Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 16, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding the facility's failure to timely report an allegation of abuse involving Resident Identifier #7.
Complaint Details
This deficiency was cited as a result of the investigation of complaint/report number AL00045965.
Findings
The facility failed to report an allegation of abuse within two hours to the State Agency as required. The abuse involved an incident where Resident #7 was pushed down on 10/12/2023, but the report was not made until 10/23/2023, three days after the Administrator was made aware on 10/20/2023.
Deficiencies (1)
Failure to timely report suspected abuse within two hours to the State Agency.
Report Facts
Residents reviewed for abuse concerns: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding the failure to timely report abuse allegations |
Inspection Report
Routine
Deficiencies: 4
Date: Sep 13, 2023
Visit Reason
The inspection was conducted to assess compliance with Medicare/Medicaid regulations including beneficiary liability notices, timely submission of Minimum Data Set (MDS) assessments, care planning, and facility sanitation.
Findings
The facility failed to issue beneficiary liability notices at least two days prior to the end of Medicare Part A coverage for two residents, failed to timely complete and submit MDS assessments for seven residents, lacked a care plan for oxygen use for one resident, and failed to properly maintain dumpster lids and grease vat cleanliness, posing potential risks to residents.
Deficiencies (4)
Failed to ensure residents were issued beneficiary liability notices at least two days prior to the end of Medicare Part A coverage.
Failed to ensure timely completion, submission, and acceptance of Minimum Data Set (MDS) assessments for seven residents.
Failed to develop and implement a care plan for oxygen use for one resident.
Failed to ensure dumpster lids and side doors were closed and grease vat lid was intact and clean, risking rodent access and contamination.
Report Facts
Residents affected: 2
Residents affected: 7
Residents affected: 1
Residents affected: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bookkeeper/Business Manager | Responsible for issuing SNF beneficiary liability notices, interviewed regarding timing of notices | |
| MDS Coordinator | Interviewed about untimely MDS assessment submissions and related compliance issues | |
| Director of Nursing | Interviewed about MDS submission timelines and compliance concerns | |
| Registered Nurse (RN), MDS Coordinator | Interviewed regarding lack of oxygen care plan for resident | |
| Dietary Cook | Observed dumpster and grease vat conditions | |
| Dietary Manager | Interviewed about dumpster and grease vat maintenance and risks |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 23, 2023
Visit Reason
The inspection was conducted as an annual survey of Eastview Rehabilitation & Healthcare Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 1
Date: Feb 20, 2020
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically regarding hand hygiene during medication administration.
Findings
The facility failed to ensure that a Licensed Nurse washed her hands after administering eye drop medication and removing gloves before administering oral medications to a resident. This failure posed a minimal harm risk and affected one nurse and one resident observed during the medication pass.
Deficiencies (1)
Failure to ensure a Licensed Nurse washed her hands after administering eye drop medication, removing gloves, and prior to administering oral medications.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Observed failing to wash hands after medication administration | |
| Infection Control Preventionist/Registered Nurse | Interviewed regarding hand hygiene policy and concerns |
Inspection Report
Routine
Census: 62
Capacity: 74
Deficiencies: 4
Date: Jan 24, 2019
Visit Reason
The inspection was conducted to evaluate compliance with food safety and infection prevention standards, including sanitary conditions of the food service department and proper handling of food from outside sources, as well as infection control practices related to laundry handling.
Findings
The facility failed to ensure vents above the tray line were clean and free of dust, and that foods brought from outside were properly labeled and discarded after expiration, potentially affecting 62 of 74 residents. Additionally, a Laundry Aide was observed contaminating clean laundry by allowing it to touch her clothing and failing to wash hands after handling soiled laundry, potentially affecting 23 residents.
Deficiencies (4)
Vents located above the tray line were full of dust particles, risking contamination of food.
Foods brought in from outside the facility were not properly labeled and expired food was not discarded.
A brown plastic bag with a resident's name contained an open container of potato salad with an expired date.
Laundry Aide allowed clean towels, sheets, and wash cloths to touch her dress and did not wash hands after handling soiled laundry before putting on new gloves.
Report Facts
Residents affected: 62
Total licensed capacity: 74
Residents affected: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding cleaning of vents and food safety | |
| Certified Nursing Assistant (EI #5) | Observed during refrigerator tour revealing expired food item | |
| Licensed Practical Nurse (EI #4) | Interviewed regarding responsibility for checking food dates and food storage | |
| Laundry Aide (EI #1) | Observed contaminating clean laundry and failing to wash hands after handling soiled laundry | |
| Housekeeping/Laundry Supervisor (EI #2) | Interviewed regarding concerns about laundry aide's practices and hand hygiene policy |
Viewing
Loading inspection reports...
