Baron House of Hueytown

In the surveyor’s words

From the most serious findings on record at Baron House of Hueytown, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF584Feb 11, 2023

  Based on observations, interviews, review of the Maintenance Supervisor Job Description, a facility document titled, Life Safety Checklist, and an anonymous complaint received by the State Survey Agency, the facility failed to ensure: 1) water temperatures in the clean utility sink and in the residents' shower rooms were consistently maintained at safe, comfortable levels. The facility's water pipe froze and burst on 12/24/2022, causing inconsistent water temperatures; and 2) room temperatures for Resident Identifier (RI) #4 and RI #6 were not below 71 degrees Fahrenheit (F) on 02/10/2023 at 8:32 AM. This deficient practice had the potential to affect all 35 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF835Feb 11, 2023

  Based on interviews, review of the Administrator's job description, and review of a facility document titled, Life Safety Checklist, Employee Identifier (EI) #1, the facility's Administrator, who is responsible for directing and overseeing the day to day operations of the facility, failed to ensure that adequate repairs were made in order to consistently maintain comfortable water temperatures after a water pipe burst on 12/24/2022. In addition, the Administrator was not performing and/or was not ensuring that weekly routine checks of facility water temperatures were being performed and logged after concerns were identified. This deficient practice had the potential to affect all 35 residents residing in the facility. Findings include: Cross reference F584 and F867. […]

• No harm, potential for more than minimal, widespreadF867Feb 11, 2023

  Based on observations, interviews, and review of a facility policy titled, Quality Assurance and Performance Improvement (QAPI), the facility's Quality Assessment and Assurance Committee failed to develop a corrective action plan after identifying that the facility did not have sufficient hot water after a water pipe burst on 12/24/2022. This deficient practice had the potential to affect all 35 residents residing in the facility. Findings include: Cross reference F584 and F835. A review of a facility policy titled, Quality Assurance and Performance Improvement (QAPI), dated February 2017, revealed: Purpose QAPI is a data driven, proactive approach to improving the quality of life, care and services in our centers. […]

• No harm, potential for more than minimal, isolatedF554Mar 13, 2024

  Based on observations, interviews, record review, and review of facility policy titled Medication Administration, the facility failed to ensure Resident Identifier (RI) #29 did not self-administer a nebulizer treatment on 03/10/2024 without authorization to do so by the attending physician. This affected RI #29, one of one resident sampled for self-administration of medications. Findings include: A review of the facility's policy titled Medication Administration with a reviewed date of 04/2022 revealed the following: POLICY: Medications are administered as prescribed, in accordance with good nursing principles and practices only by persons legally authorized to do so. PROCEDURE: . […]

• No harm, potential for more than minimal, isolatedF842Mar 13, 2024

  Based on resident record review and interview, the facility failed to ensure Resident Identifier (RI) #24's medical record was complete and accurate to include documented evidence of daily wound treatment provided on 03/01/2024 through 03/08/2024 as ordered by physician for RI #24's sacral pressure ulcer. This had the potential to affect RI #24, one of 14 residents for whom records were reviewed. Findings include: RI #24 was readmitted to the facility 12/11/2023 with a diagnosis of End Stage Renal Disease. […]