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EXTENDICARE HEALTH AND REHAB Inspection Report, Violations & Safety Grade (DOTHAN, Alabama)

950 SOUTH ST. ANDREWS STREET, DOTHAN, Alabama 36302

Phone: 3347931177

CMS Overall:2/5

Overview & Bed Count

Certified Beds
170
Avg Residents/Day
155.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Houston
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.590.66-0.07
Total Nurse Hours per Resident per Day4.443.90+0.54
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover57.6%46.8%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2022-06-18Nutrition 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
2022-06-18Pharmacy 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.E – Moderate Harm Potential
2022-06-18Quality 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
2022-06-18Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-07-18Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.F – Moderate Harm Potential
2019-07-18Nutrition 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
2019-07-18Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2019-07-18Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2018-08-02Nutrition 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
2018-08-02Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2018-08-02Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2018-08-02Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2022-06-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-06-18Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2022-06-18Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.D – Moderate Harm Potential
2022-06-18Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2022-06-18Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2019-07-18Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2019-07-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2019-07-18Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2019-07-18Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2019-07-18Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2019-07-18Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.D – Moderate Harm Potential
2019-07-18Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2019-07-18Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2018-08-02Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2018-08-02Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2018-08-02Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.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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