Inspection Reports for
Henry County Health and Rehabilitation Facility
212 Dothan Road, Abbeville, AL, 36310
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
Annual inspection survey of Henry County Health and Rehabilitation Facility to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 69
Deficiencies: 3
Date: Feb 4, 2022
Visit Reason
The inspection was conducted to assess compliance with regulations regarding the use of side rails, monitoring of psychotropic medication use, and medication administration practices.
Findings
The facility failed to perform ongoing assessments and obtain consent for side rail use for Resident #7, failed to monitor behaviors and side effects for residents #31 and #47 receiving psychotropic medications, and had a medication error rate of 9.38% during medication administration observations, including improper use of respiratory inhalers and nasal sprays.
Deficiencies (3)
Failed to perform ongoing assessments and obtain consent for side rail use for Resident #7.
Failed to monitor behaviors and side effects for residents #31 and #47 receiving psychotropic medications.
Medication error rate of 9.38% due to errors in administration of respiratory inhalers and nasal sprays for Resident #52.
Report Facts
Medication error rate: 9.38
Residents observed for medication administration: 5
Total residents in facility: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Certified Nurse Aide (CNA) | Interviewed regarding side rail use for Resident #7. |
| EI #2 | Licensed Practical Nurse (LPN) | Interviewed regarding side rail use for Resident #7. |
| EI #5 | LPN Restorative Supervisor | Conducted side rail assessments for Resident #7. |
| EI #6 | LPN Restorative Nurse | Interviewed regarding side rail assessments and consent for Resident #7. |
| EI #7 | Maintenance Supervisor | Responsible for side rail assessments and installation for Resident #7. |
| EI #8 | Licensed Practical Nurse (LPN) | Observed and interviewed regarding medication administration errors for Resident #52. |
| EI #9 | Licensed Practical Nurse (LPN) | Observed and interviewed regarding medication administration errors for Resident #52. |
| EI #10 | Psychiatrist | Interviewed regarding expectations for monitoring residents on antipsychotic medications. |
| EI #11 | Administrator | Interviewed regarding medication administration errors and facility expectations. |
| EI #12 | Director of Nursing (DON)/Registered Nurse (RN) | Interviewed regarding side rail use, psychotropic medication monitoring, and medication administration policies. |
Inspection Report
Routine
Deficiencies: 3
Date: May 16, 2019
Visit Reason
The inspection was conducted to assess compliance with facility policies and regulatory requirements, including notification of physicians for critical blood glucose levels, food storage practices, infection control, and wound care procedures.
Findings
The facility failed to ensure licensed staff notified the physician of blood glucose levels greater than 450 for Resident #88, failed to properly seal food items in the freezer affecting 101 residents, and failed to follow proper infection control procedures during wound care for two residents, risking potential harm from infection and complications.
Deficiencies (3)
Failure to notify physician of blood glucose greater than 450 for Resident #88 as per sliding scale orders.
Food items (tater tots, okra, sweet potato patties) were not properly sealed in the freezer, risking freezer burn and quality issues.
Treatment nurse failed to remove gloves and sanitize hands after cleaning wounds before applying clean treatment and coverings for two residents, risking infection spread.
Report Facts
Residents affected: 1
Residents affected: 101
Residents affected: 2
Blood glucose readings: 459
Blood glucose readings: 487
Blood glucose readings: 400
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #8 | Licensed Practical Nurse (LPN) | Named in failure to notify physician of high blood glucose and documentation deficiencies |
| EI #7 | Registered Nurse (RN) Supervisor | Interviewed regarding physician notification policy for blood glucose levels |
| EI #6 | Physician | Interviewed regarding sliding scale insulin orders and notification requirements |
| EI #1 | Registered Nurse (RN), Director of Nursing | Interviewed regarding notification and documentation policies for blood glucose management |
| EI #4 | Dietary Director | Interviewed regarding food sealing policies and observed food storage deficiencies |
| EI #2 | Licensed Practical Nurse (LPN), Treatment Nurse | Observed and interviewed regarding improper glove use and infection control during wound care |
| EI #5 | Registered Nurse (RN), Infection Control Nurse | Interviewed regarding proper infection control procedures during wound care |
Inspection Report
Routine
Deficiencies: 5
Date: Jun 14, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident assessments, nurse staffing postings, food safety, garbage disposal, and infection control practices.
Findings
The facility was found deficient in multiple areas including failure to accurately code hospice care on resident assessments, failure to post nurse staffing reports timely and accurately, food safety violations such as unclean food container lids, missing use-by dates, and failure to take food temperatures, improper garbage dumpster maintenance, and infection control lapses during medication preparation.
Deficiencies (5)
Failure to ensure the Minimum Data Set (MDS) was coded for hospice care for Resident Identifier #9.
Failure to post nurse staffing information for 6/12/18 and the evening shift on 6/13/18.
Food safety violations including peanut butter on the lid of the container, missing use-by date on gravy mix, and failure to take temperature of pork chops before serving.
Dumpster doors and lids were not kept closed, potentially attracting pests and causing odors.
Infection control failure where a nurse stirred crushed medications with her gloved finger instead of a spoon.
Report Facts
Residents affected: 3
Residents affected: 100
Residents affected: 107
Residents affected: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | EI #2 interviewed about hospice care coding | |
| Registered Nurse | EI #7 interviewed about nurse staffing postings | |
| Registered Nurse | EI #8 interviewed about nurse staffing postings | |
| Dietary Director | EI #4 interviewed about food safety and dumpster issues | |
| Dietary Aide | EI #5 observed handling pork chops without temperature check | |
| Head Cook, Supervisor | EI #6 interviewed about food temperature responsibilities | |
| Licensed Practical Nurse | EI #3 observed and interviewed about medication preparation infection control lapse | |
| Director of Nursing, Infection Control Nurse | EI #1 interviewed about medication preparation policy |
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