Inspection Reports for
Lauderdale Christian Nursing Home
2019 County Road 394, Killen, AL, 35645
Back to Facility ProfileInspection Report — Sep 20, 2023
Complaint Investigation
Deficiencies: 1
Date: Sep 20, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation (AL00043318) regarding allegations that Licensed Practical Nurse (EI #3) failed to administer morphine pain medication as ordered to Resident Identifier #1.
Complaint Details
The complaint investigation was substantiated based on interviews with residents, staff, and review of records. EI #3 admitted to not administering the midnight morphine dose several nights a week and falsifying medication administration records. Resident #1 confirmed sometimes not receiving the midnight dose when EI #3 was working.
Findings
The investigation found that EI #3 did not administer the midnight dose of morphine to Resident #1 as ordered, despite documenting administration on the Medication Administration Record (MAR) and narcotic inventory. EI #3 admitted to not giving the medication a couple of nights a week due to the resident sleeping and falsifying records. The facility terminated EI #3 and implemented corrective actions including staff education and monitoring.
Deficiencies (1)
Failure to ensure Licensed Practical Nurse administered morphine pain medication to Resident #1 as ordered by physician.
Report Facts
Residents sampled: 3
Medication dose frequency: 4
Date of incident: Feb 2, 2023
Date of report: Feb 8, 2023
Date of employee termination: Feb 8, 2023
Date of plan completion: Feb 15, 2023
Date of quarterly meeting: Apr 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | EI #3, accused and admitted to failing to administer morphine and falsifying records; terminated on 2/8/23 | |
| Director of Nursing (DON) | EI #1, signed accusation document and participated in investigation and corrective action planning | |
| Pharmacist | EI #5, participated in conference call and interview regarding medication administration | |
| Licensed Practical Nurse (LPN) | EI #4, interviewed and reported observations about EI #3 not administering medication | |
| Social Service and Abuse Coordinator | EI #2, interviewed residents and staff, reported findings about medication administration |
Inspection Report — Jul 25, 2019
Plan of Correction
Census: 58
Deficiencies: 1
Date: Jul 25, 2019
Visit Reason
The inspection was conducted to assess compliance with dietary employee personal hygiene policies, specifically regarding hair restraints during food service.
Findings
The facility failed to ensure a dietary cook wore a hair net that completely covered all hair while serving food, posing a potential contamination risk to residents' meals.
Deficiencies (1)
Dietary cook did not wear a hair net to completely cover all hair while serving residents' food on the tray line.
Report Facts
Residents affected: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Dietary Cook | Observed not wearing hair net properly while serving food |
| EI #2 | Dietary Manager | Present during observation and confirmed hair net was not worn properly |
Inspection Report — Jun 20, 2018
Deficiencies: 1
Date: Jun 20, 2018
Visit Reason
The inspection was conducted to assess compliance with food storage and safety standards, specifically to verify that food items were stored according to manufacturer use-by dates.
Findings
The facility failed to ensure that 17 four-ounce yogurts were not stored past the manufacturer's use-by date of 06/09/2018, potentially affecting all 48 residents receiving meals. The Dietary Manager confirmed the expired items were not discarded as required by facility policy.
Deficiencies (1)
Facility failed to ensure 17 four ounce yogurts were not stored past the manufacturer's use-by date of 06/09/2018.
Report Facts
Expired food items: 17
Residents potentially affected: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding expired food items and facility policy compliance |
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