Inspection Reports for
Florence Nursing And Rehabilitation Ctr, Llc
AL, 35630
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
13.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
275% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Deficiencies: 5
Date: Jan 14, 2020
Visit Reason
The inspection was conducted to assess compliance with food safety, infection prevention, and control standards at Florence Nursing and Rehabilitation Center.
Findings
The facility failed to ensure proper food storage and cleanliness, including outdated food in the walk-in cooler, a dirty ice machine, and an unclean meat slicer. Additionally, lapses in hand hygiene were observed among nursing staff during medication administration, posing infection risks to residents.
Deficiencies (5)
Outdated food was stored in the walk-in cooler, including cabbage with discard date 12/25/19 and fruit cobbler with discard date 1/10/20.
Ice machine was not clean and had a build-up of black substance inside.
Meat slicer was not cleaned properly and had food particles present between uses.
Licensed Practical Nurse did not wash or sanitize hands after giving oral medication and before administering eye drops to Resident #87.
Registered Nurse did not wash or sanitize hands after removing gloves post medication administration to Resident #110 and before opening door and handling medication cart.
Report Facts
Residents affected: 135
Residents affected: 2
Residents observed: 6
Nurses observed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook | Observed and interviewed regarding outdated food in walk-in cooler | |
| Certified Dietary Manager (CDM) | Observed and interviewed regarding food safety and cleaning issues | |
| Licensed Practical Nurse (LPN), Employee Identifier #1 | Observed not washing hands between medication administrations | |
| Registered Nurse (RN), Employee Identifier #2 | Observed not washing hands after glove removal and before handling medication cart | |
| Infection Control Preventionist, Registered Nurse (RN), Employee Identifier #3 | Interviewed regarding infection control concerns |
Inspection Report
Routine
Deficiencies: 5
Date: Jan 14, 2020
Visit Reason
The inspection was conducted to assess compliance with food safety, infection prevention, and control standards in the nursing home facility.
Findings
The facility failed to ensure outdated food was not stored in the walk-in cooler, the ice machine was clean and free of black substance buildup, and the meat slicer was cleaned properly between uses. Additionally, licensed nurses failed to perform proper hand hygiene during medication administration, potentially risking resident infections.
Deficiencies (5)
Outdated food was stored in the walk-in cooler, including cabbage with discard date 12/25/19 and fruit cobbler with discard date 1/10/20.
Ice machine was observed with a black substance buildup inside, which could contaminate ice served to residents.
Meat slicer was not cleaned properly between uses, with food particles observed on the slicer.
Licensed Practical Nurse (LPN) failed to wash or sanitize hands after oral medication administration and before administering eye drops to a resident.
Registered Nurse (RN) failed to wash or sanitize hands after removing gloves post medication administration and before opening resident's door and handling medication cart.
Report Facts
Residents affected: 135
Residents affected: 2
Residents observed during medication pass: 6
Nurses observed during medication pass: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook | Observed and interviewed regarding outdated food in walk-in cooler | |
| Certified Dietary Manager (CDM) | Observed and interviewed regarding food safety and cleaning procedures | |
| Licensed Practical Nurse (LPN), Employee Identifier #1 | Failed to perform hand hygiene between medication administrations | |
| Registered Nurse (RN), Employee Identifier #2 | Failed to perform hand hygiene after glove removal and before handling medication cart | |
| Infection Control Preventionist, Registered Nurse (RN), Employee Identifier #3 | Interviewed regarding infection control concerns |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Oct 24, 2018
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory requirements related to resident care plans, catheter use and care, and food safety standards.
Findings
The facility failed to ensure baseline care plans addressed smoking and catheter use for certain residents, did not obtain timely physician orders for catheter use, failed to provide catheter care on several days, and stored outdated food items in the kitchen and nourishment refrigerators, posing risks of infection and foodborne illness.
Deficiencies (5)
Baseline care plans did not address smoking for Resident Identifier (RI) #112 and did not address use of a foley catheter and antipsychotic medications for RI #186.
Failed to obtain physician orders for use of RI #186's foley catheter until seven days after admission.
Failed to ensure catheter care was provided for RI #186 on multiple dates (10/16, 10/17, 10/18, 10/19, 10/20, and 10/22/18).
Failed to ensure medical diagnosis justified continued use of foley catheter for RI #186.
Stored outdated hot dog buns, lettuce, sweet and sour sauce, and bacon bits in kitchen and nourishment refrigerators.
Report Facts
Residents sampled: 25
Residents sampled with catheters: 3
Residents affected by food safety deficiencies: 127
Dates catheter care not provided: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding baseline care plans, catheter orders, catheter care, and concerns about deficiencies | |
| Certified Dietary Manager | Interviewed regarding food storage, use, and discard practices | |
| Kitchen Manager | Interviewed regarding food storage and expiration dates |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 24, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care plans, catheter use, and food safety in the nursing facility.
Findings
The facility failed to ensure baseline care plans addressed smoking and catheter use for certain residents, lacked physician orders and proper documentation for catheter care, and stored outdated food items in the kitchen and nourishment refrigerators, posing potential risks to residents.
