Inspection Reports for
South Hampton Nursing & Rehabilitation Center
213 Wilson Mann Road, Owens Cross Roads, AL, 35763
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
36% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 14, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation (#AL00041754) regarding allegations of misappropriation of resident funds by a Business Office Manager at South Hampton Nursing & Rehabilitation Center.
Complaint Details
The complaint investigation (#AL00041754) was initiated due to allegations of misappropriation of resident funds by the Business Office Manager. The facility substantiated the allegations after an internal and third-party audit, resulting in corrective actions including termination of the employee, police report filing, and staff in-service training.
Findings
The facility substantiated that the Business Office Manager misappropriated funds from 13 residents, totaling $18,591.57 refunded to residents' trust accounts. Additionally, the facility failed to assess and use bed rail alternatives before installing bed rails for two residents, Resident #13 and Resident #64, with incomplete documentation of alternatives considered.
Deficiencies (2)
Failed to ensure residents' funds were not misappropriated for 13 residents; Business Office Manager misappropriated funds totaling $18,591.57.
Failed to assess and use bed rail alternatives before installing and using bed rails for two residents (#13 and #64).
Report Facts
Residents affected: 13
Amount refunded: 18591.57
Amount embezzled: 187000
Residents reviewed for bed rails: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager (BOM) #3 | Named as the employee who misappropriated resident funds | |
| Administrator (ADM) | Provided interviews and signed investigation summary letters | |
| Vice President (VP) of Operations | Provided interview regarding embezzlement amount and refund | |
| Regional Financial Specialist | Performed audits of resident trust accounts | |
| Social Services Director (SSD) | Suspended pending investigation related to misappropriation | |
| Licensed Practical Nurse (LPN) #9 | Licensed Practical Nurse | Interviewed about bed rail assessments |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Interviewed about bed rail assessment procedures |
| Certified Nursing Assistant (CNA) #7 | Certified Nursing Assistant | Interviewed about bed rail use per care plans |
| Certified Nursing Assistant (CNA) #19 | Certified Nursing Assistant | Interviewed about care for Resident #13 and bed rail use |
| MDS Coordinator | MDS Coordinator | Interviewed about bed rail assessments not conducted by MDS staff |
| Director of Nursing (DON) | Director of Nursing | Interviewed about bed rail assessments and documentation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 65
Deficiencies: 3
Date: Sep 5, 2019
Visit Reason
The inspection was conducted due to an allegation of misappropriation of resident property (medication) by an employee, and to investigate compliance with abuse reporting and food safety standards.
Complaint Details
The complaint involved an allegation that Employee Identifier #5 took Resident Identifier #8's medication (Tramadol). The investigation found the employee was not suspended during the investigation and the allegation was not reported to the State Agency within 24 hours as required by policy.
Findings
The facility failed to suspend an employee during an abuse investigation, failed to report the allegation to the State Agency within 24 hours, and failed to ensure food-contact surfaces of insulated bowls and coffee cups were properly cleaned, potentially affecting all residents.
Deficiencies (3)
Failed to suspend Licensed Practical Nurse during investigation of alleged misappropriation of resident medication.
Failed to timely report allegation of misappropriation of resident property to State Agency within 24 hours.
Failed to ensure food-contact surfaces of insulated bowls and coffee cups were clean, risking cross-contamination.
Report Facts
Residents affected: 64
Total residents in facility: 65
Dates employee worked during investigation: 2
Date allegation made: Jul 16, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Employee Identifier #5 accused of misappropriation of medication | |
| Registered Nurse (RN)/Director of Nursing (DON)/Abuse Coordinator | Employee Identifier #4 interviewed regarding investigation and policy | |
| Administrator | Employee Identifier #3 interviewed regarding investigation and policy | |
| Dietary Manager | Employee Identifier #1 interviewed regarding food-contact surface cleanliness | |
| Registered Dietitian | Employee Identifier #2 interviewed regarding food-contact surface cleanliness |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 9, 2018
Visit Reason
The inspection was conducted to investigate complaints related to the facility's Quality Assessment and Assurance committee attendance and infection prevention and control practices.
Complaint Details
The complaint investigation found substantiated issues with Medical Director attendance at Quality Assurance meetings and infection control practices involving hand hygiene and glove use during medication administration.
Findings
The facility failed to ensure the Medical Director attended all required quarterly Quality Assurance meetings, attending only two of four meetings from June 2017 to June 2018. Additionally, the facility failed to ensure licensed staff properly washed their hands and used paper towels to turn off faucets during medication administration, posing an infection risk.
Deficiencies (2)
Failure to ensure the Medical Director attended all quarterly Quality Assurance meetings from June 2017 to June 2018.
Failure to ensure licensed staff washed hands properly after glove removal and used paper towels to turn off water faucets, risking infection transmission.
Report Facts
QA meetings attended by Medical Director: 2
Residents affected: 2
Nurses observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Employee Identifier #1 observed failing proper hand hygiene during medication administration | |
| Licensed Practical Nurse (LPN) | Employee Identifier #3 observed failing proper hand hygiene during medication administration | |
| QAA and QAPI Nurse | Employee Identifier #4 interviewed regarding Quality Assurance meeting attendance |
Viewing
Loading inspection reports...
