Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
16
12
8
4
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
Deficiencies: 0
Date: May 19, 2022
Visit Reason
The inspection was conducted as a regulatory survey of Aspire Physical Recovery Center of West Alabama to assess compliance with health and safety standards.
Findings
No health deficiencies were found during the inspection.
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
Routine
Deficiencies: 7
Date: Jul 11, 2019
Visit Reason
The inspection was conducted to assess compliance with federal regulations regarding resident care, staff training, food safety, and facility maintenance at Aspire Physical Recovery Center of West Alabama.
Findings
The facility was found deficient in multiple areas including failure to develop and implement complete care plans for residents, improper respiratory care equipment maintenance, inadequate staff continuing education, improper food thermometer calibration, unsanitary coffee cups, malfunctioning plate heating equipment, and improper outdoor refuse container maintenance.
Deficiencies (7)
Failure to ensure Resident Identifier #14 had a care plan for catheter use from 6/26/19 to 7/10/19.
Failure to ensure oxygen tubing and humidifier bottles for Residents #21 and #28 were changed every seven days and stored properly.
Failure to ensure Employee Identifier #5, a CNA, maintained 12 hours of CEU training per year.
Failure to ensure proper calibration of food thermometers, resulting in incorrect calibration by staff.
Failure to ensure china coffee cups were free of dark stains inside the cups.
Failure to ensure plate heating lowerators heated plates to the optimal temperature for service.
Failure to ensure outdoor dumpster door was closed and grease refuse container lid was not bent, preventing full closure.
Report Facts
Residents affected: 16
Residents affected: 2
CNAs reviewed: 12
CEU hours obtained: 10.5
Residents affected: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding care plan for catheter | |
| Licensed Practical Nurse | Interviewed regarding catheter care plan resolution | |
| Registered Nurse, MDS Coordinator | Interviewed regarding oxygen tubing and humidifier bottle maintenance | |
| Licensed Practical Nurse | Interviewed regarding oxygen tubing and humidifier bottle maintenance | |
| Certified Nursing Assistant | Identified as Employee Identifier #5 with deficient CEU training | |
| Registered Nurse, Staff Development Coordinator | Interviewed regarding CNA CEU training | |
| Registered Dietitian | Interviewed regarding food thermometer calibration and refuse container issues | |
| Evening Cook | Observed and interviewed regarding food thermometer calibration | |
| Dietary Manager | Interviewed regarding food thermometer calibration, coffee cup cleanliness, plate heating lowerators, and refuse container issues |
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 |
Inspection Report
Plan of Correction
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 deficiency 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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