Inspection Reports for
NHC Healthcare, Anniston
2300 Coleman Road, Anniston, AL, 36207
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Oct 26, 2024
Visit Reason
The inspection was conducted as a result of complaint investigations regarding resident-on-resident physical abuse incidents and failure to report and properly investigate these incidents.
Complaint Details
The investigation was triggered by complaints AL00044297 and AL00045279 involving resident-on-resident physical abuse incidents on 05/22/2023 and 08/15/2023 affecting residents RI #237, RI #288, and others. The complaints included failure to notify police upon resident request, failure to prevent abuse, failure to report to law enforcement, and inadequate investigation and documentation.
Findings
The facility failed to honor resident rights by not notifying police upon a resident's request after an assault, failed to protect residents from abuse by other residents, failed to report reasonable suspicion of crimes to law enforcement, failed to thoroughly investigate abuse incidents including details of the abuse, failed to provide necessary behavioral health interventions to prevent abuse, and failed to properly document assessments after incidents.
Deficiencies (6)
Failed to honor resident's right to a dignified existence and to notify police upon resident's request after assault.
Failed to protect residents from physical abuse by other residents, including failure to prevent incidents and failure to substantiate abuse.
Failed to timely report suspected abuse and reasonable suspicion of crimes to law enforcement.
Failed to thoroughly investigate resident-on-resident physical abuse incidents, including lack of details on severity, number, and location of punches.
Failed to provide necessary behavioral health care and supervision to prevent resident-on-resident physical abuse.
Failed to document neurological assessments and vital signs after resident-on-resident physical abuse incident.
Report Facts
Residents sampled for abuse: 5
Residents affected: 2
Residents sampled: 26
BIMS score: 6
Date of incident: May 22, 2023
Date of incident: Aug 15, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Witnessed and documented resident-on-resident abuse incident and assessments |
| RN #5 | Registered Nurse | Provided statements regarding abuse incident and attempts to notify authorities |
| CNA #6 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident |
| CNA #7 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident and assisted with separation |
| CNA #8 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident |
| CNA #9 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident |
| CNA #11 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident involving RI #290 and RI #288 |
| CNA #12 | Certified Nursing Assistant | Witnessed resident-on-resident abuse incident involving RI #290 and RI #288 |
| LPN #14 | Licensed Practical Nurse | Witnessed and documented resident-on-resident abuse incident involving RI #290 and RI #288 |
| DON | Director of Nursing | Interviewed regarding abuse incidents, investigations, and prevention |
| AC | Abuse Coordinator/Social Service Director | Interviewed regarding abuse investigations and reporting to law enforcement |
| ADM | Administrator | Interviewed regarding abuse incidents, reporting to law enforcement, and communication with police |
| COTA #13 | Certified Occupational Therapy Assistant | Witnessed aggressive behaviors by resident RI #290 |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Oct 26, 2024
Visit Reason
The inspection was conducted as a result of complaint investigations regarding resident-on-resident physical abuse incidents and failure to report and respond appropriately to abuse allegations.
Complaint Details
The investigation was triggered by complaint/report numbers AL00044297 and AL00045279 involving allegations of resident-on-resident physical abuse and failure to report and respond appropriately to abuse incidents.
Findings
The facility failed to honor a resident's request to notify police after a physical abuse incident, failed to prevent resident-on-resident abuse, failed to report reasonable suspicion of crimes to law enforcement, failed to thoroughly investigate abuse incidents including details of the abuse, failed to provide necessary behavioral health interventions to prevent abuse, and failed to document neurological assessments properly after an abuse incident.
Deficiencies (6)
Failed to honor resident's right to notify police after physical abuse incident.
Failed to protect residents from physical abuse by other residents and failed to prevent abuse incidents.
Failed to timely report suspected abuse and reasonable suspicion of crimes to law enforcement.
Failed to thoroughly investigate resident-on-resident physical abuse incidents including details of punches and why law enforcement was not notified.
Failed to provide necessary behavioral health care and supervision to prevent resident's physically aggressive behaviors leading to abuse.
