Inspection Reports for
Diversicare of Pell City
510 Wolf Creek Road, North, Pell City, AL, 35125
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 3
Date: Mar 3, 2022
Visit Reason
The inspection was conducted to assess compliance with regulations regarding medication storage, garbage disposal, and infection prevention and control practices at Diversicare of Pell City.
Findings
The facility was found to have multiple deficiencies including loose pills in medication carts, uncovered and overflowing dumpsters with refuse on the ground, and failure of a Certified Nursing Assistant to perform hand hygiene between delivering meal trays to residents. These issues posed risks of medication errors, pest infestation, and infection transmission.
Deficiencies (3)
Loose pills and capsules were found in drawers of all three resident medication carts, violating medication storage policies.
Trash bags were placed in an open dumpster without a closed lid and a discarded mattress was found on the ground near the dumpster area.
A Certified Nursing Assistant failed to wash or sanitize hands between delivering lunch trays to different residents, risking infection transmission.
Report Facts
Number of medication carts: 3
Number of residents potentially affected by garbage issue: 64
Number of residents observed during meal delivery: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Multiple LPNs (EI #4, EI #5, EI #6) interviewed regarding loose pills in medication carts | |
| Director of Nursing (DON)/Registered Nurse (RN) | EI #2 interviewed regarding medication cart policies and hand hygiene | |
| Dietary Manager | EI #7 interviewed regarding garbage disposal practices | |
| Certified Nursing Assistant (CNA) | EI #8 observed and interviewed regarding failure to perform hand hygiene between residents | |
| Infection Preventionist | EI #3 interviewed regarding hand hygiene policy and risks |
Inspection Report
Deficiencies: 3
Date: May 21, 2019
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care plans, medication storage, and infection prevention and control at Diversicare of Pell City.
Findings
The facility failed to develop and implement baseline care plans within 48 hours of admission for Resident #47, failed to properly store nebulization medications for Resident #68, and failed to ensure cleaning of nasal spray and inhaler devices after administration for Resident #16. These deficiencies posed minimal harm or potential for actual harm and affected a few residents.
Deficiencies (3)
Failure to create and implement baseline care plans within 48 hours of admission for Resident #47.
Failure to ensure nebulization solutions were properly stored and not left on Resident #68's bedside table.
Failure to clean Resident #16's nasal spray and inhaler after medication administration and prior to storage.
Report Facts
Residents sampled for care plans: 22
Residents sampled for medication storage: 21
Falls sustained by Resident #47: 4
Vials of Albuterol Sulfate observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse/Director of Nursing | Employee Identifier #5 interviewed regarding baseline care plans and falls for Resident #47. | |
| Licensed Practical Nurse | Employee Identifier #4 interviewed regarding nebulizer and medication storage for Resident #68. | |
| Registered Nurse/Assistant Director of Nursing | Employee Identifier #2 interviewed regarding nebulizer treatments for Resident #68. | |
| Registered Nurse/Clinical Educator | Employee Identifier #3 interviewed regarding medication storage and infection control practices. | |
| Registered Nurse | Employee Identifier #6 observed and interviewed regarding medication administration and cleaning for Resident #16. |
Inspection Report
Census: 66
Deficiencies: 3
Date: Jun 14, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessment data transmission, pharmaceutical services, and food safety standards.
Findings
The facility failed to timely transmit a resident's Discharge MDS assessment, did not ensure two signatures on all non-controlled medication destruction sheets for April 2018, and failed to label an opened bag of diced potatoes with a use-by date, potentially affecting resident safety.
Deficiencies (3)
Failed to ensure Resident Identifier #1's Discharge MDS Tracking Entry was transmitted in a timely manner.
Failed to ensure two signatures were present on all non-controlled medication destruction sheets for April 2018.
Failed to label an opened bag of diced potatoes with a use-by date in the kitchen.
Report Facts
Residents affected: 1
Months reviewed: 12
Pages with one signature: 11
Total pages: 29
Facility census: 66
Residents potentially affected: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding untimely transmission of Resident Identifier #1's Discharge MDS | |
| DON/Director of Nurses | Interviewed regarding signatures on medication destruction sheets | |
| Consultant Pharmacist | Interviewed regarding signatures on medication destruction sheets | |
| Dietary Manager | Interviewed regarding labeling of food items in kitchen |
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