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HENRY COUNTY HEALTH AND REHABILITATION FACILITY Inspection Report, Violations & Safety Grade (ABBEVILLE, Alabama)

212 DOTHAN ROAD, ABBEVILLE, Alabama 36310

Phone: 3345852241

CMS Overall:4/5

Overview & Bed Count

Certified Beds
142
Avg Residents/Day
83.4
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Henry
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.710.66+0.05
Total Nurse Hours per Resident per Day4.943.90+1.04
CMS Staffing Rating5/53.7/5-
Nursing Staff Turnover44.7%46.8%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2022-02-04Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2022-02-04Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2022-02-04Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-05-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2019-05-16Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2019-05-16Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2018-06-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2018-06-14Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2018-06-14Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2018-06-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2018-06-14Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.C – Minimal Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2022-02-04Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2022-02-04Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-02-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2019-05-16Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2018-06-14Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2018-06-14Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2018-06-14Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2018-06-14Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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