Inspection Reports for
EAMC – Lanier Nursing Home

4800 48th Street, Valley, AL, 36854

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Deficiencies (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/year

Deficiencies per year

8 6 4 2 0
2018
2019
2021

Census

Latest occupancy rate 65 residents

Based on a August 2021 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

54 63 72 81 90 99 Mar 2018 Aug 2021

Inspection Report

Census: 65 Deficiencies: 1 Date: Aug 19, 2021

Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements, specifically to determine if the Quality Assessment and Assurance (QAA) committee met at least quarterly as required.

Findings
The facility failed to ensure that the QAA committee met quarterly, with no evidence of a meeting in July 2021. This deficiency had the potential to affect care and services for all 65 residents.

Deficiencies (1)
Failure to ensure the Quality Assessment and Assurance committee met at least quarterly.
Report Facts
Residents affected: 65 Months since last QAA meeting: 4

Employees mentioned
NameTitleContext
Quality Assurance nurse Interviewed regarding QAA meetings
Administrator Interviewed regarding QAA meetings and scheduling

Inspection Report

Routine
Deficiencies: 5 Date: Mar 21, 2019

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, privacy, infection control, wound care, feeding tube management, and medication administration at Eamc Lanier Nursing Home.

Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity by writing on dressings while worn, failure to ensure privacy during wound care, inadequate wound care practices risking infection, improper management of feeding tube protocols, and lapses in hand hygiene and medication administration procedures.

Deficiencies (5)
Licensed staff member wrote on a dressing while it was on the resident, violating dignity rights.
Failed to ensure privacy during wound care when privacy curtain was not pulled while other staff entered the room.
Failed to provide wound care in a manner to prevent infection, including not washing hands after picking up tape from floor and using unclean scissors.
Failed to ensure feeding tube protocols were followed; head of bed was down while tube feeding pump was running for 27 minutes.
Failed to follow hand hygiene protocols during medication administration, including placing bare fingers inside medication cup and not washing hands after dropping keys on floor.
Report Facts
Duration of tube feeding pump running with head of bed down: 27 Number of residents observed for wound care: 2 Number of residents observed during medication administration: 9

Employees mentioned
NameTitleContext
Registered Nurse (EI #2) Observed performing wound care and interviewed regarding deficiencies in wound care and feeding tube management
Registered Nurse/Director of Nursing (EI #5) Assisted with wound care observation
Licensed Practical Nurse (EI #3) Entered room during wound care and interviewed about privacy policy
Certified Nursing Assistant (CNA) Entered room during wound care
Employee Identifier (EI #1) Observed and interviewed regarding medication administration deficiencies

Inspection Report

Routine
Census: 88 Deficiencies: 3 Date: Mar 22, 2018

Visit Reason
The inspection was conducted to assess compliance with care planning requirements, medication management, and food safety standards at Eamc Lanier Nursing Home.

Findings
The facility failed to develop individualized care plans with measurable goals for residents using antipsychotic medications and did not attempt non-pharmacological interventions prior to medication use. Additionally, food preparation and sanitation practices did not meet professional standards, posing potential risks to all residents.

Deficiencies (3)
Failure to develop individualized care plans with measurable goals for residents #95 and #78 related to antipsychotic medication use and behaviors.
Failure to implement gradual dose reductions and non-pharmacological interventions prior to initiating or continuing psychotropic medications for resident #95.
Failure to ensure food preparation equipment, dishes, and utensils were effectively sanitized; tea urn spigot was not cleaned every 24 hours; wiping cloths were not stored in sanitizing solution; and potential cross-contamination due to improper storage of a scoop in thickening powder.
Report Facts
Residents affected: 2 Residents affected: 1 Residents affected: 88 Dishmachine temperature exceedances: 26 Total temperature recordings: 61

Employees mentioned
NameTitleContext
Registered Nurse (EI #6) Provided information about resident #95's behaviors and medication
Licensed Bachelor of Social Work (EI #7) Discussed care plans and behavioral interventions for residents #95 and #78
MDS Coordinator (EI #5) Confirmed residents should have care plans addressing antipsychotic use
Registered Dietitian (EI #1) Reported issues with dishmachine booster heater and food safety risks
ServSafe Supervisor (EI #2) Observed tea urn spigot cleanliness issues

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