Inspection Reports for
Northside Rehabilitation and Healthcare Center
700 Hutchins Avenue, Gadsden, AL, 35901
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
8
6
4
2
0
Occupancy
Latest occupancy rate
78% occupied
Based on a October 2019 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 90
Deficiencies: 6
Date: Oct 16, 2019
Visit Reason
The inspection was conducted to assess compliance with food safety standards and infection prevention protocols at Northside Health Care.
Findings
The facility failed to ensure proper food temperature monitoring, thermometer calibration, hand hygiene, glove use during food handling, and adequate reheating of food. Additionally, a medication nurse failed to wear gloves during a blood glucose test, posing infection control risks.
Deficiencies (6)
Failure to check temperatures of food items on the tray line prior to service.
Thermometers were not accurately calibrated prior to use.
Staff handled ready-to-eat food with bare hands.
Staff did not wash hands prior to application of gloves.
Food found below recommended temperatures was reheated but failed to reach 165 degrees Fahrenheit prior to service.
Medication nurse failed to wear gloves while performing a finger stick blood glucose test.
Report Facts
Residents affected: 87
Census: 90
Food temperatures: 80
Food temperatures: 105
Food temperatures: 120
Food temperatures: 22
Food temperatures: 150
Food temperatures: 160
Food temperatures: 148
Food temperatures: 150
Food temperatures: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #3 | Evening Cook | Named in findings related to food temperature checks and bare hand contact with food |
| EI #5 | Certified Dietary Manager (CDM) | Named in findings related to food temperature monitoring and thermometer calibration |
| EI #4 | Consultant Certified Dietary Manager (CDM) | Named in findings related to thermometer calibration and reheating food |
| EI #1 | Medication Nurse | Named in finding for failure to wear gloves during finger stick blood glucose test |
| EI #2 | RN/Director of Clinical Education | Interviewed regarding proper procedures for finger stick blood glucose testing and glove use |
Inspection Report
Routine
Census: 88
Deficiencies: 4
Date: Sep 6, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, dietary services, infection control, and overall facility operations.
Findings
The facility was found deficient in multiple areas including inaccurate resident assessments, incomplete care plans for oxygen use, improper food storage and handling practices, and inadequate infection prevention related to nebulizer equipment care. Deficiencies were generally of minimal harm but affected multiple residents.
Deficiencies (4)
Failed to ensure Resident Identifier #55's Quarterly Minimum Data Set assessment reflected dialysis services received.
Failed to develop and implement a complete care plan for Resident Identifier #241's oxygen use.
Failed to procure food from approved sources and properly store, prepare, distribute, and serve food according to professional standards, including issues with dented cans, lack of use-by dates, contaminated containers, improper thermometer calibration, and poor hygiene practices.
Failed to provide and implement an infection prevention and control program, specifically failing to rinse and dry Resident Identifier #3's nebulizer face mask and reservoir cup after treatment.
Report Facts
Residents whose MDS assessments were reviewed: 40
Residents requiring oxygen use sampled: 3
Residents affected by dietary deficiencies: 88
Number of dented cans observed: 10
Number of thermometers observed: 5
Number of lid covers touched inside by staff: 29
Number of nurses observed during medication pass: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse/MDS Coordinator | Interviewed about Resident #55 dialysis services and MDS assessment | |
| Director of Nurses (DON) | Interviewed about Resident #241 oxygen care plan | |
| Dietary Manager (DM) | Interviewed about food storage, handling, and hygiene deficiencies | |
| Morning Cook | Observed and interviewed regarding food handling and hygiene practices | |
| Licensed Practical Nurse (LPN) EI #1 | Observed and interviewed regarding nebulizer treatment and equipment cleaning | |
| Licensed Practical Nurse (LPN) Infection Control Preventionist EI #2 | Interviewed about infection control standards for nebulizer equipment |
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Aug 17, 2017
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to develop individualized care plans for residents requiring side rails, failure to implement care plans properly, lack of informed consent for side rail use, absence of a facility policy on side rails, and unsafe food storage practices that risk cross-contamination.
Deficiencies (7)
Failed to ensure individualized care plan approaches were developed to address Resident Identifier (RI) #2's need for 3/4 side rails up times two.
Failed to ensure Resident Identifier (RI) #8's Care Guide was updated to reflect the need for 3/4 side rails up times two per the resident assessment.
Failed to ensure Resident Identifier (RI) #8's interventions of 3/4 side rails up times two and a fall mat at bedside were implemented.
Failed to ensure residents and/or their representatives were informed of the risks and benefits related to the use of side rails prior to installation; multiple residents lacked informed consent documentation.
Failed to ensure a nursing home area was free from accident hazards and provide adequate supervision to prevent avoidable accidents related to side rail use and fall mats.
Failed to store raw beef shoulder, raw pork tenderloin, and open sandwich meat separately in the walk-in cooler, creating potential for cross-contamination.
Failed to establish and implement a policy for side rail use and failed to obtain informed consent/authorization unless side rails were considered restraints.
Report Facts
Residents using side rails: 57
Residents affected by food storage deficiency: 89
Total residents in facility: 92
Residents reviewed for care plans: 17
Residents reviewed for side rail use: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing Services | Interviewed regarding side rail care plans, policy absence, and informed consent. | |
| Care Plan Coordinator | Interviewed regarding care plan updates and implementation for side rails. | |
| Licensed Practical Nurse (EI #2) | Interviewed about side rail use and fall mat placement for RI #8. | |
| Certified Nursing Assistant (EI #5) | Admitted care plan for RI #8 was not followed regarding side rails and fall mat. | |
| Licensed Practical Nurse (EI #8) | Responsible for completing side rail evaluations; discussed side rail use and consent. | |
| Director of Clinical Operations (corporate) (EI #6) | Interviewed about informed consent and policy development for side rails. | |
| Senior Support Staff/Vice President of Quality Management and Clinical Services (EI #7) | Interviewed about policy development responsibilities and regulatory changes. | |
| Dietary Manager (EI #1) | Interviewed about improper food storage practices in walk-in cooler. |
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