Inspection Reports for
Little Sisters of the Poor Sacred Heart Residence
1655 McGill Avenue, Mobile, AL, 36604-1299
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 6, 2025
Visit Reason
The inspection was conducted following a complaint and a Facility Reported Incident regarding an injury sustained by Resident Identifier #2 due to failure to follow safe transfer procedures using assistive devices.
Complaint Details
The complaint investigation was substantiated. The injury to Resident #2 was caused by staff failing to use the mechanical lift as required by the care plan, resulting in a bruise and pain. Multiple staff interviews confirmed noncompliance with transfer policies.
Findings
The facility failed to ensure staff followed established safety procedures for transferring Resident #2, resulting in a 10-centimeter bruise and pain. Staff did not use the required two-person mechanical lift, instead performing manual transfers, which caused injury and pain to the resident.
Deficiencies (1)
Failure to ensure staff followed safe transfer procedures using assistive devices, resulting in injury to Resident #2.
Report Facts
Bruise size: 10
Pain level: 7
Medication doses: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #3 | Certified Nursing Assistant | Admitted to performing manual transfer without mechanical lift, contributing to injury |
| CNA #4 | Certified Nursing Assistant | Assisted in manual transfer without mechanical lift, contributing to injury |
| RN #5 | Registered Nurse | Documented resident's condition and administered pain medication after injury |
| Director of Nursing | Director of Nursing | Performed skin assessment and oversaw investigation of injury |
| Administrator | Administrator | Oversaw investigation and confirmed findings regarding injury cause |
| Medical Director | Medical Director | Ordered diagnostic tests and pain management following injury |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 6, 2025
Visit Reason
The inspection was conducted following a complaint and facility reported incident regarding a resident injury caused by failure to follow safe transfer procedures using assistive devices.
Complaint Details
The complaint investigation was substantiated. The injury to Resident Identifier #2 was caused by staff failing to use the mechanical lift as required, resulting in a bruise and pain. Multiple staff interviews confirmed noncompliance with the care plan and facility policies.
Findings
The facility failed to ensure staff followed established safety procedures for transferring Resident Identifier #2, resulting in a 10 cm bruise and pain due to improper use of mechanical lift and manual transfers. The investigation confirmed staff did not use the mechanical lift as required, causing the injury.
Deficiencies (1)
Failure to ensure staff followed safe transfer procedures using assistive devices, resulting in resident injury.
Report Facts
Length of bruise: 10
Pain level: 7
Medication doses: 19
Medication doses: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #5 | Registered Nurse | Signed progress note documenting resident's condition and administered medication |
| CNA #3 | Certified Nursing Assistant | Admitted to not using mechanical lift and performing manual transfers causing injury |
| CNA #4 | Certified Nursing Assistant | Assisted in transfer without mechanical lift, acknowledged importance of lift use |
| Director of Nursing | Director of Nursing | Performed skin assessment and provided testimony on injury and care plan adherence |
| Medical Director | Medical Director | Ordered diagnostic tests and pain management, confirmed injury cause |
| Administrator | Administrator | Provided statements on investigation findings and care plan significance |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Mar 12, 2020
Visit Reason
Annual survey inspection of the Little Sisters of the Poor Sacred Heart Residence nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: Mar 12, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for the Little Sisters of the Poor Sacred Heart Residence, reflecting the results of a regulatory survey completed on March 12, 2020.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Census: 73
Deficiencies: 1
Date: Jan 24, 2019
Visit Reason
The inspection was conducted to assess whether residents were made aware of the location of the facility survey results book and to ensure it was accessible to residents and visitors.
Findings
The facility failed to ensure residents were aware of the location of the survey results book and that it was accessible. Despite notices stating the location, the surveyor was unable to locate the book or any posted notices in multiple areas. The deficiency affected all 73 residents.
Deficiencies (1)
Failed to ensure residents were made aware of the location of the facility survey results book and that it was accessible.
Report Facts
Residents affected: 73
Residents attending group meeting: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Designee | Employee Identifier #2 who was interviewed regarding the survey results book location and accessibility |
Inspection Report
Routine
Census: 73
Deficiencies: 1
Date: Jan 24, 2019
Visit Reason
The inspection was conducted to assess whether residents were made aware of the location of the facility survey results book and to ensure the survey results were accessible to residents and visitors.
Findings
The facility failed to ensure residents were aware of the location of the survey results book and that it was accessible. The surveyor observed no notices posted indicating the location of the survey results, and the book was not readily accessible to residents or visitors.
Deficiencies (1)
Failed to ensure residents were made aware of the location of the facility survey results book and that it was accessible.
Report Facts
Residents affected: 73
Residents attending group meeting: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Designee | Employee Identifier #2 who was interviewed regarding the survey results book location and accessibility |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Dec 28, 2017
Visit Reason
The inspection was conducted to evaluate compliance with the facility's policy on nurse aide training, specifically to verify that nurse aides received 12 hours of training within 12 months of their date of hire.
Findings
The facility failed to ensure that two of five CNAs reviewed received the required 12 hours of training within 12 months of their hire date, with both receiving only 11.5 hours. The Director of Nursing confirmed the training requirement and responsibility for ensuring compliance.
Deficiencies (1)
Facility failed to ensure nurse aides received 12 hours of training within 12 months of date of hire.
Report Facts
Hours of training received: 11.5
Number of CNAs reviewed: 5
Number of CNAs not meeting training requirement: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #3 | Director of Nursing | Interviewed regarding training requirements and responsibilities for CNAs |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Dec 28, 2017
Visit Reason
The inspection was conducted to evaluate compliance with the facility's policy on nurse aide training, specifically to verify that nurse aides received 12 hours of training within 12 months of their date of hire.
Findings
The facility failed to ensure that two of five reviewed CNAs received the required 12 hours of training within 12 months of hire, with both having only 11.5 hours. The Director of Nursing confirmed the training requirement and responsibility for ensuring compliance.
Deficiencies (1)
Facility failed to ensure nurse aides received 12 hours of training within 12 months of date of hire.
Report Facts
Hours of training received: 11.5
Number of CNAs reviewed: 5
Number of CNAs not meeting training requirement: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #3 | Director of Nursing | Interviewed regarding training requirements and responsibility for ensuring CNA training compliance |
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