Deficiencies (4)
Baseline care plans did not address smoking for Resident #112 and did not address use of foley catheter and antipsychotic medications for Resident #186.
Failed to obtain physician orders for Resident #186's foley catheter and catheter care after admission.
Resident #186's medical record lacked appropriate diagnosis to justify continued use of foley catheter and catheter care was not provided on multiple dates.
Facility stored outdated hot dog buns, lettuce, sweet and sour sauce, and bacon bits in kitchen and nourishment refrigerators.
Report Facts
Residents sampled: 25
Residents sampled with catheters: 3
Residents affected by food safety deficiency: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding baseline care plans, catheter orders, catheter care, and concerns about deficiencies | |
| Certified Dietary Manager | Interviewed regarding food storage, use, and discard policies and risks of outdated food | |
| Kitchen Manager | Interviewed regarding food storage and expiration dates |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 25, 2018
Visit Reason
The inspection was conducted based on complaints regarding unclean bed linens for Resident Identifier (RI) #109, failure to complete smoking safety evaluations for RI #95, food safety concerns including improper hot food holding temperatures and unclean utensils, and infection control deficiencies observed during medication administration and incontinence care.
Complaint Details
The visit was complaint-related, triggered by allegations of unclean bed linens for RI #109 and failure to complete smoking safety evaluations for RI #95. The complaints were substantiated based on observations and interviews.
Findings
The facility was found deficient in maintaining clean and safe resident environments, including unclean pillowcases for RI #109, failure to complete timely smoking evaluations for RI #95, improper food temperature control and sanitation practices affecting all residents receiving dining services, and lapses in infection prevention practices by nursing staff and CNAs affecting multiple residents.
Deficiencies (4)
Failed to ensure RI #109's pillowcase was free of a brown colored substance.
Failed to complete a smoking evaluation on RI #95, a resident identified as a smoker.
Failed to maintain hot food holding temperatures at 135 degrees or above and failed to clean tea urn spigot and utensils properly.
Failed to ensure licensed nurse changed gloves and washed hands appropriately during medication administration and failed to ensure CNA followed proper hand hygiene and glove use during incontinence care.
Report Facts
Residents affected: 28
Residents affected: 2
Residents affected: 141
Residents affected: 27
Temperature: 119
Temperature: 120
Temperature: 145
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN Unit Manager | Observed unclean pillowcase for RI #109 and identified CNA responsibility for linens | |
| CNA EI #5 | Provided care to RI #109 and did not change pillowcase on 01/23/2018 | |
| CNA EI #6 | Provided care to RI #109 on 01/24/2018 and could not recall changing pillowcase | |
| RN Unit Manager EI #3 | Responsible for smoking evaluations and acknowledged breakdown in communication for RI #95 | |
| Director of Nursing EI #1 | Confirmed RI #95 was identified as a smoker and acknowledged failure to complete timely smoking evaluation | |
| Certified Dietary Manager EI #2 | Interviewed regarding food temperature and sanitation deficiencies | |
| Licensed Practical Nurse EI #7 | Observed failing to follow infection control practices during medication administration for RI #72 | |
| CNA EI #8 | Observed failing to follow infection control practices during incontinence care for RI #93 |
Inspection Report
Routine
Deficiencies: 4
Date: Jan 25, 2018
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, safety, food service, infection control, and smoking safety evaluations.
Findings
The facility was found deficient in multiple areas including failure to maintain clean bed linens for a resident, incomplete smoking safety evaluations for a resident smoker, improper food holding temperatures and sanitation practices in the kitchen, and inadequate infection prevention practices by nursing staff and certified nursing assistants.
Deficiencies (4)
Failed to ensure resident's pillowcase was free of a brown colored substance (dried blood).
Failed to complete a smoking evaluation on a resident identified as a smoker in a timely manner.
Failed to maintain hot food holding temperatures at 135 degrees F or above and failed to properly clean tea urn spigot and utensils.
Failed to ensure licensed nurse and CNA followed infection prevention protocols including hand hygiene and glove use.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 141
Residents affected: 2
Residents affected: 4
Residents affected: 27
Temperature: 119
Temperature: 120
Temperature: 145
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN Unit Manager | Observed unclean pillowcase and identified CNA responsibility | |
| CNA EI #5 | Provided care to resident with unclean pillowcase and explained linen changing schedule | |
| CNA EI #6 | Provided care to resident with unclean pillowcase, could not recall pillowcase change | |
| Certified Dietary Manager (CDM) EI #2 | Interviewed about food temperature and cleaning deficiencies | |
| RN Unit Manager EI #3 | Interviewed about smoking evaluation responsibility and timing | |
| Director of Nursing (DON) EI #1 | Interviewed about smoking evaluation breakdown and potential harm | |
| Licensed Practical Nurse (LPN) EI #7 | Observed failing infection control practices during medication administration | |
| Certified Nursing Assistant (CNA) EI #8 | Observed failing infection control practices during incontinence and catheter care |
Viewing
Loading inspection reports...
