Inspection Reports for
Diversicare of Arab
235 Third Street SE, Arab, AL, 35016
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
3% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 7
Date: Apr 15, 2021
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, medication management, infection control, and facility safety.
Findings
The facility was found deficient in multiple areas including failure to properly assess and document post-fall interventions for a resident, inadequate monitoring and documentation of psychotropic medication use and behaviors, unsecured medication carts, failure to serve pureed diets as prescribed, unsanitary kitchen conditions with maintenance issues, failure to maintain catheter hygiene, and inadequate enforcement of infection control practices including mask use among residents and staff.
Deficiencies (7)
Failure to assess and implement interventions after a resident fall, including lack of vital signs, documentation, and post-fall evaluation.
Failure to identify target behaviors, monitor antipsychotic medications, and provide indications for use for residents receiving psychotropic medications.
Medication cart left unlocked and unattended, allowing potential resident access to medications.
Failure to serve pureed bread and condiments as prescribed on the menu for residents on pureed diets.
Kitchen maintained in unsanitary condition with rusted shelves, dirty can opener, broken and missing floor tiles, soiled floor drains, black residue on walls, and leaking steamer.
Failure to maintain catheter bag off the floor, increasing risk of infection.
Failure to enforce mask wearing and social distancing among residents and staff, including residents not wearing masks or wearing masks improperly in common areas.
Report Facts
Residents on Memory Care Unit: 25
Residents vaccinated for COVID-19 on Memory Care Unit: 18
Residents on 100 and 300 hallways: 51
Residents on pureed diets observed: 10
Residents on pureed diets observed not served pureed bread: 10
Residents on pureed diets observed not served condiments: 22
Facility census: 78
County COVID-19 positivity rate: 4.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Verified incomplete documentation of post-fall assessment and lack of nurse's notes for fall | |
| Licensed Practical Nurse (LPN) | Reported resident fall and reviewed post-fall assessment | |
| Occupational Therapist | Assessed resident after fall and wheelchair safety | |
| Certified Nurse Assistant (CNA) | Reported resident behavior and feeding observations | |
| Consultant Pharmacist | Reviewed psychotropic medication use and monitoring | |
| Director of Clinical Care | Confirmed lack of psychotropic medication policy and monitoring | |
| Dietary Supervisor | Reported oversight in pureed diet preparation and condiments | |
| Maintenance Supervisor | Reported on kitchen maintenance issues and repair plans | |
| Administrator | Provided policies and COVID-19 guidance | |
| Infection Preventionist | Reviewed infection control practices and mask use |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Feb 6, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction related to a nursing home inspection focused on infection control practices during wound care.
Findings
The facility failed to ensure a Registered Nurse washed hands and changed gloves during wound care for a resident with a stage three pressure ulcer, posing a risk of infection. The Director of Nursing confirmed this was an infection control concern that could cause contamination or delay healing.
Deficiencies (1)
Failure to ensure a Registered Nurse washed hands and changed gloves during wound care between handling dirty and clean items.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN/Director of Nursing Services | Interviewed regarding infection control concerns during wound care |
Inspection Report
Routine
Census: 76
Capacity: 76
Deficiencies: 3
Date: Mar 1, 2018
Visit Reason
The inspection was conducted to assess compliance with food safety, waste disposal, and infection control standards at the nursing home.
Findings
The facility failed to ensure dishwashing cycles reached the required temperature, had a broken dumpster lid posing contamination risks, and exhibited multiple infection control lapses during medication administration affecting several residents.
Deficiencies (3)
Failed to ensure three cycles of dishwashing reached the required temperature of 150 degrees Fahrenheit.
Failed to ensure the top on one of two dumpsters was not broken and partially opened.
Failed to ensure licensed staff followed infection prevention and control practices during medication administration, including improper handling of glucometer, gloves, medication cups, and protein powder scoop.
Report Facts
Residents affected: 76
Residents affected: 76
Residents affected: 3
Nurses observed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Supervisor | Interviewed regarding dishwashing temperature and dumpster lid deficiencies (Employee Identifier #1) | |
| Licensed Practical Nurse (LPN) | Observed and interviewed regarding improper glucometer and glove handling during FSBS (Employee Identifier #2) | |
| Licensed Practical Nurse (LPN) | Observed and interviewed regarding improper medication cup handling (Employee Identifier #3) | |
| Licensed Practical Nurse (LPN) | Observed and interviewed regarding improper handling of protein powder scoop (Employee Identifier #4) | |
| LPN/Infection Control Coordinator | Interviewed regarding infection control practices and concerns (Employee Identifier #5) |
Viewing
Loading inspection reports...
