Deficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
11% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 0
Date: Aug 8, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Crowne Health Care of Montgomery, summarizing the findings of a regulatory survey completed on 08/08/2023.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: Aug 8, 2023
Visit Reason
The inspection was conducted as a regulatory survey of Crowne Health Care of Montgomery to assess compliance with health and safety standards.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 17, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Crowne Health Care of Montgomery.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 17, 2023
Visit Reason
The inspection was conducted as an annual survey of Crowne Health Care of Montgomery to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Apr 16, 2021
Visit Reason
The inspection was conducted due to an allegation of physical abuse reported by Resident Identifier (RI) #28 against a Certified Nursing Assistant (EI #4). The visit aimed to investigate the abuse allegation and assess compliance with abuse prevention policies.
Complaint Details
The complaint involved an allegation of physical abuse by a CNA (EI #4) against Resident Identifier #28. The allegation was reported late to management and the Abuse Coordinator. The accused CNA was allowed to work for four additional days after the allegation was made. The facility investigation was unable to substantiate the abuse. The RN Supervisor received a warning for failure to report immediately. Corrective actions included suspension and termination of the CNA, resident assessment, notification of physician and sponsor, staff education, and a resident council meeting.
Findings
The facility failed to promptly investigate and report the abuse allegation, allowing the accused CNA to continue working for several days after the report. The abuse allegation was ultimately unsubstantiated. Additional deficiencies were found related to respiratory care, food safety and storage, and infection control practices.
Deficiencies (4)
Failure to ensure Resident Identifier #28 was protected from potential abuse after reporting physical abuse by a CNA; failure to assess for injuries, initiate investigation, remove accused CNA from care, and report allegation timely.
Failure to change oxygen tubing weekly for Resident Identifier #4, risking infection.
Failure to properly label and date opened food items, presence of broken eggs on top of unbroken eggs, and accumulation of dust on air conditioning vent above clean trays and cups in the kitchen.
Failure to change gloves after removing soiled brief and before applying clean brief during incontinent care for Resident Identifier #58, risking infection spread.
Report Facts
Dates CNA worked after abuse allegation: 4
Date of abuse allegation report to State Survey Agency: Mar 8, 2021
Number of residents affected by food safety deficiencies: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | EI #4 accused of physical abuse against Resident Identifier #28. | |
| Licensed Practical Nurse (LPN) | EI #5 notified RN about abuse incident but did not report to Abuse Coordinator or Social Services initially. | |
| Registered Nurse (RN) Supervisor | EI #6 on duty during abuse allegation, failed to initiate investigation or report allegation immediately; received warning. | |
| Administrator | EI #1 acknowledged failure to follow abuse policy and late reporting. | |
| Director of Nursing (DON) | EI #2 acknowledged management was unaware of abuse allegation until 3/6/2021. | |
| Social Worker | EI #3 became aware of abuse allegation on 3/6/2021. | |
| Registered Nurse (RN) Supervisor | EI #15 observed oxygen tubing not changed weekly. | |
| Licensed Practical Nurse (LPN) Charge Nurse | EI #14 confirmed oxygen tubing should be changed weekly. | |
| Cook | EI #19 observed food safety violations in kitchen. | |
| Kitchen Manager | EI #9 responsible for food safety and cooler storage. | |
| District Kitchen Manager | EI #10 commented on dust accumulation on air vent. | |
| Maintenance Manager | EI #13 responsible for cleaning air conditioning vent. | |
| Registered Nurse (RN) | EI #11 responsible for cleaning unit refrigerators. | |
| Certified Nursing Assistant (CNA) | EI #16 observed failing to change gloves during incontinent care. | |
| Assistant Director of Nursing (ADON)/RN Supervisor | EI #17 confirmed gloves should be changed during incontinent care. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Apr 16, 2021
Visit Reason
The inspection was conducted due to an allegation of physical abuse reported by Resident Identifier (RI) #28 against a Certified Nursing Assistant (EI #4). The visit aimed to investigate the abuse allegation and assess compliance with abuse prevention policies.
Complaint Details
The complaint involved an allegation of physical abuse by CNA EI #4 against Resident Identifier #28. The allegation was reported late to management and the Abuse Coordinator. The facility failed to immediately investigate, assess the resident for injury, suspend the accused CNA, and report to the State Survey Agency within required timeframes. The investigation was ultimately unable to substantiate the abuse allegation.
Findings
The facility failed to promptly investigate and report the abuse allegation, allowing the accused CNA to work additional days before suspension. The facility also failed to assess the resident for injuries timely and did not follow its abuse policy. Additionally, deficiencies were found in respiratory care, food safety and storage, and infection control practices.
