Inspection Reports for
Huntsville Health and Rehabilitation, LLC
4010 Chris Dr SW, Huntsville, AL 35802, AL, 35802
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 2
Date: Jan 14, 2022
Visit Reason
The inspection was conducted due to complaints regarding improper incontinent care leading to potential urinary tract infections and sanitation issues around the dumpster area.
Complaint Details
The complaint investigation found substantiated deficiencies related to improper perineal care by a Certified Nursing Assistant and sanitation issues around the dumpster area affecting infection control.
Findings
The facility failed to ensure proper perineal care was provided to a resident, resulting in potential risk for urinary tract infections. Additionally, sanitation deficiencies were found with dumpster doors left open and overflowing trash, posing infection control risks to all residents.
Deficiencies (2)
Failure to provide incontinent care in a manner to prevent urinary tract infections, including improper glove use and wiping technique.
Failure to ensure dumpster doors were closed and trash containers were not overflowing, with debris and used gloves found on the ground.
Report Facts
Residents affected: 1
Residents affected: 103
Residents sampled for bowel and bladder incontinence: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (EI #2) | Observed providing improper incontinent care | |
| Director of Nursing (EI #3) | Interviewed about perineal care procedures and potential harm | |
| Certified Dietary Manager (EI #1) | Interviewed regarding dumpster sanitation and monitoring responsibilities |
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 2
Date: Jan 14, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding improper perineal care provided to a resident, which potentially caused urinary tract infections, and concerns about sanitation related to dumpster area conditions.
Complaint Details
The complaint investigation found substantiated issues with perineal care leading to potential urinary tract infections and sanitation problems around the dumpster area affecting infection control.
Findings
The facility failed to ensure proper perineal care was provided to Resident #76, with a Certified Nursing Assistant observed not following infection control procedures, potentially causing urinary tract infections. Additionally, the facility failed to maintain proper sanitation around the dumpster area, with open dumpsters, overflowing trash, and debris present, posing an infection control risk to all residents.
Deficiencies (2)
Failure to provide appropriate perineal care to prevent urinary tract infections, including improper glove use and wiping technique.
Failure to properly dispose of garbage and refuse, including open dumpster doors, overflowing trash containers, and debris around dumpster area.
Report Facts
Residents affected: 1
Residents affected: 103
Residents sampled for bowel and bladder incontinence: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (EI #2) | Observed providing improper perineal care to Resident #76 | |
| Director of Nursing (EI #3) | Interviewed regarding perineal care procedures and potential harm | |
| Certified Dietary Manager (EI #1) | Interviewed regarding dumpster sanitation and monitoring responsibilities |
Inspection Report
Routine
Deficiencies: 1
Date: Oct 24, 2019
Visit Reason
The inspection was conducted to assess compliance with infection prevention and control practices, specifically focusing on hand hygiene during medication administration.
Findings
The facility failed to ensure that a Licensed Practical Nurse (LPN) washed her hands after administering oral and nasal medications to a resident and prior to applying gloves, which could potentially cause infections to the resident and others. Interviews with staff confirmed the hand hygiene lapses and the associated risks.
Deficiencies (1)
Failure of a Licensed Practical Nurse to wash hands after giving oral and nasal medications and prior to applying gloves, violating infection prevention protocols.
Report Facts
Residents affected: 3
Employees observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Observed failing to wash hands during medication administration | |
| Infection Control Preventionist/Register Nurse | Interviewed regarding hand hygiene concerns |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 24, 2019
Visit Reason
The inspection was conducted due to a complaint regarding failure to follow proper hand hygiene protocols during medication administration by a Licensed Practical Nurse (LPN).
Complaint Details
The visit was complaint-related, focusing on hand hygiene practices of an LPN during medication administration. The complaint was substantiated as the LPN admitted to forgetting to wash hands, and infection control staff confirmed the risk of contamination.
Findings
The facility failed to ensure that an LPN washed her hands after administering oral and nasal medications to a resident and before applying gloves, which could lead to infection transmission. Interviews with staff confirmed the hand hygiene lapses and the potential risks involved.
Deficiencies (1)
Failure to ensure a Licensed Practical Nurse washed her hands after giving oral and nasal medications and before applying gloves, violating infection prevention protocols.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Licensed Practical Nurse (LPN) | Named in the finding for failing to wash hands during medication administration. |
| EI #2 | Infection Control Preventionist/Register Nurse | Interviewed regarding concerns about hand hygiene and infection risks. |
Inspection Report
Routine
Deficiencies: 6
Date: Sep 12, 2018
Visit Reason
The inspection was conducted to assess compliance with care standards including perineal care, nutritional needs, food safety, and food preparation practices in the facility.
Findings
The facility was found deficient in proper perineal care technique, failure to serve menu items as planned, improper food labeling and storage, thawing and storage of food items, and improper cleaning and drying of kitchen utensils. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (6)
Failed to ensure Certified Nursing Assistant wiped resident's buttocks from front to back during perineal care, increasing risk of infection.
Failed to prepare and serve pureed dessert and bread as specified on the menu, risking inadequate nutrition.
Failed to label and date food items properly; stored outdated and unlabeled food in refrigerators.
Sherbet snacks stored in ice cream freezer were not frozen solid.
Thawing sausage patties were stored above ready-to-drink juices in the walk-in cooler.
Pans were stored wet and stacked together with debris present, risking bacterial growth.
Report Facts
Residents affected: 1
Residents affected: 8
Residents affected: 90
Serving size: 2
Serving size: 4
Date: 8.3
Date: 9.8
Quantity: 12
Total sherbet snacks: 24
Pans: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Observed wiping resident's buttocks incorrectly during perineal care | |
| Director of Nursing | Interviewed regarding proper perineal care technique | |
| Dietary Manager | Interviewed about menu preparation and food storage deficiencies | |
| Registered Dietician | Interviewed about nutritional needs and food safety |
Inspection Report
Routine
Deficiencies: 3
Date: Sep 12, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, nutrition, and food safety in the nursing home.
Findings
The facility was found deficient in providing appropriate perineal care, following prescribed menus for pureed diets, and maintaining proper food storage and preparation standards. These deficiencies had the potential to cause infections, nutritional deficits, and foodborne illnesses.
Deficiencies (3)
Failed to ensure Certified Nursing Assistant wiped resident's buttocks from front to back during perineal care, increasing risk of infection.
Failed to prepare and serve pureed fruit pie dessert and pureed dinner roll as specified on the menu, risking inadequate nutrition.
Failed to label and date food items properly, store sherbet snacks frozen solid, store thawing sausage patties above ready-to-drink juices, and store pans dry and clean.
Report Facts
Residents affected: 1
Residents affected: 8
Residents affected: 90
Serving size: 2
Serving size: 4
Serving size: 6
Serving size: 4
Sherbet snacks: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (EI #2) | Observed performing improper perineal care wiping | |
| Director of Nursing (EI #1) | Interviewed regarding proper perineal care procedures | |
| Dietary Manager (EI #3) | Interviewed and observed regarding food preparation and storage deficiencies | |
| Registered Dietician (EI #4) | Interviewed regarding nutritional needs and food safety |
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