Inspection Reports for
Cloverdale Rehabilitation and Nursing Center
412 Cloverdale Road, Scottsboro, AL, 35768
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 2
Date: Mar 31, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding psychotropic medication monitoring and infection prevention and control practices, including COVID-19 transmission-based precautions.
Findings
The facility failed to ensure proper monitoring for adverse effects of psychotropic medications for Resident #73, and failed to provide trash and linen receptacles inside transmission-based precaution rooms for disposal of contaminated PPE, leading to potential infection control risks.
Deficiencies (2)
Failure to monitor Resident #73 for adverse effects of psychotropic medications despite multiple orders for such medications.
Failure to provide trash and linen receptacles inside transmission-based precaution rooms, causing staff to discard used PPE outside the rooms.
Report Facts
Psychotropic medication orders: 4
Transmission based precaution rooms observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | EI #12 stated no behaviors or side effects noticed for Resident #73. | |
| Registered Nurse Supervisor | EI #14 discussed monitoring orders and eMAR behavior monitoring. | |
| Charge Nurse | EI #13 noted expectation for monitoring side effects for Resident #73. | |
| RN Admissions Nurse | EI #15 explained activation of adverse effect monitoring in system. | |
| RN Medical Records/Risk Management Nurse | EI #16 reviewed orders and eMAR for Resident #73. | |
| Administrator | EI #1 stated residents on antipsychotics should be monitored for symptoms and side effects. | |
| Consulting Clinical Pharmacist | Pharmacist stated side effects need monitoring for residents on multiple psychotropics. | |
| Certified Occupational Therapy Assistant | EI #9 observed removing PPE outside rooms due to lack of receptacles inside. | |
| CNA | EI #10 described PPE removal practices and acknowledged receptacles were outside rooms. | |
| RN Infection Control Preventionist | EI #18 discussed transmission based precautions and PPE disposal practices. | |
| Director of Nursing | EI #2 stated PPE was disposed of outside resident rooms. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 8, 2019
Visit Reason
Annual inspection survey of Cloverdale Rehabilitation and Nursing Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 14, 2018
Visit Reason
The inspection was conducted following a complaint related to a resident (RI #65) falling out of a Hoyer lift during transfer, resulting in injury.
Complaint Details
The investigation was complaint-driven, triggered by an incident on 5/16/2018 where RI #65 fell from a Hoyer lift during transfer by a CNA who did not have a second person present as required. The complaint was substantiated with findings of actual harm.
Findings
The facility failed to ensure proper transfer procedures were followed, resulting in a resident falling out of a Hoyer lift and sustaining injuries including a skin tear and a laceration requiring hospital treatment. The facility implemented corrective actions including staff training and updating care plans. Additionally, a separate infection control deficiency was found related to improper hand hygiene during incontinence care.
Deficiencies (2)
Failure to follow care plan for two-person assist during transfer, resulting in resident falling out of Hoyer lift and sustaining injuries.
Failure to ensure nursing staff washed hands and changed gloves appropriately during incontinence care, risking infection.
Report Facts
Date of incident: May 16, 2018
Number of residents reviewed for falls: 3
Staples used for laceration repair: 4
Training period: 20
Probation period: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | EI #4 transferred resident improperly without second person assist | |
| Licensed Practical Nurse (LPN) | EI #7 signed incident investigation report | |
| Director of Nursing (DON) | EI #6 interviewed regarding fall incident and transfer procedures | |
| Registered Nurse (RN) | EI #1 observed failing to follow hand hygiene protocols during incontinence care | |
| Assistant Director of Nursing/Infection Control Nurse | EI #3 interviewed about proper infection control procedures |
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