Deficiencies (last 3 years)
Deficiencies (over 3 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
94% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
86% occupied
Based on a June 2019 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 26, 2021
Visit Reason
Annual survey inspection of Park Manor Health and Rehabilitation, LLC to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 26, 2021
Visit Reason
Annual inspection survey of Park Manor Health and Rehabilitation, LLC conducted to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Jun 21, 2019
Visit Reason
The inspection was conducted based on complaints alleging bed bug infestations and concerns about infection control, food safety, medication storage, facility maintenance, and quality assurance oversight.
Complaint Details
The investigation was triggered by complaints received on 5/14/19 and 6/07/19 alleging bed bug infestations in resident rooms and inadequate treatment by the facility. Additional complaints involved infection control and maintenance issues.
Findings
The facility failed to properly secure controlled medication storage, maintain food safety standards, implement effective pest control and bed bug eradication measures, ensure infection control during medication administration, and maintain the physical environment. The Quality Assurance Performance Improvement (QAPI) plan was not effectively implemented, leading to the spread of bed bugs. Several maintenance issues were also noted in resident rooms.
Deficiencies (7)
Failed to ensure the controlled box containing narcotics was permanently affixed inside the refrigerator.
Failed to ensure food was consistently labeled with open and use-by dates, reheated to proper temperatures, and residents' refrigerators were clean and properly labeled.
Failed to provide necessary oversight to ensure a Quality Assurance Performance Improvement plan was implemented after identification of bed bugs, resulting in spread of infestation.
Failed to set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action related to bed bug infestation.
Failed to ensure infection prevention and control during medication administration; multi-use items were placed on unclean surfaces and returned to medication cart without cleaning.
Failed to maintain resident rooms free of chipped paint, splintered plywood, broken fixtures, and damaged furniture, creating potential hazards.
Failed to implement effective pest control measures to prevent and control bed bug infestations, including proper laundering and cleaning protocols.
Report Facts
Residents affected by bed bugs: 4
Resident rooms with bed bugs: 6
Residents affected by food safety issues: 130
Residents affected by medication storage deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #1 | Administrator | Failed to ensure QAPI plan was implemented for bed bug control; unaware of protocol breaches. |
| EI #2 | Director of Nursing (DON) | Confirmed medication storage box was not securely affixed; acknowledged bed bug protocol breaches. |
| EI #3 | Director of Maintenance | Observed maintenance deficiencies and acknowledged inadequate bed bug control procedures. |
| EI #4 | Housekeeping/Laundry Director | Acknowledged failure to follow bed bug cleaning and laundering protocols. |
| EI #11 | Licensed Practical Nurse (LPN) | Observed placing multi-use items on unclean surfaces during medication administration. |
| EI #13 | Certified Nursing Assistant (CNA) | Reported bed bug sightings and improper resident handling during bed bug control. |
| EI #14 | Certified Nursing Assistant (CNA) | Reported bed bug sightings and pest control information. |
| EI #2 | Registered Nurse (RN)/Director of Nursing | Interviewed about bed bug spread and infection control issues. |
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 6
Date: Jun 21, 2019
Visit Reason
The inspection was conducted following complaints and observations related to bed bug infestations, food safety issues, medication storage, infection control, and facility maintenance concerns.
Complaint Details
The investigation was initiated due to complaints alleging bed bug infestations in resident rooms and inadequate treatment by the facility. Additional complaints included food safety concerns and infection control issues.
Findings
The facility was found deficient in multiple areas including improper narcotic storage, food labeling and temperature control violations, failure to implement an effective Quality Assurance Performance Improvement (QAPI) plan to address bed bug infestations, infection control lapses during medication administration, and maintenance issues such as damaged furniture and pest control failures leading to bed bug spread.
Deficiencies (6)
Failed to ensure the controlled narcotic box was permanently affixed inside the medication storage refrigerator.
Food was not consistently labeled with open and use-by dates, food was not reheated to required temperatures, and residents' refrigerators contained unlabeled and expired food.
Failed to provide necessary oversight and implement QAPI plan after bed bugs were identified, resulting in spread to multiple residents and areas.
Failed to implement infection prevention and control during medication administration, including placing multi-use items on unclean surfaces and returning them without cleaning.
Facility rooms had chipped paint, splintered plywood, broken fixtures, misaligned furniture, and damaged wheelchairs creating hazards and poor environment.
Failed to implement effective pest control measures and follow bed bug policies, including improper handling of residents' clothing and incomplete cleaning of infested rooms.
