Inspection Reports for
Oakview Manor Health Care Center
929 Mixon School Road, Ozark, AL, 36360
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: Jul 13, 2023
Visit Reason
The inspection was conducted to assess compliance with care standards related to urinary catheter care and prevention of urinary tract infections.
Findings
The facility failed to maintain Resident #86's urinary catheter bag off the floor on multiple occasions, contrary to facility policy and care plan directives, posing a risk for contamination and urinary tract infections. Staff interviews confirmed awareness that catheter bags should not be on the floor.
Deficiencies (1)
Failure to maintain urinary catheter bag off the floor to prevent contamination and urinary tract infections for Resident #86.
Report Facts
Residents with catheters reviewed: 3
Observations of catheter bag on floor: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #2 | Interviewed regarding urinary catheter bag care | |
| Registered Nurse (RN) #3 | Interviewed regarding urinary catheter bag care | |
| Licensed Practical Nurse (LPN) #5 | Interviewed regarding urinary catheter bag care | |
| Director of Nursing (DON) | Interviewed regarding urinary catheter bag care and acknowledged issue | |
| Administrator | Interviewed regarding urinary catheter bag care |
Inspection Report
Routine
Deficiencies: 3
Date: Nov 14, 2019
Visit Reason
The inspection was conducted to assess compliance with care standards related to resident incontinent care and infection prevention, as well as food safety and sanitation practices in the facility kitchen.
Findings
The facility failed to ensure proper glove use during incontinent care for a resident with a history of urinary tract infections, risking infection spread. Additionally, food holding temperatures were not properly monitored before meal service, and wet pans were improperly stacked, increasing risk of bacterial growth.
Deficiencies (3)
Certified Nursing Assistant used the same soiled gloves to place a clean brief on a resident, risking spread of infection.
Food holding temperature of fried chicken on steam table was below required 135 degrees Fahrenheit before meal service.
Four pans were wet and stacked in a manner that prevented air-drying, increasing risk of bacterial growth.
Report Facts
Residents potentially affected: 127
Meals plated before intervention: 45
Fried chicken holding temperature: 125
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Observed using same soiled gloves to place clean brief on resident | |
| Staff Development and Infection Control Registered Nurse | Interviewed regarding proper glove use during incontinent care | |
| Dietary Manager | Interviewed about food temperature monitoring and pan storage | |
| Cook | Responsible for measuring food temperatures before tray-line service |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Nov 15, 2018
Visit Reason
The inspection was conducted due to allegations of abuse and failure to timely report suspected abuse, neglect, or theft to the State Agency, as well as concerns related to resident assessments, food safety, waste disposal, and infection control practices.
Complaint Details
The complaint investigation revealed that two of three abuse allegations were not reported to the State Agency within the required two-hour timeframe. The allegations involved physical abuse incidents occurring on 10/13/18 and 10/29/18, both reported late. The Director of Nursing confirmed the policy was not followed and stated there was no potential for harm as actions were taken despite delayed reporting.
Findings
The facility failed to timely report two of three abuse allegations to the State Agency within the required two-hour timeframe. Additionally, the facility failed to ensure accurate resident assessments, served food on chipped plates, did not properly monitor food temperatures, failed to keep dumpster doors closed, and did not consistently follow hand hygiene and glove use protocols during medication administration and resident care.
Deficiencies (5)
Failure to timely report two allegations of abuse to the State Agency within the required two-hour timeframe.
Failure to ensure the Quarterly Minimum Data Set (MDS) accurately reflected resident transfer status.
Residents were served food on chipped plates and failure to take second temperature for certain foods.
Dumpster doors were left open, increasing risk of rodents, pests, and odors.
Failure to follow proper hand hygiene and glove use protocols during eye drop administration and incontinent care.
Report Facts
Residents affected: 2
Residents reviewed for MDS accuracy: 32
Residents affected by food safety issues: 125
Dumpster doors open: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding abuse incident reporting and policy adherence. | |
| Certified Nursing Assistant (EI #11) | Interviewed about resident transfer assistance and care. | |
| Registered Nurse, MDS Coordinator (EI #12) | Interviewed about MDS assessment accuracy. | |
| Cook (EI #9) | Interviewed about chipped plates and food temperature monitoring. | |
| Kitchen Manager (EI #8) | Interviewed about food temperature monitoring and potential harm. | |
| Dietary Manager (EI #6) | Interviewed about dumpster door policy and responsibility. | |
| Licensed Practical Nurse (EI #5) | Observed and interviewed regarding hand hygiene and eye drop administration. | |
| Licensed Practical Nurse (EI #4) | Observed and interviewed regarding hand hygiene and eye drop administration. | |
| Infection Control Nurse (EI #2) | Interviewed about hand hygiene and eye drop administration policy. | |
| Certified Nursing Assistant (EI #3) | Observed and interviewed regarding hand hygiene during incontinent care. | |
| Certified Nursing Assistant (EI #13) | Observed providing incontinent care. |
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