Inspection Reports for
Southern Springs Healthcare
745 Southern Springs Road, Union Springs, AL, 36089
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% better than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 1, 2023
Visit Reason
The inspection was conducted due to an investigation of a complaint/report number AL00042370 regarding alleged exploitation of a resident by an employee.
Complaint Details
The investigation was complaint-driven, substantiated by the facility's investigation. The complaint involved exploitation of Resident Identifier #1 by Employee Identifier #2 who became beneficiary of the resident's life insurance policy and paid premiums without family knowledge.
Findings
The facility failed to ensure that an employee (Admissions Coordinator) did not exploit a resident by becoming the beneficiary on the resident's life/burial insurance policy and paying premiums without family knowledge. The allegation was substantiated and corrective actions were implemented including suspension and resignation of the employee, audits, and staff training.
Deficiencies (1)
Failure to protect resident from exploitation by employee becoming beneficiary of resident's life insurance policy and paying premiums without family knowledge.
Report Facts
Face value of life/burial insurance policy: 20000
Funeral balance paid by employee: 5500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Admissions Coordinator | Employee who became beneficiary of resident's life insurance policy and was involved in exploitation | |
| Administrator | Facility Administrator who became aware of the exploitation and initiated corrective actions | |
| Registered Nurse (RN)/ MDS Coordinator | Staff member interviewed regarding the exploitation and policy awareness | |
| Funeral Director | Interviewed regarding funeral balance and employee's involvement |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 1, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged exploitation of a resident by an employee who became the beneficiary of the resident's life/burial insurance policy.
Complaint Details
The investigation was complaint-driven under report number AL00042370. The allegation of exploitation was substantiated after interviews and review of facility policies and incident reports.
Findings
The facility failed to ensure that an employee (Admissions Coordinator) did not exploit a resident by becoming the beneficiary of the resident's $20,000 life insurance policy and paying premiums without informing the family. The facility substantiated the allegation of exploitation and implemented corrective actions including suspension and resignation of the employee, audits, and staff training.
Deficiencies (1)
Failure to protect resident from exploitation by employee becoming beneficiary of resident's life/burial insurance policy and paying premiums without family knowledge.
Report Facts
Insurance policy face value: 20000
Funeral balance paid: 5500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Admissions Coordinator | Employee who became beneficiary of resident's insurance policy and was involved in exploitation | |
| Administrator | Facility Administrator who was informed of the exploitation and initiated corrective actions | |
| Registered Nurse (RN)/ MDS Coordinator | Staff member interviewed regarding knowledge of the insurance policy and exploitation | |
| Funeral Director | Interviewed about the insurance policy and funeral balance |
Inspection Report
Deficiencies: 0
Date: Aug 25, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory inspection of Southern Springs Healthcare Facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 4
Date: Apr 25, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to accurate resident assessments and infection prevention and control practices.
Findings
The facility failed to ensure accurate coding of anticoagulation medication on the Quarterly MDS for one resident and failed to implement proper infection prevention and control practices during medication administration by licensed staff, including improper handling of medication scoops, crush bags, and eye drop containers, posing contamination risks.
Deficiencies (4)
Failed to ensure anticoagulation medication was coded on the Quarterly MDS for Resident #31.
Licensed staff handled medication scoop inside Questran Powder container with bare hands and returned scoop to container.
Licensed staff touched inside of medication crush bag with bare hands during medication pass for Resident #99.
Licensed staff placed eye drop medication on glove box and bedside table without barrier during administration to Resident #55.
Report Facts
Date of inspection: Apr 25, 2019
Medication dose: 5
Medication dose: 10
Medication dose: 32.4
Medication dose: 10
Medication dose: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) MDS Coordinator | Interviewed regarding inaccurate coding of anticoagulation medication on MDS | |
| Licensed Practical Nurse (LPN) EI #4 | Observed handling medication scoop with bare hands | |
| Licensed Practical Nurse (LPN) EI #5 | Observed touching inside of medication crush bag and improper handling of eye drop medication | |
| Director of Nursing EI #1 | Interviewed regarding best practices for medication handling and contamination risks |
Inspection Report
Annual Inspection
Census: 106
Deficiencies: 4
Date: May 24, 2018
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements and ensure resident care quality at Southern Springs Healthcare Facility.
Findings
The facility was found deficient in multiple areas including inaccurate resident assessments, incomplete care plans for skin breakdown, failure to post nurse staffing census data, and inadequate food preparation hygiene practices. These deficiencies had the potential to affect multiple residents with minimal to potential minimal harm.
Deficiencies (4)
Failure to ensure Resident Identifier #59's admission Minimum Data Set assessment was accurately coded for depression diagnosis and antidepressant use.
Failure to develop and revise a complete care plan within 7 days for Resident Identifier #63's skin breakdown.
Failure to post nurse staffing information reflecting resident census on two of three days of the survey.
Failure to ensure food preparation appliances were properly cleaned and sanitized, and failure of dietary staff to wash hands upon entering the kitchen.
Report Facts
Residents whose MDS assessments were reviewed: 22
Residents sampled for care plans: 22
Residents affected by nurse staffing posting deficiency: 106
Residents affected by food preparation deficiencies: 95
Total residents in facility: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse/MDS Coordinator | Interviewed regarding Resident #59's antidepressant medication coding oversight | |
| Treatment Nurse | Interviewed regarding Resident #63's skin breakdown care plan | |
| Staffing Coordinator | Interviewed regarding nurse staffing census postings | |
| Dietary Manager | Interviewed regarding food preparation appliance cleanliness and handwashing compliance | |
| Dietary Aide | Observed and interviewed regarding failure to wash hands upon entering kitchen |
Viewing
Loading inspection reports...
