Inspection Reports for
McGuffey Health and Rehabilitation Center
2301 Rainbow Drive, Gadsden, AL, 35901
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 27, 2021
Visit Reason
The inspection was conducted based on complaints regarding improper wound care and incontinent care practices at McGuffey Health & Rehabilitation Center.
Complaint Details
The complaint investigation found substantiated issues with hand hygiene and glove use during wound care and incontinent care, leading to potential infection risks for residents #119 and #97.
Findings
The facility failed to ensure proper hand hygiene and glove changes during wound care for Resident #119, increasing risk of infection. Additionally, the facility failed to ensure appropriate perineal care for Resident #97, including use of soap and changing gloves after removing soiled briefs, contributing to recurrent urinary tract infections.
Deficiencies (2)
Failure to wash hands and change gloves after removing soiled dressing before cleaning wound for Resident #119.
Certified Nursing Assistant did not use soap while cleaning perineal area and did not change gloves after removing soiled brief for Resident #97.
Report Facts
Residents affected: 3
Residents affected: 1
Urine Culture Colony-forming units: 100000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN), Treatment Nurse | Observed performing wound care and failed to change gloves appropriately | |
| Registered Nurse (RN), Infection Preventionist | Interviewed regarding hand hygiene and glove change policies | |
| Certified Nursing Assistant (CNA) | Observed performing incontinent care without proper soap use or glove changes | |
| Registered Nurse (RN) | Interviewed about Resident #97's urinary tract infections and care practices | |
| Director of Nursing (RN) | Interviewed about responsibility for ensuring proper incontinent care |
Inspection Report
Routine
Census: 157
Deficiencies: 2
Date: Mar 12, 2020
Visit Reason
The inspection was conducted to assess compliance with infection control and food handling procedures, including hand hygiene and prevention of contamination during resident care and meal assistance.
Findings
The facility failed to ensure proper hand hygiene by Certified Nursing Assistants and Licensed Nurses, including failure to remove gloves and wash hands when handling water pitchers and food, and improper glove use during medication administration. These deficiencies posed a risk of cross contamination and infection to residents.
Deficiencies (2)
Certified Nursing Assistant (CNA) failed to wash hands when filling water pitchers with ice for residents and did not avoid bare hand contact with food during meal assistance.
Licensed Nurse used gloves placed on top of vanity sink to administer oral medication inhaler and did not wash or sanitize hands prior to putting on another pair of gloves.
Report Facts
Residents affected: 4
Total residents: 157
Residents affected: 1
Licensed Nurses observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Observed failing to remove gloves and wash hands when filling water pitchers and touching food with bare hands | |
| Licensed Practical Nurse (LPN) | Observed using gloves from vanity sink and failing to wash hands prior to medication administration | |
| Infection Control Preventionist/Director of Nursing/Registered Nurse | Interviewed regarding proper hand hygiene and contamination risks | |
| Director of Clinical Services | Interviewed regarding hand hygiene policy and contamination risks |
Inspection Report
Routine
Deficiencies: 3
Date: Feb 7, 2019
Visit Reason
The inspection was conducted to assess compliance with facility policies and regulatory requirements related to medication self-administration, intravenous therapy site labeling, and infection prevention practices.
Findings
The facility failed to ensure a physician's order was in place for a resident to self-administer medication, failed to date and initial an intravenous access site for a resident receiving IV antibiotics, and failed to ensure proper hand hygiene by a Licensed Practical Nurse during medication administration.
Deficiencies (3)
Failed to ensure an order was in place for Resident #31 to self-administer medication before leaving medication at bedside.
Resident #71's intravenous access site was not dated or initialed as required.
Licensed Practical Nurse used bare, wet hands to turn off faucet after hand washing, risking contamination during medication administration.
Report Facts
Residents observed for medication administration: 8
Residents with IVs: 2
Nurses observed during medication administration: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (EI #5) | Left medication at resident's bedside without physician order and used improper hand hygiene | |
| Director of Nursing (EI #1) | Confirmed resident was not assessed for self-administration and lacked physician order | |
| Registered Nurse/Infection Preventionist (EI #2) | Provided information on IV site labeling and hand hygiene policies | |
| Licensed Practical Nurse (EI #6) | Administered IV antibiotics and confirmed IV site was not dated | |
| RN/Charge Nurse (EI #3) | Explained policy on IV site rotation and concerns about missing date |
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