Inspection Reports for
Goodwater Healthcare Center
16 Jones Hill Road, Goodwater, AL, 35072-9462
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 15, 2021
Visit Reason
Annual survey inspection of Goodwater Healthcare Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: Mar 14, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction related to a facility survey completed on 2019-03-14.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 5
Date: Mar 15, 2018
Visit Reason
The inspection was conducted as part of the annual recertification survey to assess compliance with regulatory requirements including resident care, medication management, and facility policies.
Findings
The facility was found deficient in multiple areas including failure to post notices of survey results, incomplete significant change assessments, inadequate assessment and consent for side rail use, improper labeling of insulin vials, and failure of the Quality Assessment and Assurance Committee to address side rail use concerns.
Deficiencies (5)
Failed to post notice of availability of previous three years of survey results for residents and visitors.
Failed to complete a Significant Change Minimum Data Set (MDS) Assessment after resident's admission to hospice.
Failed to assess residents for safety risk, entrapment risk, and obtain informed consent prior to side rail use; no alternative approaches attempted.
Failed to label multiple dose insulin vial with expiration date after opening.
Quality Assessment and Assurance Committee failed to identify and address concerns related to side rail usage process.
Report Facts
Residents affected: 62
Residents affected: 33
Medication pass opportunities observed: 25
Residents sampled for side rail use: 7
Residents affected: 2
Residents sampled for MDS assessment: 19
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding posting of survey results | |
| MDS Coordinator | Interviewed regarding missing Significant Change MDS assessment | |
| Licensed Practical Nurse (LPN)/Restorative Nurse | Interviewed regarding side rail use and assessments | |
| Director of Nursing (DON) | Interviewed regarding side rail assessments, policies, and Quality Assessment and Assurance Committee | |
| Registered Nurse (RN) | Observed and interviewed regarding insulin vial labeling | |
| QAA Director | Interviewed regarding Quality Assessment and Assurance Committee activities |
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