Irondale Post Acute

In the surveyor’s words

From the most serious findings on record at Irondale Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Oct 9, 2025

  Based on observations, record review and interviews, the facility failed to ensure one (#4) of three residents reviewed for elopement out of three sample residents and other residents residing in the facility remained as free from accidents/hazards as possible.Specifically, the facility failed to:-Ensure Resident #4 received adequate supervision to prevent the resident from eloping from the facility; and,-Ensure there was an effective evacuation plan in place and that staff were trained on the plan and provided with the necessary equipment to evacuate residents from the facility in the case of an emergency, which had the potential to affect the safety of all 72 residents residing in the facility.ELOPEMENT INCIDENT FAILURE FOR RESIDENT #4Resident #4, who had diagnoses of bipolar disorder,… […]

• Immediate jeopardy, isolatedF689Apr 30, 2025

  Based on observations, record review and interviews, the facility failed to ensure one (#3) of eight residents reviewed for accidents received adequate supervision out of eight sample residents. Specifically, the facility failed to ensure Resident #3 was provided safe transportation. Resident #3 was wheelchair bound and dependent on staff for mobility and positioning. She had functional limitations in range of motion for her lower extremities due to below the knee amputations. Resident #3 was assisted into the van after an appointment on 1/22/25 by van driver #1. Resident #3 was not secured properly in the van. When the van accelerated, Resident #3's wheelchair tipped backward and she fell onto the floor with the wheelchair landing on top of her. […]

• Actual harm, isolatedF688Feb 12, 2026

  Based on observations, interviews and record review, the facility failed to ensure one (#25) of two residents reviewed for range of motion received services and assistance to prevent a reduction in range of motion out of 35 sample residents. Resident #25 was admitted to the facility on [DATE]. According to the resident's diagnoses on admission, Resident #25 did not admit to the facility with bilateral hand contractures. On 9/9/25 a joint mobility evaluation was completed which indicated Resident #25's right wrist and right fingers had minimum range of motion limitations and left wrist and fingers had moderate range of motion limitations. […]

• Actual harm, isolatedF689Nov 20, 2024

  Based on record review and interviews, the facility failed to ensure one (#1) of three residents reviewed for accidents out of five sample residents remained free from accidents. Resident #1, who was identified as a high fall risk, sustained a fall on 9/6/24 which resulted in a hip fracture that required hospitalization . The hip fracture was not identified until 9/12/24 due to the nurse failing to report the fall. Due to the facility's failure to assess, report and identify the injury, the resident was not treated for her fractured hip for six days. […]

• Actual harm, isolatedF697Dec 14, 2023

  Based on record review and interviews, the facility failed to provide an effective pain management regimen in a manner consistent with professional standards of practice, resident-centered care plans and resident preferences for one (#40) resident out of 36 sample residents. The facility failed to ensure Resident #40 was administered pain medication as ordered. Resident #40 was prescribed hydrocodone for pain management. The facility ran out of the scheduled prescribed medications and the resident missed seven doses of hydrocodone from 11/11/23 to 11/13/23. […]