Inspection Reports for
Athens Health and Rehabilitation, LLC
611 West Market Street, Athens, AL, 35611
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Athens Health and Rehabilitation LLC, summarizing the findings of a regulatory survey completed on April 14, 2022.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Aug 29, 2019
Visit Reason
The inspection was conducted as a result of investigations of complaints/reports regarding failure to notify family of medication changes, missing narcotic medications, and failure to provide ordered medication doses.
Complaint Details
This citation is written as a result of the investigation of complaint/report #AL00036292 and investigations of complaint/reports #AL00036378, #AL00036303, and #AL00036296 related to notification failures and narcotic medication misappropriation.
Findings
The facility failed to notify family of new medication orders for Resident #272, failed to ensure narcotic medications were not missing affecting multiple residents, failed to administer additional Lasix as ordered for Resident #272, and failed to date oxygen masks and distilled water bottles for residents receiving oxygen therapy.
Deficiencies (4)
Failure to notify Resident #272's family of a new order for Depakote DR 125 mg sprinkle at hour of sleep.
Failure to ensure resident narcotic medications were not missing, affecting five residents (#87, #48, #222, #223, #224).
Failure to ensure Resident #272 received additional Lasix 20 mg daily for three days as ordered; one dose missed.
Failure to date oxygen nasal cannulas and distilled water bottles for residents #105, #274, and #275 receiving oxygen therapy.
Report Facts
Residents sampled: 25
Residents affected by narcotic medication missing: 5
Dosages of Lasix missed: 1
Lasix dosage: 20
Lasix administration days ordered: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Unit Manager/Supervisor (EI #3) | Interviewed regarding notification of family and medication administration for Resident #272. | |
| Licensed Practical Nurse Charge Nurse (EI #15) | Interviewed regarding missing narcotic medication for Resident #87. | |
| Assistant Director of Nursing (EI #2) | Involved in narcotic medication investigation and interview. | |
| Registered Nurse Charge Nurse (EI #7) | Interviewed regarding medication administration and narcotic medication counts. | |
| Licensed Practical Nurse (EI #9, EI #12, EI #13, EI #14, EI #10) | Interviewed regarding narcotic medication counts and missing narcotics. | |
| Registered Nurse Charge Nurse (EI #11) | Interviewed regarding narcotic medication missing incident and counts. |
Inspection Report
Deficiencies: 6
Date: Jul 19, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, medication administration, discharge procedures, foot care, medication storage, and infection control practices at Athens Health and Rehabilitation LLC.
Findings
The facility was found deficient in multiple areas including failure to develop and implement a comprehensive care plan for a resident's diet with nectar thickened liquids, failure to follow physician's orders for eye drop administration, failure to complete discharge summaries, inadequate foot care for residents, presence of expired medications in storage, and failure to follow proper infection prevention and control practices during medication administration.
Deficiencies (6)
Failure to develop a comprehensive care plan for a regular diet with nectar thickened liquids for Resident #24.
Licensed nursing staff failed to follow physician orders for administering Refresh Liquigel 1% eye drops to Resident #25.
Failure to complete a discharge summary for Resident #113 upon discharge.
Failure to maintain trimmed toenails for Residents #3 and #31, risking infection and injury.
Expired flu vaccine vials were found in medication storage.
Failure to follow infection prevention and control practices including hand hygiene and glove use during medication administration affecting Residents #57, #49, and #313.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Expired medication vials: 2
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #2 | RN Unit Manager | Named in deficiency for failure to implement diet care plan for Resident #24 |
| EI #14 | Licensed Nursing Staff | Named in medication administration deficiency for Resident #25 |
| EI #6 | LPN/Licensed Practical Nurse, Charge Nurse | Named in deficiency for failure to complete discharge summary for Resident #113 |
| EI #1 | Facility Administrator | Interviewed regarding foot care deficiencies for Residents #3 and #31 |
| EI #9 | Licensed Practical Nurse (LPN) | Observed and interviewed regarding expired medication storage |
| EI #7 | Licensed Practical Nurse (LPN) | Observed and interviewed regarding infection control deficiencies |
| EI #5 | Director of Nursing (DON) | Interviewed regarding infection control practices |
| EI #10 | RN Unit Manager | Observed and interviewed regarding foot care deficiencies for Resident #31 |
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