Inspection Reports for
Enterprise Health & Rehabilitation Center
300 Plaza Drive, PO Box 311227, Enterprise, AL, 36331-1227
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 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
12
9
6
3
0
Inspection Report
Enforcement
Deficiencies: 6
Date: Jan 18, 2026
Visit Reason
The inspection was conducted due to allegations of resident abuse including sexual abuse, mental abuse, and physical abuse, as well as failure to report and investigate abuse incidents properly.
Complaint Details
The complaint investigation revealed substantiated findings of sexual, physical, and mental abuse involving multiple residents. The facility failed to protect residents and failed to report the sexual abuse incident to law enforcement. Immediate Jeopardy was cited from 02/11/2025 until 01/18/2026 when corrective actions were verified.
Findings
The facility failed to protect residents from sexual, physical, and mental abuse, including resident-to-resident sexual abuse on 02/11/2025. The facility also failed to report the sexual abuse incident to law enforcement timely and did not conduct a thorough investigation. Additionally, the facility's Quality Assurance and Performance Improvement (QAPI) program failed to identify systemic issues and implement effective corrective actions. Immediate Jeopardy was cited and later removed after corrective actions were verified.
Deficiencies (6)
Failed to protect residents from sexual abuse by another resident on 02/11/2025.
Failed to protect resident from mental abuse when a photograph was shared on social media without consent.
Failed to protect resident from physical abuse by another resident on 01/05/2026.
Failed to develop and implement effective policies and procedures to prevent abuse, neglect, and exploitation.
Failed to timely report suspected sexual abuse to law enforcement.
Failed to implement an effective Quality Assurance and Performance Improvement (QAPI) program to review and correct abuse incidents.
Report Facts
Residents reviewed for sexual behavior history: 169
Residents identified with history of sexual behaviors: 4
Employees in-serviced on updated abuse policy: 216
Employees remaining to be in-serviced: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #13 | Certified Nursing Assistant | Witnessed sexual abuse incident on 02/11/2025. |
| RN #10 | Registered Nurse / Unit Manager | Provided information on resident behaviors and supervision practices. |
| SSD / Abuse Coordinator | Social Service Director / Abuse Coordinator | Conducted abuse investigations and provided statements on facility policies and incidents. |
| Administrator | Facility Administrator | Oversaw abuse investigations and QAPI committee. |
| FCNA #6 | Former Certified Nursing Assistant | Involved in mental abuse incident related to social media photo posting. |
| LPN #7 | Licensed Practical Nurse | Witnessed and reported social media abuse incident. |
Inspection Report
Routine
Census: 162
Deficiencies: 3
Date: Jan 18, 2026
Visit Reason
The inspection was conducted to assess compliance with food safety, kitchen hood cleaning, and dishwashing policies to ensure safe food handling and prevent cross-contamination or foodborne illnesses.
Findings
The facility failed to properly label food items with use-by dates, maintain cleanliness of kitchen hood vents which were dusty and greasy, and ensure dishes were dried properly before use. These deficiencies posed potential minimal harm affecting all 162 residents receiving meals.
Deficiencies (3)
Food items in dry storage and freezer were not labeled with use-by dates as required by facility policy.
Kitchen hood vents were dusty and greasy, indicating inadequate cleaning and maintenance.
Plates and bowls were wet and not dried properly before being used to serve food, risking bacterial contamination.
Report Facts
Residents affected: 162
Number of vents under stove hood: 18
Number of vents over warmer: 3
Wet plates observed: 6
Wet bowls pulled from tray line: 15
Wet plates pulled from tray line: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding labeling, kitchen hood cleaning, and dish drying practices | |
| Maintenance Director | Interviewed about cleaning responsibilities and schedule for kitchen hood vents | |
| Dietary Aid/Cook #23 | Observed plating food and drying dishes improperly; interviewed about wet dishes |
Inspection Report
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Enterprise Health & Rehabilitation Center, reflecting the results of a regulatory survey completed on June 1, 2023.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Nov 6, 2019
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding incontinent care and meal tray discrepancies at Enterprise Health & Rehabilitation Center.
Complaint Details
The complaint investigation (complaint # AL00036218) focused on incontinent care and meal tray discrepancies. The investigation substantiated failures in incontinent care for Resident #63 and meal service errors affecting three residents (RI #128, RI #132, RI #139).
Findings
The facility failed to provide appropriate incontinent care to Resident #63, resulting in potential urinary tract infection risk and improper linen handling. Additionally, the facility failed to ensure residents received foods matching their tray cards, and food storage and utensil drying practices were deficient, posing risks to resident safety and sanitation.
Deficiencies (4)
Failed to ensure Certified Nursing Assistant cleaned Resident #63's perineal area thoroughly during incontinent care, increasing risk of urinary tract infection.
Failed to ensure residents received foods listed on their tray cards; discrepancies observed in meals for three residents.
Failed to properly label and seal meats in freezer; failed to record temperatures of freezer and cooler; utensils were wet in utensil bags and silverware holder.
Certified Nursing Assistant placed soiled linens on floor beside Resident #63's bed during incontinent care, violating infection control policy.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 184
Date of inspection: Nov 6, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Employee Identifiers EI #6 and EI #7 involved in incontinent care and linen handling deficiencies for Resident #63 | |
| Staff Education | Employee Identifier EI #1 interviewed regarding incontinent care policy | |
| Licensed Practical Nurse (LPN) | Employee Identifier EI #5 interviewed regarding meal tray verification | |
| Cook | Employee Identifier EI #11 interviewed regarding food storage and labeling | |
| Dietary Manager | Employee Identifier EI #2 interviewed regarding food storage, tray preparation, and utensil drying | |
| Tray Caller | Employee Identifier EI #12 interviewed regarding utensil bagging | |
| Infection Control Registered Nurse (RN) | Employee Identifier EI #3 interviewed regarding linen handling policy |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Nov 1, 2018
Visit Reason
The inspection was conducted based on complaints regarding resident dignity related to visible catheter tubing, failure to complete timely safe smoking assessments, and failure to ensure proper food temperature checks.
Complaint Details
The visit was complaint-related, focusing on concerns about resident dignity due to visible catheter tubing, incomplete smoking safety assessments, and food temperature monitoring failures. The deficiencies were substantiated with observations, interviews, and record reviews.
Findings
The facility failed to maintain resident dignity by allowing a resident's catheter and drainage bag to be visible to others, failed to complete timely safe smoking assessments for a resident, and failed to ensure the temperature of Brussels sprouts was taken prior to serving, potentially affecting multiple residents.
Deficiencies (3)
Failure to ensure Resident Identifier #19's catheter, tubing, and drain bag were not visible to residents and visitors, violating resident dignity.
Failure to ensure a safe smoking assessment was completed timely for Resident Identifier #145.
Failure to ensure the temperature of Brussels sprouts was taken prior to serving, risking food safety for 130 residents.
Report Facts
Residents affected: 3
Residents affected: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Employee Identifier #3 interviewed regarding care and visibility of catheter for Resident #19 | |
| Registered Nurse | Employee Identifier #2 interviewed regarding catheter care and visibility for Resident #19 | |
| Registered Nurse | Employee Identifier #1 interviewed regarding smoking assessments for Resident #145 | |
| Cook | Employee Identifier #4 interviewed regarding failure to check temperature of Brussels sprouts | |
| Dietary Manager | Employee Identifier #5 interviewed regarding food temperature policy and practice |
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