Inspection Reports for
Cottage of the Shoals
500 John Aldridge Drive, Tuscumbia, AL, 35674
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Alabama average
Alabama average: 3.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Aug 5, 2021
Visit Reason
The inspection was conducted as a result of a complaint alleging the facility failed to provide the complete medical records requested by the representative of Resident Identifier (RI) #80.
Complaint Details
The complaint investigation (report number AL00036989) found that the facility violated RI #80's rights by failing to provide complete medical records as requested by the resident's representative. The investigation included interviews with the resident's representative and facility staff, and review of policies and records.
Findings
The facility failed to provide complete medical records for RI #80, including missing Medication Administration Records (MAR), Treatment Administration Records (TAR), Activities of Daily Living (ADL) documentation, and other records. Additionally, the facility failed to follow infection prevention protocols during medication administration for RI #63, including improper hand hygiene and glove use by a licensed practical nurse.
Deficiencies (3)
Failed to ensure RI #80's representative was allowed access to the entire requested medical records, including MAR, TAR, ADL, behavior logs, psychiatric notes, and physician orders.
Failed to ensure RI #80's ADL documentation was included in the medical record when requested.
Failed to ensure proper infection prevention and control practices during medication administration for RI #63, including failure to wash or sanitize hands before glove use, improper glove use when cleaning glucometer, and wearing gloves while adjusting resident's clothing after insulin injection.
Report Facts
Complaint report number: AL00036989
Number of residents observed during medication administration: 8
Number of nurses observed during medication administration: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Administrator | Interviewed regarding medical record requests and completeness for RI #80. |
| EI #3 | Licensed Practical Nurse (LPN) | Observed failing to follow infection prevention protocols during medication administration for RI #63. |
| EI #2 | Registered Nurse (RN)/Assistant Director of Nursing (ADON)/Infection Control Preventionist (ICP) | Interviewed regarding proper hand hygiene and infection control practices. |
Inspection Report
Routine
Deficiencies: 1
Date: May 14, 2019
Visit Reason
The inspection was conducted to evaluate the facility's infection prevention and control program, specifically focusing on hand hygiene practices during medication administration.
Findings
The facility failed to ensure that a licensed nurse used proper hand hygiene techniques by turning off the faucet with a bare hand instead of a disposable towel before putting on gloves to remove and apply a transdermal medication patch to a resident. This deficient practice posed a potential infection risk to the resident.
Deficiencies (1)
Failure to ensure a licensed nurse used a disposable towel to turn off the faucet after handwashing prior to medication administration.
Report Facts
Residents affected: 8
Licensed nurses observed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Employee Identifier #1 observed turning off faucet with bare hand during medication administration | |
| Registered Nurse/Infection Control Preventionist | Employee Identifier #2 interviewed regarding hand hygiene policy and infection risk |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 2, 2018
Visit Reason
The inspection was conducted due to an allegation of physical abuse involving a resident, specifically to investigate the timeliness of reporting the suspected abuse to the State Agency.
Complaint Details
The complaint involved an allegation of physical abuse concerning Resident Identifier #66. The allegation was substantiated as the facility failed to report the incident within the required two-hour window. The Administrator/Abuse Coordinator acknowledged the delay and stated uncertainty about the reporting requirement.
Findings
The facility failed to report an allegation of physical abuse within the required two-hour timeframe to the State Agency. The incident involved a visitor forcibly pulling on a resident's arm and speaking loudly to the resident, witnessed on 6/23/18 but reported only on 6/25/18.
Deficiencies (1)
Failed to timely report suspected physical abuse to the State Agency within two hours.
Report Facts
Residents Affected: 1
Date of incident: Jun 23, 2018
Date of report: Jun 25, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator/Abuse Coordinator | Interviewed regarding the delayed reporting of abuse; identified as Employee Identifier #2 |
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