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LIGHTHOUSE REHABILITATION & HEALTHCARE CENTER Inspection Report, Violations & Safety Grade (SELMA, Alabama)

2911 EARL GOODWIN PARKWAY, SELMA, Alabama 36703

Phone: 3348751868

CMS Overall:1/5

Overview & Bed Count

Certified Beds
68
Avg Residents/Day
54.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Dallas
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
Yes

CMS Star Ratings

Overall1/5
Health2/5
Staffing4/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.500.66-0.16
Total Nurse Hours per Resident per Day4.373.90+0.47
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover28.9%46.8%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2020-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2020-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2020-01-24Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2020-01-24Pharmacy 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
2019-02-28Nutrition 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
2019-02-28Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.D – Moderate Harm Potential
2019-02-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2018-01-11Nutrition 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
2018-01-11Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2018-01-11Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2018-01-11Resident Rights DeficienciesHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D – Moderate Harm Potential
2018-01-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2018-01-11Resident 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
2018-01-11Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2019-02-28Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2019-02-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2018-01-11Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2018-01-11Egress DeficienciesHave horizontal exits used in accordance with safety requirements.E – Moderate Harm Potential
2018-01-11Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2018-01-11Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2018-01-11Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2018-01-11Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).C – Minimal Harm Potential
2018-01-11Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2018-01-11Emergency Preparedness DeficienciesDevelop a communication plan.C – Minimal Harm Potential
2018-01-11Emergency Preparedness DeficienciesEstablish emergency prep training and testing.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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