023
Visit Reason
The inspection was conducted based on complaints and allegations regarding medication administration, resident care, discharge procedures, and medication availability at Aspire Physical Recovery Center at Hoover, LLC.
Complaint Details
The complaint investigation included allegations of medication errors, failure to assess residents properly, incomplete discharge documentation, failure to provide ordered care, medication availability issues, and incomplete medical records. Specific complaint/report numbers cited include #AL00041888, #AL00042116, #AL00043725, #AL00043835, #AL00042084, #AL00043844, and #AL00044419.
Findings
The facility failed to assess residents for self-administration of medications, ensure appropriate adaptive equipment for call lights, complete discharge summaries, provide care and treatment according to orders, ensure medication availability, prevent significant medication errors including missed seizure medication and insulin administration, and maintain complete medical records including incident reports for falls.
Deficiencies (8)
Failed to assess one resident for ability to self-administer medications and left medication in resident's room without proper assessment or physician order.
Failed to ensure one resident was assessed for appropriate adaptive equipment related to call lights.
Failed to complete discharge summaries with recapitulation of residents' stay for two residents.
Failed to provide care and treatment according to orders for five residents, including lack of orders for PICC line care, wound care, and medication coordination with hospice.
Failed to ensure medications were available from pharmacy for two residents, resulting in missed doses of prednisone and inhaler.
Failed to ensure adequate monitoring of blood glucose levels and insulin administration for two residents, resulting in severe hyperglycemia and emergency transfer.
Failed to prevent significant medication errors including failure to administer seizure medication for five days leading to seizure and hospital transfer, and failure to administer insulin as ordered resulting in severe hyperglycemia and emergency transfer.
Failed to maintain complete and accurate medical records including failure to document medication administration and failure to complete incident report for resident fall.
Report Facts
Missed doses of seizure medication: 5
Blood glucose checks missed: 10
Prednisone doses missed: 3
Medication delivery times: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #19 | Licensed Practical Nurse | Named in medication self-administration assessment deficiency and blood glucose monitoring. |
| LPN #11 | Licensed Practical Nurse | Named in discharge paperwork deficiency and medication availability. |
| RN #26 | Registered Nurse | Named in failure to administer seizure medication. |
| RN #12 | Registered Nurse | Named in failure to administer seizure medication. |
| LPN #16 | Licensed Practical Nurse | Named in insulin administration and blood glucose monitoring deficiency. |
| Unit Manager #8 | Unit Manager | Named in medication availability and call light assessment deficiencies. |
| Director of Nursing | Director of Nursing | Named in multiple interviews regarding medication administration, discharge, and care deficiencies. |
| Executive Director | Executive Director | Named in multiple interviews regarding facility policies and deficiencies. |
| Nurse Consultant | Nurse Consultant | Named in multiple interviews regarding medication administration and care standards. |
Inspection Report
Routine
Deficiencies: 4
Date: Mar 18, 2021
Visit Reason
The inspection was conducted to evaluate compliance with food storage, labeling, temperature logging policies, and infection prevention practices, including incontinent care procedures.
Findings
The facility failed to ensure proper labeling of food items in the kitchen freezer and resident supplement freezer, failed to document PM temperatures for the resident supplement refrigerator and freezer on 3/17/21, and failed to ensure a Certified Nursing Assistant changed gloves during incontinent care. These deficiencies had the potential to affect many residents and posed minimal harm.
Deficiencies (4)
Food in the kitchen freezer was not labeled with an open and use by date.
PM temperatures were not logged on 3/17/21 for the resident's supplement refrigerator on the 400 hall.
Food item in the resident's supplement freezer was not labeled.
Certified Nursing Assistant failed to change gloves during incontinent care before placing the clean brief for Resident #9.
Report Facts
Residents potentially affected: 73
Residents potentially affected: 30
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #2 | Dietary Manager | Interviewed regarding food labeling and temperature logging deficiencies |
| EI #3 | Clinical Dietary Manager | Interviewed regarding food labeling and temperature logging deficiencies |
| EI #4 | Certified Nursing Assistant | Observed and interviewed regarding failure to change gloves during incontinent care |
| EI #1 | Director of Nursing | Interviewed regarding training and procedures for incontinent care |
Inspection Report
Routine
Deficiencies: 2
Date: Feb 13, 2020
Visit Reason
The inspection was conducted to assess compliance with pharmaceutical services and food safety standards in the facility.
Findings
The facility failed to ensure required signatures on medication destruction records and did not properly store food items in the kitchen, including placing food on the floor, unsealed food items in freezers, and use of dented cans. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (2)
Failed to ensure two required signatures on nine Non-Controlled Medication Destruction Sheets for February 2020.
Food safety violations including placing a pan of frozen crab cake meat on the floor, unsealed food items in walk-in and reach-in freezers, and use of a dented can of baked beans.
Report Facts
Residents affected: 1
Residents affected: 106
Deficiency sheets missing signatures: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN), Director of Nursing (DON) | Interviewed regarding medication destruction signature requirements | |
| Chef | Interviewed regarding food storage and handling practices |
Viewing
Loading inspection reports...