Failed to document neurological assessments and vital signs in resident's medical record after abuse incident.
Report Facts
Residents sampled for abuse: 5
Residents sampled: 26
BIMS score: 6
Date of incident: May 22, 2023
Date of incident: Aug 15, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Witnessed and documented assessment of resident after abuse incident on 05/22/2023. |
| RN #5 | Registered Nurse | Provided statements regarding the abuse incident and attempts to notify authorities. |
| CNA #6 | Certified Nursing Assistant | Witnessed resident-on-resident abuse and provided statements. |
| CNA #7 | Certified Nursing Assistant | Witnessed resident-on-resident abuse and provided statements. |
| CNA #8 | Certified Nursing Assistant | Witnessed resident-on-resident abuse and provided statements. |
| CNA #9 | Certified Nursing Assistant | Witnessed resident-on-resident abuse and provided statements. |
| CNA #11 | Certified Nursing Assistant | Witnessed resident-on-resident abuse involving RI #290 and RI #288. |
| CNA #12 | Certified Nursing Assistant | Witnessed resident-on-resident abuse involving RI #290 and RI #288. |
| LPN #14 | Licensed Practical Nurse | Provided statement regarding resident-on-resident abuse incident on 08/15/2023. |
| COTA #13 | Certified Occupational Therapy Assistant | Witnessed aggressive behavior of RI #290 and provided statements. |
| Administrator | Facility Administrator | Interviewed regarding abuse incidents and reporting to law enforcement. |
| Director of Nursing | Director of Nursing | Interviewed regarding abuse incidents, investigations, and prevention. |
| Abuse Coordinator | Social Services Director/Abuse Coordinator | Interviewed regarding abuse investigations and reporting to law enforcement. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Nov 14, 2019
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically regarding the handling of soiled laundry.
Findings
The facility failed to ensure that a staff member changed gloves and washed hands between rooms while collecting dirty laundry, which posed a potential infection control risk affecting 2 out of 3 residents with soiled laundry.
Deficiencies (1)
Failure to ensure staff changed gloves and washed hands between rooms while collecting dirty laundry.
Report Facts
Residents affected: 2
Residents total in observation: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee Identifier #1 | Observed failing to change gloves and wash hands between rooms while handling soiled laundry | |
| Director of Nursing/Infection Control | Interviewed regarding proper procedures for handling soiled laundry |
Inspection Report
Routine
Deficiencies: 4
Date: Sep 20, 2018
Visit Reason
The inspection was conducted to assess compliance with care standards including activities of daily living assistance, medication administration, and food safety in the nursing home.
Findings
The facility was found deficient in providing adequate nail care to a resident, leaving medication carts unlocked and unattended, and failing to maintain frozen foods properly and prevent contamination risks in the kitchen.
Deficiencies (4)
Failed to ensure Resident #92's toenails were not long, thick, and curved on two of four days of the survey.
Failed to ensure a licensed staff did not leave a medication cart unlocked, unattended and out of staff view.
Failed to ensure ice cream and frozen nutritional treats were maintained solidly frozen during storage.
Failed to prevent potential contamination from backflow of contaminated sewage by allowing a food preparation sink's drain pipe to extend into the floor drain.
Report Facts
Residents observed for ADL care: 52
Residents affected by nail care deficiency: 1
Nurses observed during medication administration: 4
Medication carts observed: 4
Residents receiving meals from kitchen: 135
Total residents: 136
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)/ Unit Manager | Employee Identifier #10, involved in nail care assessment and interview | |
| Certified Nursing Assistant (CNA) | Employee Identifier #11, interviewed about nail care observation | |
| Licensed Practical Nurse (LPN) | Employee Identifier #5, observed during medication pass and interviewed | |
| LPN/Restorative Nurse | Employee Identifier #13, observed locking medication cart and interviewed | |
| Registered Dietitian | Employee Identifier #1, involved in kitchen tour and interview | |
| Dietary Manager | Employee Identifier #2, involved in kitchen tour |
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