Report Facts
Residents affected by bed bugs: 4
Total resident rooms with bed bugs identified: 6
Residents for whom meals were prepared: 130
Number of residents sampled for bed bugs: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN)/Unit Manager | Employee Identifier (EI) #12 observed medication storage deficiencies. | |
| Director of Nursing (DON) | Employee Identifier (EI) #2 provided statements on narcotic storage and infection control issues. | |
| Certified Dietary Manager (CDM) | Employee Identifier (EI) #10 provided information on food labeling and reheating practices. | |
| Administrator | Employee Identifier (EI) #1 failed to ensure QAPI plan implementation for bed bug control. | |
| Maintenance Supervisor/Director of Maintenance | Employee Identifier (EI) #3 reported on bed bug control and maintenance deficiencies. | |
| Housekeeping/Laundry Director | Employee Identifier (EI) #4 discussed bed bug cleaning protocols and deficiencies. | |
| Licensed Practical Nurse (LPN) | Employee Identifier (EI) #11 observed infection control lapses during medication administration. | |
| Certified Nursing Assistant (CNA) | Employee Identifier (EI) #13 and #14 reported observations of bed bugs and resident care issues. |
Inspection Report
Complaint Investigation
Census: 119
Deficiencies: 4
Date: Jul 19, 2018
Visit Reason
The inspection was conducted to investigate complaints related to failure in completing a required Level II PASARR screening for a resident transitioning from short term to long term care, dietary staff hygiene and food safety practices, and infection control breaches during medication administration.
Complaint Details
The visit was complaint-related, triggered by concerns about failure to complete required PASARR screening, dietary hygiene violations, and infection control breaches during medication administration. Substantiation status is not explicitly stated.
Findings
The facility failed to complete a required Level II PASARR screening for a resident transitioning to long term care, dietary staff failed to follow proper hand hygiene and food safety protocols including handling items dropped on the floor and wearing aprons improperly, and licensed nursing staff failed to follow hand hygiene and medication administration policies, risking cross contamination and infection.
Deficiencies (4)
Failed to ensure a Level II PASARR screening was completed for a resident transitioning from short term to long term care.
Dietary staff failed to wash hands after picking up items from the floor, entered kitchen with aprons on, and used bowls with water droplets, risking cross contamination.
Grease receptacle outside kitchen had accumulation of grease-like substance, posing risk of attracting flies and bugs.
Licensed nursing staff failed to follow hand hygiene protocols during medication administration and gastrostomy tube checks, including not washing hands after checking tube placement and handling medication tablets improperly.
Report Facts
Residents affected: 1
Residents affected: 119
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #4 | Facility Social Worker | Interviewed regarding missed Level II PASARR screening |
| EI #6 | Dietary Employee | Observed dropping lid on floor and failing to wash hands |
| EI #5 | Dietary Employee | Observed entering kitchen with apron on |
| EI #7 | Dietary Manager | Interviewed about dietary hygiene policies and observations |
| EI #3 | Licensed Practical Nurse | Observed and interviewed regarding hand hygiene and medication administration |
| EI #2 | Registered Nurse | Observed and interviewed regarding medication administration and hand hygiene |
| EI #1 | Director Nursing, Infection Control Nurse | Interviewed about infection control policies and staff practices |
Inspection Report
Routine
Deficiencies: 4
Date: Jul 19, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to pre-admission screening, dietary practices, infection control, and overall facility operations at Park Manor Health and Rehabilitation, LLC.
Findings
The facility failed to complete a required Level II PASARR screening for a resident transitioning from short term to long term care, had multiple dietary sanitation and hand hygiene violations including failure to wash hands after contamination and improper use of aprons, and failed to ensure proper infection prevention practices during medication administration, including failure to wash hands and improper handling of medications.
Deficiencies (4)
Failure to ensure a Level II PASARR screening was completed for a resident transitioning from short term to long term care.
Dietary staff failed to wash hands after picking up items from the floor, entered kitchen with aprons already on, and used bowls with water droplets, risking cross contamination.
Grease receptacle outside kitchen had an accumulation of grease-like substance, posing risk of attracting flies and bugs.
Licensed staff failed to follow hand hygiene protocols during medication administration, including checking tube placement without gloves, not washing hands after contamination, and using gloves from uniform pockets.
Report Facts
Residents affected: 1
Residents affected: 119
Residents affected: Few
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #4 | Facility Social Worker | Interviewed regarding missed Level II PASARR screening |
| EI #6 | Dietary Employee | Observed failing to wash hands after dropping lid on floor |
| EI #5 | Dietary Employee | Observed entering kitchen with apron already on |
| EI #7 | Dietary Manager | Interviewed regarding dietary sanitation and infection control practices |
| EI #3 | Licensed Practical Nurse | Observed failing to wash hands during medication administration |
| EI #2 | Registered Nurse | Observed failing to discard dropped medication and wash hands |
| EI #1 | Director Nursing, Infection Control Nurse | Interviewed regarding infection control policies and practices |
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