C+
66/100

HENDRIX HEALTH AND REHABILITATION Inspection Report, Violations & Safety Grade (DOUBLE SPRINGS, Alabama)

1000 HIGHWAY 33, DOUBLE SPRINGS, Alabama 35553

Phone: 2054892136

CMS Overall:2/5

Overview & Bed Count

Certified Beds
110
Avg Residents/Day
104.2
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Winston
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.440.66-0.23
Total Nurse Hours per Resident per Day3.563.90-0.35
CMS Staffing Rating3/53.7/5-
Nursing Staff Turnover42.7%46.8%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2023-09-07Nutrition 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
2023-09-07Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2023-09-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-10-29Nutrition 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
2019-10-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2018-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2018-09-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2023-09-07Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2023-09-07Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2023-09-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-09-07Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2023-09-07Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2023-09-07Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2019-10-29Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2019-10-29Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2018-09-12Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2018-09-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2018-09-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2018-09-12Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2018-09-12Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate 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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