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MOUNDVILLE HEALTH AND REHABILITATION, LLC Inspection Report, Violations & Safety Grade (MOUNDVILLE, Alabama)

THIRD AVENUE, MOUNDVILLE, Alabama 35474

Phone: 2053712252

CMS Overall:4/5

Overview & Bed Count

Certified Beds
68
Avg Residents/Day
64.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Hale
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.720.66+0.06
Total Nurse Hours per Resident per Day3.973.90+0.07
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover43.8%46.8%-

Health Citation History

10 health citations on record

DateCategoryDescriptionSeverity
2019-04-04Nutrition 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
2019-04-04Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2019-04-04Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2019-04-04Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2019-04-04Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-04-04Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2018-03-22Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2018-03-22Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2018-03-22Pharmacy 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
2018-03-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2019-04-04Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2019-04-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2019-04-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-04-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2019-04-04Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2019-04-04Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2018-03-22Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2018-03-22Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2018-03-22Emergency 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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