Aspire Physical Recovery Center at Cahaba River

In the surveyor’s words

From the most serious findings on record at Aspire Physical Recovery Center at Cahaba River, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Jan 12, 2024

  Based on interviews, Resident Identifier (RI) #264's medical record, FUNDAMENTALS OF NURSING NINTH EDITION, the facility's PROTOCOL FOR EMERGENT CARE, the facility policy titled Cardio Pulmonary Resuscitation (CPR), and a facility reported incident received by the Alabama State Survey Agency, the facility failed to honor the end-of-life wishes of RI #264, a resident with an Advanced Directive to withhold resuscitative measures in the event of cardiopulmonary cessation and an active physician's order for DNR (Do Not Resuscitate) code status. The DNR order directed staff to not initiate CPR when the resident stopped breathing and/or their heart stopped beating. During the evening shift on [DATE], RI #264 was found unresponsive with no pulse or respirations. […]

• No harm, potential for more than minimal, widespreadF804Jan 12, 2024

  Based on observations, interviews, medical records, and the facility policy titled Food Preparation Guidelines, the facility failed to ensure food was served at an appetizing temperature. Specifically, on 01/11/2024 during the breakfast meal, the eggs were not served at an appetizing temperature. This had the potential to affect 108 of the 109 residents receiving the breakfast meal from the facility's kitchen. Findings include: The facility's policy for Food Preparation Guidelines, dated 08/10/2018, included the following: . PURPOSE: . Food should be palatable, attractive, and at the proper temperature, as determined by the type of food, to ensure resident/guest(s) satisfaction. STANDARD: . Food . […]

• No harm, potential for more than minimal, isolatedF550Jan 12, 2024

  Based on observations, interviews, residents' medical records, and the facility policy titled Federal Rights of Residents, the facility failed to ensure staff did not stand while feeding Resident Identifier (RI) #101 the lunch meal on 01/10/2024; and RI #91 the lunch meal on 01/11/2024. This deficient practice affected RI #101 and RI #91; two of four sampled residents observed being assisted with meals. Findings include: Review of a facility policy titled, Federal Rights of Residents, with an effective date of 03/01/2010, documented: . PURPOSE: All residents in long-term care facilities have rights guaranteed to them under Federal and State law. STANDARD: The resident has a right to a dignified existence . […]

• No harm, potential for more than minimal, isolatedF553Jan 12, 2024

  Based on interviews, record review, and the facility policy titled, Person Centered Care Plan, the facility failed to ensure Resident Identifier (RI) #34 and his/her representative was informed of RI #34's quarterly care plan meetings scheduled for August and November of 2023. This affected RI #34, one of 27 residents sampled for the right to participate in care planning. Findings include: Review of a facility policy titled, Person Centered Care Plan, dated 08/15/2018, revealed the following: PURPOSE: Person centered plans of care are developed by the interdisciplinary team, to coordinate and communicate care approaches and goals of the resident/guest, consistent with the resident/guest (s) rights. STANDARD: . The interdisciplinary plan of care committee may consist of . […]

• No harm, potential for more than minimal, isolatedF554Jan 12, 2024

  Based on interviews, observations, resident's medical record, and the facility policy titled, . Self-Administration of Medications, the facility failed to ensure Medical Assistant Certified (MAC) #11 and License Practical Nurse (LPN) #12 did not leave the room while Resident Identifier (RI) #54 received nebulizer treatments. RI #54 had not been assessed for the ability to self-administer medication. This deficient practice affected RI #54; one of three residents sampled for receiving nebulizer treatments. Finding include: A review of the facility's policy titled, . […]