Aspire Physical Recovery Center at Hoover, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Jun 25, 2023

  Based on interviews, record review, facility document reviews, review of facility policies titled Medication Administration - General Guidelines and Documentation for Medication Administration, the facility failed to prevent significant medication errors for Residents #299 and #143, two of six residents reviewed for medication administration. The nursing staff failed to administer five morning doses of Resident #299's ordered anticonvulsant medication, Vimpat, from 05/26/2023 to 06/01/2023. On 06/04/2023 Resident #299 had a seizure and was transferred to a hospital for further treatment. In addition, the nursing staff failed to administer insulin as ordered for Resident #143. […]

• Actual harm, isolatedF602May 12, 2021

  Based on interviews, review of the facility's policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility's investigation file and the local police department's Investigative Supplement, the failed to ensure Employee Identifier (EI) #4, a Patient Care Assistant (PCA) did not take Resident Identifier (RI) #1's debit card without the resident's permission and use it for personal gain. On 03/17/2021, EI #4 took RI #1's debit card from the resident's purse, without his/her permission. EI #4 then used the resident's debit card in several stores in Alabama and Tennessee on 03/18/2021 and 03/19/2021. The unauthorized purchases and withdrawals totaled approximately $3,405.00. […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2021

  Based on observations, interviews and review of facility policies, titled Leftover Food Storage and Use, Food Storage Temperature Logs, FOOD STORAGE TEMPERATURE LOG,' and Food from Families and Friends, the facility failed to ensure: 1. food in the kitchen freezer was labeled with an open and use by date, 2. PM temperatures were logged on 3/17/21 for the resident's supplement refrigerator on the 400 hall, and, 3. food item in the resident's supplement freezer was labeled. This had the potential to affect 73 of 73 residents who received meals from the kitchen and 30 residents who had the potential to utilize the supplement refrigerator on the 400 hall. Findings Include: 1. A review of a facility policy titled, Leftover Food Storage and Use with an Effective date of Sept. […]

• No harm, potential for more than minimal, patternF684Jun 25, 2023

  Based on interviews, record review, and facility document and policy review, it was determined the facility failed to provide care and treatment in accordance with professional standards of practice to meet the needs of five (Residents #98, #141, #454, #112, and #300) of 50 sampled residents. Specifically, the facility failed to: 1. Obtain orders for the care and monitoring of a peripherally inserted central catheter (PICC) line for Resident #98; 2. Transcribe orders for care of a surgical wound for Resident #141; 3. Ensure care of a surgical wound was completed as ordered for Resident #112; and 4. […]

• No harm, potential for more than minimal, isolatedF554Jun 25, 2023

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to assess residents for the ability to self-administer medications for one (Resident #60) of four residents reviewed during medication pass observation. Findings included: Review of a facility policy titled, Medication Administration Procedures Self-Administration of Medications, dated ,d+[DATE], revealed, .Residents who desire to self-administer medications are permitted to do so if the facilities interdisciplinary team has determined that the practice would be safe for the resident and other residents of the facility. An order to self-administer must be given by the physician. 1. […]