Inspection Reports for
River City Center
1350 Fourteenth Avenue, Southeast, Decatur, AL, 35601
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
11% worse than Alabama average
Alabama average: 3.6 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 6
Date: Apr 29, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident environment, notification of transfers, menu adherence, meal provision, food handling, and garbage disposal at River City Center nursing home.
Findings
The facility was found to have multiple deficiencies including unclean air conditioning units and damaged overbed tables, failure to notify the Ombudsman of resident hospital transfers, failure to follow posted menus, failure to provide breakfast or snacks to residents undergoing early dialysis, improper handling of clean dishes by dietary staff, and improper garbage disposal practices.
Deficiencies (6)
Facility failed to ensure a clean and comfortable environment free of black substance on three air conditioning units and six overbed tables missing vinyl covering in nine of 39 rooms.
Facility failed to notify the Ombudsman of a resident's transfer to the hospital for three residents.
Facility failed to follow the posted menu for the lunch meal on 04/26/21 affecting 133 of 134 residents.
Facility failed to provide breakfast or a nourishing snack to residents who dialyze on the first/early shift three times a week, affecting two of nine residents identified as receiving dialysis.
Facility failed to ensure proper handling of clean dishes and silverware; dietary aide handled clean dishes with gloves used for dirty dishes without hand hygiene.
Facility failed to ensure garbage was properly disposed of and contained; one dumpster was left open with garbage and boxes inside.
Report Facts
Residents affected: 9
Residents affected: 3
Residents affected: 133
Residents affected: 134
Residents affected: 2
Residents affected: 9
Residents affected: 133
Residents affected: 134
Dumpsters observed: 4
Dumpsters left open: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Confirmed AC units had black substance and dirt covering air vents | |
| Administrator | Confirmed facility never sent Ombudsman notice of transfers | |
| Director of Nursing | Confirmed facility never sent Ombudsman notice of transfers | |
| Assistant Director of Nursing | Confirmed residents were served hot dogs instead of posted menu and discussed early breakfast process for dialysis residents | |
| Dietary Staff Member | Acknowledged chicken alfredo was served instead of posted menu | |
| Registered Nurse | Discussed breakfast provision for dialysis residents | |
| Dietary Account Manager | Explained kitchen process for providing snacks to dialysis residents | |
| Dietary Aide | Observed handling clean dishes with gloves used for dirty dishes without hand hygiene | |
| Dietary Staff Member | Observed dumpster left open and confirmed door should be closed |
Inspection Report
Routine
Census: 27
Deficiencies: 2
Date: Mar 12, 2019
Visit Reason
The inspection was conducted to ensure the nursing facility met professional standards of quality, specifically focusing on medication administration and drug storage practices.
Findings
The facility failed to ensure a Licensed Practical Nurse did not leave an insulin pen unattended on the medication cart during administration, potentially affecting one of 27 residents. Additionally, an opened vial of Influenza Vaccine was not marked with the date it was opened or expiration date, affecting one of two medication rooms observed.
Deficiencies (2)
Licensed Practical Nurse left an insulin pen unattended on the medication cart during medication administration.
Opened vial of Influenza Vaccine was not marked with the date it was opened or expiration date.
Report Facts
Residents affected: 27
Medication rooms observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Observed leaving insulin pen unattended during medication administration (Employee Identifier #1) | |
| Licensed Practical Nurse | Interviewed about unlabeled Influenza Vaccine vial (Employee Identifier #2) |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jul 17, 2018
Visit Reason
The inspection was conducted as a result of complaint investigations involving allegations of physical and verbal abuse, failure to timely report abuse, failure to complete a Significant Change Minimum Data Set (MDS) timely for a hospice resident, and failure to discard expired food items.
Complaint Details
The complaint investigation involved substantiated physical abuse of Resident Identifier #14 by Employee Identifier #15, a CNA, on 6/21/2018. The resident reported being grabbed and thrown into bed causing bruising and swelling. The employee was suspended and later terminated. Multiple other abuse allegations involving residents #9, #42, #69, #70, #161, #172, #178, #229, and #230 were found to have been reported late to the state agency, violating the required two-hour reporting timeframe.
Findings
The facility was found to have substantiated physical abuse of a resident by a Certified Nursing Assistant, failure to timely report multiple abuse allegations to the state agency, failure to complete a Significant Change MDS within 14 days for a hospice resident, and failure to discard expired food items in the kitchen. The abuse investigation involved bruising and pain to a resident's arm and wrist, with the responsible employee terminated. Multiple abuse reports were not reported within the required two-hour timeframe. The Significant Change MDS was submitted late. Expired thickened liquids and food items were found in the walk-in refrigerator.
Deficiencies (4)
Failure to protect resident from physical abuse resulting in bruising and pain to left forearm and swelling to left hand.
Failure to timely report allegations of verbal and physical abuse to the state agency within two hours.
Failure to complete a Significant Change Minimum Data Set (MDS) within fourteen days when resident elected hospice services.
Failure to discard unopened food items after the best before date, including thickened dairy drinks and hashbrowns.
Report Facts
Residents affected by abuse: 1
Residents affected by late abuse reporting: 9
Boxes of expired thickened dairy drink honey consistency: 37
Boxes of expired Sysco Imperial thickened dairy drink nectar consistency: 38
Box of expired hashbrowns: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Employee Identifier #15 responsible for physical abuse of resident | |
| Administrator/Abuse Coordinator | Employee Identifier #1 interviewed regarding late abuse reporting | |
| MDS Coordinator | Employee Identifier #13 interviewed regarding late Significant Change MDS | |
| Dietary Manager | Employee Identifier #4 interviewed regarding expired food items |
Viewing
Loading inspection reports...
