Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
44% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Census: 193
Deficiencies: 1
Date: Apr 1, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with maintaining a safe, clean, comfortable, and homelike environment for residents, specifically focusing on sanitation and cleanliness related to residents receiving enteral tube feeding.
Findings
The facility failed to maintain a clean and sanitary environment for five residents receiving enteral tube feeding, with heavy dried splatters of a tan colored substance found on resident care equipment, walls, floors, window blinds, bed rails, and privacy curtains. Floors under overbed tables were also not properly cleaned. This failure had the potential to affect all 193 residents in the facility.
Deficiencies (1)
Facility failed to ensure resident care equipment, walls, floors, window blinds, windows, bed rails, and privacy curtains were free from heavy dried splatters of a tan colored substance and failed to ensure floors were dusted and mopped under overbed tables.
Report Facts
Residents affected: 5
Total residents: 193
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper | Employee Identifier (EI) #10 interviewed regarding cleaning responsibilities and practices | |
| Housekeeping Manager | Employee Identifier (EI) #9 interviewed regarding cleaning policies and practices |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Feb 21, 2019
Visit Reason
The inspection was conducted to assess the accuracy of resident assessments, specifically focusing on the Minimum Data Set (MDS) assessments for several residents and the correct coding of medications and pressure ulcers.
Findings
The facility failed to ensure accurate coding of pressure ulcers on the Quarterly MDS assessments for residents #30, #58, and #187, and failed to correctly code Plavix as an anticoagulant medication on resident #69's MDS assessment. These errors were identified as coding errors during interviews and record reviews.
Deficiencies (2)
Failure to accurately identify pressure ulcers on Quarterly MDS assessments for residents #30, #58, and #187.
Failure to correctly code Plavix as an anticoagulant medication on resident #69's Quarterly MDS assessment.
Report Facts
Residents affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN MDS Director | Interviewed regarding accuracy of MDS assessments and coding errors |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Mar 29, 2018
Visit Reason
The inspection was conducted due to concerns about infection prevention and control practices, specifically related to blood glucose monitoring and insulin injections performed by a Licensed Practical Nurse (EI #6).
Complaint Details
The investigation was complaint-related, focusing on infection control practices during blood glucose testing and insulin injections. The complaint was substantiated with findings of improper glove use, hand hygiene, and equipment sanitation.
Findings
The facility failed to ensure proper infection control during blood glucose testing and insulin injections, including failure to disinfect the glucometer between residents, improper glove use, and failure to wash hands, which posed a risk of cross-contamination between residents.
Deficiencies (3)
Failure to disinfect the glucometer between residents during blood glucose testing.
Administering insulin injections without wearing gloves and failure to wash hands before and after procedures.
Carrying contaminated glucometer and blood testing strips together without proper sanitation.
Report Facts
Residents observed for blood glucose testing: 5
Residents observed for insulin injections: 2
Nurses observed for glucose testing: 4
Date of facility skills check off sheet: Dec 19, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #6 | Licensed Practical Nurse | Named in multiple infection control deficiencies related to blood glucose testing and insulin injections |
| EI #7 | Registered Nurse | Interviewed regarding facility policy on glucometer cleaning |
| EI #8 | Infection Control Nurse | Interviewed regarding infection control policies and potential harm from improper practices |
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