Cullman Health Care Center

In the surveyor’s words

From the most serious findings on record at Cullman Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Oct 19, 2023

  Based on observation, interview, review of a facility policy titled Waste Disposal, and review of the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, the facility failed to ensure the side door on one of two dumpsters was not open during an observation on 10/17/2023. This had the potential to affect 85 out of 85 residents in the facility. Findings include: A facility policy titled Waste Disposal with a revised date of 12/01/2013 documented: . Procedure . 6. Dumpster doors and lids should be closed at all times. The U.S. FDA 2022 Food Code included the following: . […]

• No harm, potential for more than minimal, isolatedF584Oct 19, 2023

  Based on observations, interviews, and review of a facility policy titled Preventative Maintenance Program, the facility failed to ensure there was not a missing blind in Room Locator (RL) #1; and the blinds in RL #'s 3-6 did not have pieces missing from the slats; and remained in good repair. This deficient practice affected RL #1 and RL #'s 3-6, five of 59 resident's rooms observed at the facility. Findings include: Review of a facility policy titled Preventative Maintenance Program, with an effective date of 08/13/2020, revealed the following: Policy A Preventive Maintenance Program shall be . implemented to ensure the provision of a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Procedure . 5. […]

• No harm, potential for more than minimal, isolatedF656Oct 19, 2023

  Based on interview, resident record review, and review of a facility policy titled, Comprehensive Care Plan, the facility failed to ensure Resident Identifier (RI) #83 had a care plan developed for the use of insulin. This deficient practice affected RI #83, one of 21 residents whose plans of care were reviewed. Findings include: Review of a facility policy titled Comprehensive Care Plan, with a revised dated of 10/24/2022, revealed the following: Purpose It is the policy of this facility to develop and implement a comprehensive person- centered care plan for each resident, . that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychological needs that are identified in the resident's comprehensive assessment . […]

• No harm, potential for more than minimal, isolatedF755Oct 19, 2023

  Based on an interview, review of the facility's narcotic Drug Disposition Records, and review of a facility policy titled, Medication - Disposition of Unused Drugs, the facility failed to ensure the required signatures were on four narcotic disposition sheets. This deficient practice affected four of twelve months of narcotic disposition records reviewed. Findings include: Review of a facility policy titled, Medication - Disposition of Unused Drugs, with a revised date of 03/31/2022, revealed the following: Policy To properly dispose of unused drugs and ensure accountability. The Pharmacy Consultant and Director of Nursing (DON) shall dispose of unused drugs monthly. Procedure . 3. Controlled Drugs . b. […]

• No harm, potential for more than minimal, isolatedF880Oct 19, 2023

  Based on observations, interviews, resident record review, and review of facility policies titled Management of Soiled Laundry, Cleaning & Disinfection Noncritical Resident Care Items,,, and Laundry, the facility failed to ensure: 1) Facility staff cleaned a Hoyer lift with the proper disinfectant spray after it was used on 10/17/2023; and 2) Clean linens were not placed in a dirty gray linen cart on 10/19/2023. These deficient practices were the result of an observation of one of one Hoyer Lift being used, and an observation of one dirty gray linen cart with clean linen being distributed in the clean linen room. […]