Inspection Reports for
Kirkwood By the River
3605 Ratliff Rd, Birmingham, AL 35210, United States, AL, 35210
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% worse than Alabama average
Alabama average: 3.6 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: Oct 6, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically focusing on the handling and delivery of resident clothing by laundry staff.
Findings
The facility failed to ensure that laundry staff changed gloves and sanitized hands between delivering clothing to different residents, and did not properly handle baskets and hangers to prevent cross contamination, posing a minimal harm risk to residents.
Deficiencies (1)
Laundry staff failed to change gloves and sanitize hands between delivering clothing to different residents and improperly handled baskets and hangers, risking cross contamination.
Report Facts
Residents affected: 4
Survey days: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping/laundry aide | Employee Identifier #3 observed failing to change gloves and sanitize hands between resident rooms | |
| Housekeeping Supervisor | Employee Identifier #2 interviewed regarding proper laundry handling procedures and risks |
Inspection Report
Routine
Census: 53
Deficiencies: 7
Date: Mar 28, 2019
Visit Reason
The inspection was conducted to assess compliance with food safety, infection prevention, and control policies in the facility's kitchen and dining services.
Findings
The facility failed to ensure proper food temperature monitoring, hand hygiene and glove use by kitchen staff, maintenance of freezer temperatures, full hair restraint of employees, and safe food handling when a foreign object was found in green beans. Additionally, infection control lapses were observed including improper glove use by a CNA and improper handling of resident clothing by a laundry aide.
Deficiencies (7)
Food temperatures were not taken prior to serving food from the tray line to residents on the skilled unit.
Hands were not washed by the kitchen worker serving tray line on the skilled unit while multi tasking.
Refrigerator freezer temperature was not maintained to keep ice cream frozen solid; no thermometer or temperature logs were present.
Employees' hair was not fully restrained while handling food.
Green beans were served to residents after a foreign object (plastic) was removed from the green beans.
A Certified Nursing Assistant (CNA) touched a resident wheelchair with gloves then with the same gloves cut a resident's sandwich in quarters.
Laundry aide did not deliver resident clothing to the unit covered, took a small basket into multiple resident rooms, and allowed clothing to touch the floor.
Report Facts
Residents served meals: 53
Residents affected by laundry deficiencies: 41
Residents affected by CNA glove use deficiency: 1
Days with no food temperature entries: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #6 | Kitchen staff and tray line server | Named in findings related to failure to check food temperatures, improper glove use, hair not fully restrained, and serving contaminated green beans |
| EI #7 | Dietary Manager | Interviewed regarding food safety policies and procedures related to glove use, temperature monitoring, and handling of foreign objects in food |
| EI #4 | Certified Nursing Assistant (CNA) | Observed and interviewed regarding improper glove use when handling resident wheelchair and food |
| EI #5 | Laundry aide | Observed and interviewed regarding improper handling of resident clothing and laundry delivery |
| EI #3 | Registered Nurse, Infection Control | Interviewed regarding infection control policies related to glove use and laundry handling |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Mar 22, 2018
Visit Reason
The inspection was conducted based on complaints regarding staff use of personal cell phones during resident care, failure to obtain vital signs before medication administration, improper wound care techniques, and infection control breaches.
Complaint Details
The visit was complaint-related, triggered by allegations of staff using personal cell phones during resident care and failures in medication administration and wound care practices. The complaint was substantiated based on observations, interviews, and policy reviews.
Findings
The facility failed to ensure staff did not use personal cell phones during resident care, failed to obtain a resident's heart rate before administering Metoprolol Tartrate, did not follow the resident's care plan for vital signs, improperly cleaned a wound by wiping in the wrong direction and not cleaning the peri-wound area, and failed to change gloves and wash hands appropriately during wound care, posing risks of dignity issues, medication errors, wound infection, and cross-contamination.
Deficiencies (5)
Staff used personal cell phone during resident care in violation of facility policy.
Staff failed to obtain resident's heart rate before administering Metoprolol Tartrate as ordered.
Staff did not follow resident's care plan to obtain vital signs before medication administration.
Staff wiped resident's wound from top to bottom losing contact with wound bed and did not clean peri-wound area.
Staff failed to change soiled gloves and wash hands before applying clean gloves during wound care.
Report Facts
Residents observed during cell phone use: 15
Residents affected by cell phone use deficiency: 1
Residents observed during medication administration: 11
Residents affected by medication administration deficiency: 1
Residents whose care plans were reviewed: 15
Residents observed during wound care: 2
Residents affected by wound care deficiencies: 1
Pressure ulcers assessed on RI #42: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Employee Identifier (EI) #2 was observed allegedly using a cell phone during resident care | |
| Certified Nursing Assistant (CNA) | Employee Identifier (EI) #3 interviewed regarding cell phone use | |
| Director of Nursing (DON)/Registered Nurse (RN) | Employee Identifier (EI) #1 interviewed about facility cell phone policy and dignity issues | |
| Licensed Practical Nurse (LPN) | Employee Identifier (EI) #6 administered medication without obtaining heart rate | |
| Licensed Practical Nurse/LPN/Treatment Nurse | Employee Identifier (EI) #4 observed performing wound care with improper technique and infection control | |
| Certified Nursing Assistant (CNA) | Employee Identifier (EI) #5 assisted with wound care |
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