Inspection Reports for
Limestone Nursing and Rehabilitation Center
1600 West Hobbs Street, Athens, AL, 35611-2333
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
103% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 11
Date: Feb 13, 2020
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory standards related to resident rights, food safety, infection control, and general facility sanitation.
Findings
The facility was found deficient in multiple areas including failure to ensure resident privacy regarding Foley catheter bags, improper food storage and sanitation practices in the kitchen, and lapses in infection prevention such as inadequate hand hygiene by staff. These deficiencies had the potential to affect resident dignity, safety, and health.
Deficiencies (11)
Foley catheter bag was not covered with a privacy bag, violating resident privacy rights.
Seven items in the reach-in cooler were discarded past their use-by date.
Floors in the dry food storeroom had rodent droppings underneath shelving.
White substance observed on a pan on the clean rack indicating improper cleaning.
Open food items in the walk-in freezer were not sealed.
Interior of the walk-in cooler was wet with puddles of water, indicating poor maintenance.
Convection oven had heavy build-up of dark black residue inside.
Pole with chipping, flaking paint hanging directly above food preparation area.
Frying pan had non-stick coating peeling off, posing risk of foreign objects in food.
Licensed Practical Nurse failed to wash or sanitize hands after nebulizer treatment and before reentering resident's room.
Certified Nursing Assistant failed to wash hands after emptying resident's urinal before exiting room.
Report Facts
Residents affected: 1
Residents affected: 149
Residents affected: 4
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Employee Identifier (EI) #8 assigned to Resident Identifier (RI) #84, involved in Foley catheter privacy bag deficiency | |
| RN/Director of Nursing (DON) | Employee Identifier (EI) #10 interviewed regarding responsibility for Foley catheter bag privacy | |
| Dietary Cook | Employee Identifier (EI) #1 involved in food storage observations | |
| District Support Manager of the kitchen | Employee Identifier (EI) #2 involved in multiple food safety observations | |
| Dietary Manager | Employee Identifier (EI) #3 involved in food safety observations | |
| Licensed Practical Nurse (LPN) | Employee Identifier (EI) #7 observed failing hand hygiene during nebulizer treatment | |
| Infection Control Preventionist/Registered Nurse (RN) | Employee Identifier (EI) #6 interviewed regarding hand hygiene policies | |
| Certified Nursing Assistant (CNA) | Employee Identifier (EI) #9 observed failing hand hygiene after emptying urinal | |
| Maintenance Supervisor | Employee Identifier (EI) #4 involved in walk-in cooler water observation |
Inspection Report
Routine
Deficiencies: 4
Date: Mar 20, 2019
Visit Reason
The inspection was conducted to evaluate compliance with food storage, cleaning procedures, and infection prevention and control practices at Limestone Nursing and Rehabilitation Center.
Findings
The facility failed to label food with dates, properly air dry dishes, and maintain oven cleanliness, posing potential fire hazards. Additionally, staff failed to remove gloves and perform hand hygiene appropriately during wound care, risking contamination and cross-contamination.
Deficiencies (4)
A plastic bag of riblets in the refrigerator was not labeled with a date and use by date.
Staff air dried sectional plates with water droplets remaining, which could promote bacteria growth.
The main baking oven was found with a thick black substance that could catch fire.
Staff failed to remove gloves and perform hand hygiene after cleaning a sacral wound and before touching other parts of the resident's body and room items.
Report Facts
Residents affected: 128
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #3 | Dietary Manager | Interviewed regarding food labeling, dish drying, and oven cleanliness deficiencies |
| EI #2 | Certified Registered Nurse Practitioner | Observed and interviewed regarding improper glove use during wound care |
| EI #4 | Registered Nurse/Wound Nurse | Observed wound care with EI #2 |
| EI #1 | Assistant Director of Nursing | Interviewed regarding proper glove removal and hand hygiene procedures |
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Feb 15, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident self-administration of medication, catheter care, food preferences, food safety, infection prevention, and medication administration practices.
Findings
The facility was found deficient in multiple areas including failure to assess and document resident self-administration of nebulizer treatments, improper catheter and perineal care leading to contamination risks, failure to honor resident food preferences, inadequate cleaning and sanitizing of kitchen equipment and utensils, and lapses in infection control practices such as improper medication handling and failure to wash hands after glove removal.
Deficiencies (7)
Failed to ensure Resident #293 was assessed for self-administering nebulizer treatments as per facility policy.
Certified Nursing Assistant failed to properly clean Resident #33's catheter tubing and perineal area, and did not wash hands or change gloves appropriately.
Resident #117 was served fried foods despite having a documented dislike for fried foods on the tray ticket.
Failed to ensure adequate immersion time for food preparation equipment sanitized in hot water and effective cleaning/sanitizing of utensils and equipment including a tea urn spigot with brown build-up.
Dishmachine chemical sanitizer monitoring was incomplete for February 10 and 11, 2018.
Licensed Practical Nurse used ungloved fingers to open medication crush pouches, risking contamination.
Certified Nursing Assistant failed to wash hands after removing soiled gloves and touched clean items during incontinent care for Resident #33.
Report Facts
Residents observed for food preferences: 132
Residents affected by food preference deficiency: 1
Residents affected by catheter care deficiency: 1
Residents affected by medication self-administration deficiency: 1
Dishmachine monitoring omissions: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Registered Nurse | Named in medication self-administration finding for Resident #293 |
| EI #2 | Director of Nursing/Infection Control | Interviewed regarding self-administration assessment and infection control practices |
| EI #3 | Certified Nursing Assistant | Interviewed regarding responsibility for ensuring residents received foods according to preferences |
| EI #4 | Certified Dietary Manager | Interviewed regarding food preferences and kitchen sanitation deficiencies |
| EI #6 | Licensed Practical Nurse | Observed using ungloved fingers to open medication crush pouches |
| EI #7 | Certified Nursing Assistant | Observed failing to properly clean catheter and perineal area and not washing hands after glove removal |
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