Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 0
Date: May 19, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Aspire Physical Recovery Center of West Alabama, summarizing the findings of a regulatory survey completed on May 19, 2022.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jul 11, 2019
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with federal regulations and facility policies regarding resident care, safety, and operational standards.
Findings
The facility was found deficient in multiple areas including failure to develop and implement complete care plans for residents, improper respiratory care related to oxygen equipment maintenance, inadequate continuing education for staff, improper food safety practices including thermometer calibration and cleanliness of food service items, malfunctioning plate heating equipment, and improper disposal of garbage and refuse leading to potential contamination risks.
Deficiencies (6)
Failed to ensure Resident #14 had a care plan for catheter use from 6/26/19 to 7/10/19.
Failed to ensure oxygen tubing and humidifier bottles for Residents #21 and #28 were changed every seven days and stored properly.
Failed to ensure CNA Employee #5 maintained 12 hours of continuing education units per year.
Failed to ensure proper calibration of food thermometers and cleanliness of coffee cups with dark stains.
Failed to ensure plate heating lowerators were heating plates to the proper temperature for meal service.
Failed to ensure outdoor dumpster door was closed and grease refuse container lid was not bent preventing full closure.
Report Facts
Residents sampled for care plans: 16
Residents receiving oxygen sampled: 4
CNAs reviewed for CEUs: 12
Residents affected by food safety deficiencies: 55
Residents affected by garbage/refuse deficiencies: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee Identifier #6 | Director of Nursing | Interviewed regarding care plan deficiency for Resident #14 |
| Employee Identifier #7 | Licensed Practical Nurse | Interviewed regarding care plan resolution for Resident #14 |
| Employee Identifier #5 | Certified Nursing Assistant | Found deficient in maintaining required CEU training hours |
| Employee Identifier #4 | Registered Nurse, Staff Development Coordinator | Interviewed regarding CEU training deficiency of Employee #5 |
| Employee Identifier #2 | Registered Dietitian | Interviewed regarding food thermometer calibration and garbage/refuse issues |
| Employee Identifier #3 | Evening Cook | Observed attempting to calibrate food thermometer incorrectly |
| Employee Identifier #1 | Dietary Manager | Interviewed regarding food safety, plate heating, and refuse container deficiencies |
| Employee Identifier #9 | Registered Nurse, Minimum Data Set Coordinator | Interviewed regarding oxygen equipment maintenance deficiencies |
| Employee Identifier #8 | Licensed Practical Nurse | Interviewed regarding oxygen equipment maintenance deficiencies |
Inspection Report
Census: 48
Deficiencies: 2
Date: Jun 7, 2018
Visit Reason
The inspection was conducted to assess whether residents were made aware of the nursing home's survey results and where they were located in the facility, as required by regulations.
Findings
The facility failed to ensure residents were aware of the survey results and failed to post signs indicating where the survey results were located. This deficient practice potentially affected all 48 residents in the facility.
Deficiencies (2)
Failed to ensure residents were aware of the survey results and where they were located in the facility.
Failed to post signs indicating where the survey results were located in the facility.
Report Facts
Residents affected: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Life Enrichment Director/Activity Director | Interviewed regarding resident awareness of survey results and signage |
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