Inspection Reports for
Woodland Village Rehabilitation and Healthcare Center
1900 Olive Street SW, Cullman, AL, 35055
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
Complaint Investigation
Deficiencies: 1
Date: May 6, 2021
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to honor a resident's food preferences for supper meals on 05/04/21 and 05/05/21.
Complaint Details
The complaint investigation found that Resident Identifier #81's food preferences were not honored on two consecutive days, with missing requested items. The Registered Dietician confirmed that if a resident did not receive requested food items, their preferences were not being honored.
Findings
The facility failed to ensure that Resident Identifier #81 received the requested food items for supper on the specified dates, with missing items including applesauce and ice cream. Interviews with staff confirmed that the system for residents to request food items was in place but not always followed, resulting in food preferences not being honored.
Deficiencies (1)
Failure to ensure Resident Identifier #81's food preferences for supper meals on 05/04/21 and 05/05/21 were honored.
Report Facts
Residents sampled for food preferences: 5
Assessment Reference Date: Apr 14, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | Interviewed about responsibility for ensuring food items on meal tray | |
| Registered Dietician | Interviewed about system for residents to request food items and responsibility for ensuring requests are honored |
Inspection Report
Routine
Census: 128
Capacity: 130
Deficiencies: 7
Date: Jun 26, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety and sanitation standards in the kitchen and food preparation areas.
Findings
The facility failed to ensure proper air gaps in drains to prevent backflow, control flies entering the kitchen, maintain dishwasher rinse temperatures at 180°F, keep steam table food temperatures at or above 135°F, clean the coffee machine daily, separate staff personal belongings from stored food, and maintain cleanliness of the walk-in cooler fan grill. These deficiencies had the potential to affect 128 residents.
Deficiencies (7)
No air gaps between sewer system and drains from dishwashing machine, pot and pan sink, and food preparation sink, risking backflow contamination.
Flies observed in kitchen contaminating food and surfaces; fly fan not producing sufficient airflow; bug lights not functioning properly.
Dishwasher final rinse temperature did not consistently reach 180°F, failing to sanitize dishware properly.
Steam table not maintaining food temperatures at or above 135°F; pureed foods and other items found below safe holding temperatures.
Coffee machine not cleaned daily; dark sticky substance observed inside dispenser.
Staff personal belongings stored with emergency food and water supplies, risking contamination.
Fan grill of Walk-in Cooler #1 dirty with accumulation of dark-colored substance, risking contamination.
Report Facts
Residents affected: 128
Facility census: 128
Facility total capacity: 130
Dishwasher final rinse temperature: 176
Dishwasher final rinse temperature peak: 182
Pureed pork chop temperature: 110
Pureed baked chicken temperature: 80
Pureed rice temperature: 100
Pureed squash temperature: 100
Pureed foods steam table temperature: 90
Pureed eggs temperature: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #2 | Dietary Manager | Interviewed regarding air gap issues, fly control, and coffee machine cleaning |
| EI #8 | Contract Plumber | Confirmed need for air gaps in sink drains |
| EI #1 | Registered Dietitian | Interviewed about fly presence, coffee machine cleaning, and steam table issues |
| EI #4 | Dietary Aide | Observed dishwasher rinse temperature and interviewed about sanitization |
| EI #5 | Dietary Aide | Observed dishwasher rinse temperature and interviewed about sanitization |
| EI #6 | Maintenance Director | Worked on dishwasher rinse temperature issue |
| EI #7 | Corporate Maintenance Director | Worked on dishwasher rinse temperature issue |
| EI #9 | AM Cook | Observed calibrating thermometer and checking food temperatures |
| EI #10 | AM [NAME] | Observed calibrating thermometer and checking food temperatures |
| EI #3 | Dietary Aide | Identified as responsible for cleaning coffee machine night shift |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 7, 2018
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to accurately mark a resident's smoking status on the Annual Minimum Data Set (MDS) assessment.
Complaint Details
The complaint was substantiated as the facility failed to accurately code the resident's smoking status on the MDS assessment, confirmed by interview with the MDS Coordinator.
Findings
The facility failed to ensure Resident Identifier #89's Annual MDS with an Assessment Reference Date of 2018-04-16 was correctly marked to show the resident was a smoker. This was due to a data entry error as confirmed by the MDS Coordinator.
Deficiencies (1)
Failure to ensure Resident Identifier #89's Annual MDS was marked to show the resident was a smoker.
Report Facts
Residents sampled: 27
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding the data entry error on the MDS assessment for Resident Identifier #89 |
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