Inspection Reports for
Baron House of Hueytown
190 Brooklane Drive, Hueytown, AL, 35023
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than Alabama average
Alabama average: 3.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 3
Date: Mar 13, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, medical record accuracy, and staffing data reporting at the nursing home.
Findings
The facility was found deficient in allowing a resident to self-administer a nebulizer treatment without physician authorization, failing to document daily wound care treatments as ordered, and inaccurately reporting staffing data to CMS due to unrecorded hours of salaried nursing staff.
Deficiencies (3)
Facility failed to ensure Resident Identifier (RI) #29 did not self-administer a nebulizer treatment on 03/10/2024 without authorization by the attending physician.
Facility failed to ensure Resident Identifier (RI) #24's medical record was complete and accurate to include documented evidence of daily wound treatment provided on 03/01/2024 through 03/08/2024 as ordered by physician.
Facility failed to report accurate staffing data from October 1, 2023 - December 31, 2023, to CMS due to salaried nursing staff not clocking in.
Report Facts
Residents sampled for self-administration: 1
Residents reviewed for wound care records: 14
Quarter of staffing data affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #5 | Registered Nurse | Interviewed regarding monitoring of resident self-administration of nebulizer treatment |
| Director of Nursing | Director of Nursing | Interviewed regarding concerns about resident self-administration and wound care documentation |
| Medical Director | Medical Director | Interviewed regarding resident self-administration without order |
| Registered Nurse #3 | Registered Nurse | Responsible for wound care treatments on 03/02/2024 and 03/03/2024 |
| Director of Clinical Operations | Director of Clinical Operations | Interviewed regarding inaccurate staffing data reporting |
Inspection Report
Routine
Deficiencies: 2
Date: Oct 24, 2019
Visit Reason
The inspection was conducted to assess compliance with medication storage and administration protocols, as well as infection prevention and control practices at the nursing home.
Findings
The facility was found deficient in ensuring medication carts were not left unlocked and unattended during medication administration, and in infection control practices including improper handling of medication cups and placement of medication boxes on unclean surfaces. These deficiencies posed minimal harm or potential for actual harm to a few residents.
Deficiencies (2)
Medication carts were left unlocked and unattended while administering medications.
Licensed staff placed ungloved fingers on the rim of a medication cup before administering medications, carried medication boxes in uniform pockets, and placed medication boxes on unclean bedside tables without barriers.
Report Facts
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #2 | Licensed Practical Nurse (LPN) | Left medication cart unlocked and unattended during medication administration |
| EI #3 | Registered Nurse (RN) | Left medication cart unlocked and unattended during medication administration |
| EI #4 | Registered Nurse (RN) | Placed ungloved finger on medication cup rim, carried medication box in uniform pocket, and placed medication box on unclean bedside table |
| EI #1 | Director of Nursing (DON) | Interviewed regarding medication cart locking and infection control practices |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Nov 15, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident rights, special eating equipment, food safety, and infection control at Baron House of Hueytown.
Findings
The facility was found deficient in several areas including failure to ensure a Registered Nurse assisted residents at eye level during meals, failure to serve a resident's meal on the prescribed divided plate, lack of air gaps in kitchen sink drains risking cross contamination, and failure of a Licensed Nurse to properly wash hands and change gloves during medication administration.
Deficiencies (4)
Registered Nurse assisted residents while standing during meals, not at eye level.
Resident's lunch meal was not served on a divided plate as required by care plan.
No air gap at drains for kitchen sinks and dish machine, risking cross contamination.
Licensed Nurse failed to wash hands and change gloves appropriately during medication administration.
Report Facts
Residents observed during meals: 26
Residents affected by standing RN: 2
Residents requiring assistive devices: 3
Residents affected by improper plate use: 1
Residents receiving meals from kitchen: 26
Residents observed during medication administration: 4
Nurses observed during medication administration: 3
Residents affected by improper hand hygiene: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Employee Identifier #3 observed assisting residents during meals while standing | |
| Registered Nurse/Director of Nursing (DON) | Employee Identifier #1 interviewed about proper assistance positioning and infection control | |
| Dietary Manager | Employee Identifier #5 interviewed about kitchen drain air gaps | |
| Director of Maintenance | Employee Identifier #6 interviewed about kitchen drain air gaps | |
| Licensed Practical Nurse (LPN) | Employee Identifier #7 observed administering medication without proper hand hygiene |
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