Huntsville Post-Acute and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Huntsville Post-Acute and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656May 3, 2024

  Based on review of facility policy, medical record review, facility documentation, observations, and interviews, the facility failed to develop a comprehensive care plan and implement appropriate interventions for 1 resident (Resident #10), to prevent hoarding of medications, and failed to implement appropriate interventions to alert staff 1 Resident (Resident #10) was ordering and receiving over the counter medications online. The facility's failure to develop a comprehensive care plan and implement appropriate interventions placed Resident #10 and all other residents in the facility in an Immediate Jeopardy situation, (a condition in which facility noncompliance with one or more conditions of participation has resulted in or is likely to result in serious injury, harm, impairment, or… […]

• Immediate jeopardy, isolatedF689May 3, 2024

  Based on medical record review, facility documentation review, observation, and interviews, the facility failed to ensure adequate supervision during medication administration to prevent 1 resident (Resident #10) from hoarding medications and the facility failed to adequately address 1 resident's (Resident #10) ordering and accumulating over the counter medications and supplements from outside sources for self-administration. The facility's failure to ensure adequate supervision during medication administration placed Resident #10 and all other residents in the facility in an Immediate Jeopardy situation, (A condition in which facility noncompliance with one or more conditions of participation has resulted in or is likely to result in serious injury, harm, impairment, or death and must be… […]

• Immediate jeopardy, isolatedF842May 3, 2024

  Based on review of facility policy, medical record review, facility documentation, observations, and interviews, the facility failed to provide a complete and accurate record of Resident #10's medication administration. The facility's medication nurses failed to ensure Resident #10 swallowed all medications when administered. This failure resulted in Resident #10's Medication Administration Record (MAR) documenting medications administered that were not taken by Resident #10 and subsequently hoarded by the resident. […]

• Actual harm, isolatedF689Nov 4, 2021

  Based on review of facility policy, review of facility job descriptions, review of manufacturer's instructions, medical record review, review of facility investigation documentation, and interviews, the facility failed to provide a safe transfer to prevent an avoidable accident resulting in a concussion for 1 resident (Resident #64) of 3 residents reviewed for accidents. The facility's failure to provide safe transfer techniques resulted in Harm to Resident #64. The facility was cited as past noncompliance and the facility is not required to submit a Plan of Correction for F-689. […]

• No harm, potential for more than minimal, widespreadF812Nov 4, 2021

  Based on facility policy reviews, observations, and interviews, the facility failed to maintain a sanitary kitchen evidenced by undated, unlabeled, and opened to air food items in 1 of 1 walk-in refrigerator/freezer combo unit and 1 of 1 milk cooler; failed to maintain sanitary dry food storage in 2 of 3 dry storage bins; failed to maintain cooking equipment in a clean and sanitary manner; and failed to obtain and record temperatures for the meal service, freezer, refrigerator, milk cooler, ice cream cooler, and dishwasher machine, which had the potential to affect 73 of 74 residents in the facility. […]