Deficiencies (4)
Failure to ensure Resident Identifier #28 was protected from potential abuse; delayed investigation, reporting, and removal of accused CNA.
Oxygen tubing for Resident Identifier #4 was not changed weekly as required by facility policy.
Food safety violations including undated and unsealed bacon and sausage, broken eggs stored improperly, dusty air conditioning vent over clean trays, and unlabeled or expired food in refrigerators.
Failure to change gloves between removing soiled brief and applying clean brief during incontinent care for Resident Identifier #58, risking infection spread.
Report Facts
Days CNA worked after abuse allegation: 4
Date of abuse allegation: Feb 28, 2021
Date CNA suspended: Mar 6, 2021
Date CNA terminated: Mar 12, 2021
Number of residents affected by food safety deficiencies: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | EI #4 accused of physical abuse against resident. | |
| Licensed Practical Nurse (LPN) | EI #5 notified RN about abuse allegation; later educated on abuse policy. | |
| Registered Nurse (RN) Supervisor | EI #6 on duty during abuse allegation; failed to report and investigate timely; received warning. | |
| Administrator | EI #1 acknowledged failure to follow abuse policy and timely reporting. | |
| Director of Nursing (DON) | EI #2 acknowledged delayed awareness and failure to remove CNA from schedule. | |
| Social Worker | EI #3 became aware of abuse allegation on 3/6/2021. | |
| Registered Nurse (RN) Supervisor | EI #15 observed oxygen tubing not changed weekly. | |
| Licensed Practical Nurse (LPN) Charge Nurse | EI #14 confirmed oxygen tubing change schedule and importance. | |
| Cook | EI #19 observed food safety violations in kitchen. | |
| Kitchen Manager | EI #9 responsible for food safety and storage. | |
| District Kitchen Manager | EI #10 described risks of dirty air vent over clean trays. | |
| Registered Nurse (RN) | EI #11 responsible for cleaning unit refrigerators. | |
| Maintenance Manager | EI #13 responsible for cleaning air conditioning vent. | |
| Certified Nursing Assistant (CNA) | EI #16 failed to change gloves properly during incontinent care. | |
| Assistant Director of Nursing (ADON)/RN Supervisor | EI #17 confirmed proper glove use and infection control importance. |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Oct 10, 2019
Visit Reason
The inspection was conducted to assess compliance with infection prevention and control protocols, specifically focusing on incontinent care and medication administration practices.
Findings
The facility failed to ensure proper infection control practices during incontinent care and medication administration. Deficiencies included a CNA placing a blanket on the bare floor as a barrier for soiled washcloths and a medication nurse failing to wash hands appropriately before and after resident contact and medication preparation.
Deficiencies (2)
A Certified Nursing Assistant (CNA) did not place a blanket on the bare floor to use as a barrier for soiled washcloths when providing incontinent care to a resident.
A medication nurse failed to wash her hands after removing soiled gloves, before and after touching residents, and before returning to the medication cart during medication administration.
Report Facts
Residents observed for incontinent care: 1
Residents observed during medication administration: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Employee Identifier #9 involved in incontinent care deficiency | |
| Licensed Practical Nurse | Employee Identifier #7 involved in medication administration deficiency | |
| Registered Nurse Unit Manager/Assistant Director of Nursing | Employee Identifier #10 interviewed regarding proper placement of soiled linen and washcloths |
Inspection Report
Deficiencies: 2
Date: Oct 10, 2019
Visit Reason
The inspection was conducted to assess compliance with infection prevention and control protocols, specifically focusing on incontinent care and medication administration practices.
Findings
The facility failed to ensure proper infection control practices, including improper placement of soiled washcloths on a bare floor during incontinent care and failure of a medication nurse to perform hand hygiene before and after resident contact and medication preparation. These deficiencies posed minimal harm or potential for actual harm to a few residents.
Deficiencies (2)
A Certified Nursing Assistant did not place a blanket on the bare floor as a barrier for soiled washcloths during incontinent care for Resident #133.
A medication nurse failed to wash hands after removing soiled gloves, before and after touching Residents #18 and #109, and before returning to the medication cart during medication administration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Named as Employee Identifier #9 involved in improper placement of soiled washcloths during incontinent care. | |
| Licensed Practical Nurse | Named as Employee Identifier #7 involved in failure to perform hand hygiene during medication administration. | |
| Registered Nurse Unit Manager/Assistant Director of Nursing | Named as Employee Identifier #10 interviewed regarding proper placement of soiled linen and washcloths. |
Viewing
Loading inspection reports...
