Inspection Reports for
Crowne Health Care of Mobile
954 Navco Rd, Mobile, AL 36605, United States, AL, 36605
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Sep 19, 2019
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding failure to properly document wound care, failure to promptly address a resident grievance, improper infection control practices during wound care, and incomplete medication destruction documentation.
Complaint Details
This deficiency was written as a result of the investigation of complaint/report #AL00036346.
Findings
The facility failed to ensure proper wound care documentation and infection control practices by the treatment nurse, failed to promptly initiate grievance reports for resident concerns, and failed to obtain required signatures on medication destruction forms. These deficiencies were noted to have minimal harm or potential for actual harm affecting a few residents.
Deficiencies (4)
Failure to date and initial dressings prior to placement on resident's wounds during wound care.
Failure to promptly initiate a Grievance/Concern Report when a resident's sponsor brought a concern to the facility.
Failure to clean/sanitize scissors after removing them from nurse's uniform pocket before using them in wound care.
Failure to ensure Non-Controlled Record of Medication Destruction forms contained two required signatures for May, June, and August 2019.
Report Facts
Months with incomplete medication destruction forms: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| treatment nurse | Named as Employee Identifier (EI) #5 involved in wound care deficiencies. | |
| Licensed Practical Nurse (LPN)/Infection Control Nurse | Named as Employee Identifier (EI) #6 providing infection control interview. | |
| Director of Social Services | Named as Employee Identifier (EI) #3 interviewed regarding grievance process. | |
| Director of Nursing (DON) | Named as Employee Identifier (EI) #2 interviewed regarding grievance and medication destruction forms. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Sep 19, 2019
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding failure to promptly initiate a grievance report and deficiencies in wound care and medication destruction documentation.
Complaint Details
This deficiency was written as a result of the investigation of complaint/report #AL00036346.
Findings
The facility failed to ensure proper wound care procedures, including dating dressings before application and sanitizing scissors before use, failed to promptly initiate grievance reports when concerns were raised, and failed to obtain two required signatures on medication destruction forms for several months.
Deficiencies (4)
Failure to date and initial dressings before placing them on resident wounds during wound care.
Failure to promptly initiate a grievance/concern report when a resident's sponsor brought a concern to the facility.
Failure to clean/sanitize scissors after removing them from uniform pocket before using them in wound care.
Failure to ensure Non-Controlled Record of Medication Destruction forms contained two required signatures for May, June, and August 2019.
Report Facts
Deficiencies cited: 4
Months with missing signatures: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #5 | Treatment Nurse | Named in wound care deficiencies regarding dressing dating and sanitizing scissors. |
| EI #6 | Licensed Practical Nurse (LPN)/Infection Control Nurse | Interviewed regarding wound care procedures and infection control. |
| EI #3 | Director of Social Services | Interviewed regarding grievance reporting and failure to complete grievance report. |
| EI #2 | Director of Nursing (DON) | Interviewed regarding grievance reporting timeframes and medication destruction form signatures. |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 16, 2018
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality, nutrition provision, and infection prevention and control in the nursing facility.
Findings
The facility failed to ensure Resident #48 received double portions with all meals as ordered, potentially affecting nutritional status. Additionally, licensed staff failed to perform proper hand hygiene during incontinence care for Resident #43, risking infection transmission.
Deficiencies (3)
Failed to ensure Resident #48's physician's orders for double portions with all meals were followed.
Failed to provide enough food/fluids to maintain Resident #48's health, creating potential for altered nutritional status.
Failed to ensure licensed staff washed hands after removing soiled gloves and before leaving the room during incontinence care, contaminating wipes container.
Report Facts
Residents sampled for physician's orders review: 41
Residents sampled for nutrition review: 8
Residents observed during incontinence care: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Employee Identifier #4 served Resident #48's meal but did not provide double portions as ordered | |
| Kitchen Manager | Employee Identifier #5 responsible for ensuring residents received recommended tray portions | |
| Licensed Practical Nurse/LPN/Treatment Nurse | Employee Identifier #7 failed to wash hands after glove removal during incontinence care | |
| Registered Nurse/Infection Control | Employee Identifier #8 provided infection control guidance during interview |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 16, 2018
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality, nutrition provision, and infection prevention and control at Crowne Health Care of Mobile.
Findings
The facility failed to ensure Resident Identifier #48 received double portions with all meals as ordered, potentially affecting nutritional status. Additionally, licensed staff failed to perform proper hand hygiene during incontinence care for Resident Identifier #43, risking infection transmission. Both deficiencies were assessed as causing minimal harm or potential for actual harm.
Deficiencies (3)
Failure to ensure Resident Identifier #48 received double portions with all meals as ordered.
Failure to provide enough food/fluids to maintain Resident Identifier #48's health due to not receiving double portions.
Failure to ensure licensed staff washed hands after removing soiled gloves and before leaving the room during incontinence care, contaminating wipes container.
Report Facts
Residents sampled for physician's orders review: 41
Residents sampled for nutrition review: 8
Resident Identifier #48 lunch meal observation date: Aug 15, 2018
Resident Identifier #48 physician order date: Aug 20, 2015
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Employee Identifier #4 served meal to Resident Identifier #48 and stated none of the double portions were provided | |
| Kitchen Manager | Employee Identifier #5 confirmed resident did not receive double portions and identified responsible parties | |
| Licensed Practical Nurse/LPN/Treatment Nurse | Employee Identifier #7 failed to wash hands after glove removal during incontinence care | |
| Registered Nurse/Infection Control | Employee Identifier #8 explained proper hand hygiene procedures during incontinence care |
Inspection Report
Annual Inspection
Census: 128
Deficiencies: 2
Date: Jun 22, 2017
Visit Reason
The inspection was conducted to assess compliance with food safety and cleanliness standards in the dietary department of the nursing home.
Findings
The facility failed to ensure that 120 meal trays were properly dried before storage and that damaged dinner plates were removed from service. These deficiencies posed potential harm to all 128 residents receiving meals.
Deficiencies (2)
120 meal trays were observed wet and stored on top of each other in a clean area of the kitchen, contrary to facility policy and FDA Food Code requiring air-drying.
A dinner plate with a chipped rim and four plates with rough edges were stored on a kitchen shelf, violating the policy to remove broken or chipped dishes from service.
Report Facts
Meal trays observed wet: 120
Residents affected: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding wet trays and dish storage | |
| Employee Identifier #1 | Interviewed about dish drying and condition of dinnerware |
Inspection Report
Routine
Census: 128
Deficiencies: 2
Date: Jun 22, 2017
Visit Reason
The inspection was conducted to assess compliance with safe and clean food storage, cooking, and serving practices in the dietary department of the nursing home.
Findings
The facility failed to ensure that 120 meal trays were properly dried before storage and that damaged dinner plates were removed from service. These issues posed potential harm to all 128 residents receiving meals.
Deficiencies (2)
120 meal trays were observed wet and stored on top of each other in a clean area of the kitchen, contrary to facility policy and FDA Food Code requiring air-drying.
A dinner plate with a chipped rim and four plates with rough edges were stored on a kitchen shelf, violating the policy to remove broken or chipped dishes from service.
Report Facts
Meal trays observed wet: 120
Residents affected: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding wet meal trays and dish storage policies | |
| Employee Identifier #1 | Interviewed about wet trays and chipped dishes; responsible for dish handling |
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