Inspection Reports for
Hatley Health Care, Inc.
300 Medical Center Drive, Clanton, AL, 35045
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 15, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation (complaint number AL00042087) regarding medication administration errors involving Paxlovid for Resident Identifier #182.
Complaint Details
Investigation was triggered by a complaint regarding medication errors with Paxlovid for Resident Identifier #182. The complaint was substantiated as the resident received an incorrect dose for two days, which may have contributed to the resident's decline and death.
Findings
The facility failed to ensure licensed staff clarified medication orders for Paxlovid, resulting in the resident receiving an incorrect dose for two days. Three nurses administered the medication at the incorrect dose due to discrepancies between the Medication Administration Record (MAR) and the pharmacy label. The resident subsequently declined and expired.
Deficiencies (1)
Failure to clarify medication orders for Paxlovid leading to incorrect dosing for two days.
Report Facts
Residents affected: 1
Medication dosing duration: 2
Medication order frequency: 2
Medication order duration: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #8 | Registered Nurse (RN) | Wrote the medication order as given by Nurse Practitioner |
| EI #9 | Licensed Practical Nurse (LPN) | Administered Paxlovid according to MAR despite label discrepancy |
| EI #10 | Licensed Practical Nurse (LPN) | Administered first dose of Paxlovid and failed to clarify order discrepancy |
| EI #11 | Licensed Practical Nurse (LPN) | Administered incorrect dose and acknowledged failure to clarify order |
| EI #12 | Licensed Practical Nurse (LPN) | Notified Director of Nursing after noticing discrepancy and clarified order |
| EI #13 | Nurse Practitioner (NP) | Gave the verbal order for reduced dose Paxlovid |
| EI #15 | Pharmacist | Confirmed usual and reduced doses of Paxlovid |
| EI #2 | Director of Nursing (DON) | Provided policy and investigation details regarding medication administration |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 4
Date: Jun 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about resident dignity regarding the use of disposable dinnerware and cutlery, the lack of communal dining experience, medication administration errors, and catheter care.
Complaint Details
The complaint investigation was triggered by concerns about the use of disposable dinnerware and cutlery impacting resident dignity, lack of communal dining, medication errors with Paxlovid dosing, and catheter care issues. The investigation confirmed these deficiencies and cited the facility accordingly.
Findings
The facility failed to ensure resident dignity by serving meals on disposable Styrofoam dinnerware and plastic cutlery, affecting many residents. The facility also failed to provide a homelike communal dining experience, with most residents eating meals in their rooms. Additionally, a medication administration error occurred involving Paxlovid dosing for one resident, and improper catheter care was observed for another resident.
Deficiencies (4)
Facility failed to ensure resident dignity by regularly serving meals on disposable Styrofoam dinnerware with disposable cutlery, affecting 81 residents.
Facility failed to ensure a homelike environment by not regularly providing a communal dining experience for residents, affecting 81 residents.
Facility failed to ensure licensed staff clarified medication orders for Paxlovid, resulting in incorrect dosing for two days for one resident.
Facility failed to ensure urinary catheter drainage bag was not hanging above the level of the bladder for one resident, risking urinary tract infection.
Report Facts
Residents affected: 81
Residents affected: 1
Residents affected: 1
Medication dosing duration: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #2 | Director of Nursing | Interviewed regarding use of disposable dinnerware and medication administration policies |
| EI #1 | Administrator | Interviewed regarding use of disposable dinnerware and resident dining practices |
| EI #3 | Dietary Manager | Interviewed regarding resident dining room meal scheduling and tray service |
| EI #8 | Registered Nurse | Wrote medication order for Paxlovid and interviewed about medication error |
| EI #9 | Licensed Practical Nurse | Administered Paxlovid medication and interviewed about medication error |
| EI #10 | Licensed Practical Nurse | Administered first dose of Paxlovid and involved in medication error |
| EI #11 | Licensed Practical Nurse | Administered Paxlovid medication and interviewed about medication error |
| EI #12 | Licensed Practical Nurse | Notified Director of Nursing about medication discrepancy |
| EI #14 | Certified Nursing Assistant | Interviewed regarding catheter drainage bag placement |
Inspection Report
Deficiencies: 0
Date: Jan 19, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of Hatley Health Care Inc conducted by the Centers for Medicare & Medicaid Services.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: May 9, 2019
Visit Reason
The inspection was conducted as a result of a complaint investigation (#AL00036246) regarding the facility's failure to timely report allegations of abuse to the State Agency.
Complaint Details
This citation resulted from the investigation of complaint/report # AL00036246 regarding failure to timely report abuse allegations.
Findings
The facility failed to timely report 13 allegations of abuse affecting 14 residents and discharged residents. Additionally, expired medications and unreadable medication expiration dates were found in medication storage areas, and infection control practices related to laundry handling were not properly followed.
Deficiencies (4)
Failure to timely report 13 allegations of abuse to the State Agency affecting 14 residents and discharged residents.
Expired medications found in the A Wing medication storage room including intravenous fluids, creams, ointments, gels, liquids, and tablets.
Medication cart on the 600 hall contained a narcotic medication with an unreadable expiration (discard) date.
Laundry staff observed folding clean laundry with sheets touching the floor and laundry touching clothing, violating infection prevention and control policies.
Report Facts
Allegations of abuse not timely reported: 13
Residents affected: 14
Expired intravenous fluid bags: 5
Expired medications: 8
Medication carts observed: 4
Medication rooms observed: 2
Medication signed out with unreadable expiration date: 3
Laundry staff observed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN)/Assistant Director of Nursing (ADON)/Abuse Coordinator | Interviewed regarding timely reporting of abuse allegations | |
| Administrator | Interviewed regarding awareness of untimely reporting and staff education | |
| Employee Identifier #5 | Observed expired medications and intravenous fluids in medication storage | |
| Employee Identifier #6 | Observed medication cart with unreadable expiration date and interviewed about medication handling | |
| Employee Identifier #4 (Laundry staff) | Observed folding laundry with improper infection control practices | |
| Assistant Director Of Nursing (ADON)/Infection Control (Employee Identifier #3) | Interviewed regarding infection control practices for laundry handling |
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