Prattville Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Prattville Health and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Jun 10, 2022

  Based on observations, interviews, and review of the facility's policy for Cycle Menus, the facility's Week 4 Week-At-A-Glance menu for June 5-11, 2022, the facility's Diet Guide Sheet for Day 24 (Week 4 - Tuesday), the facility's Diet Guide Sheet for Day 25 (Week 4 - Wednesday), and the facility's posted conversion information for portion control Dishers, the facility failed to ensure the menu was followed when: 1.) pears were not served at dinner on Tuesday, 6/7/2022, 2.) the specified 1/2 cup (4-ounce) serving of pudding for lunch on Wednesday, 6/8/2022, was being portioned with a #10 disher (3.25 ounces), and 3.) the Chicken and Dumpling alternate for dinner on Wednesday, 6/8/2022, had a 4-ounce (oz.) spoodle for trayline service, although the menu specified a 6 oz. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2022

  Based on observations, interviews, and review of the 2017 Food Code of the United States (U.S.) Public Health Service and the U.S. Food and Drug Administration (FDA), the facility's [DATE] refrigeration temperature logs for Unit 1, Unit 2, and the Dementia Unit, and the facility's policies for Dish Machine Sanitization, the policy for Foods from Families and Friends, and the policy titled, Nursing Pantry Foods, the facility failed to ensure 1.) the dishwashing machine consistently reached the minimum sanitizing temperature of 180 degrees Fahrenheit (F) on Wednesday, [DATE], and Thursday, [DATE]; 2.) the air dryer used for drying clean dishes did not have a dirty filter on Tuesday, [DATE], and Wednesday, [DATE]; 3.) the veneer of the door in the dishroom was not peeling away from the door… […]

• No harm, potential for more than minimal, widespreadF814Jun 10, 2022

  Based on observations, interviews, and review of the facility's policy for Garbage and Refuse, and the 2017 Food Code of the United States (U.S.) Public Health Service and the U.S. Food and Drug Administration (FDA), the facility failed to ensure the oil/grease waste receptacle and the four by eight foot area around it did not have a buildup of oil/grease during June 7-9, 2022. This had the potential to affect all the residents in the facility, 138 of 138 residents. Findings Include: The facility's policy for Garbage and Refuse, dated 2/1/2002, included the following: . Purpose: To prevent the spread of bacteria that may cause food borne illnesses. Standard: Garbage and refuse containers should be free from cracks or leaks . The 2017 Food Code of the U.S. […]

• No harm, potential for more than minimal, patternF609Oct 1, 2021

  Based on interviews, review of the Online Incident Reporting System Reports, and review of the facility policy titled, Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure allegations of abuse were reported to the state agency within two hours. This affected six of twenty reports of abuse reviewed. Findings Include: Review of policy titled, Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation with an effective date of February 8, 2018, documented, .VI. Investigations and Facility Response to Incidents or Accidents . […]

• No harm, potential for more than minimal, patternF686Jan 14, 2021

  Based on observations, interviews, review of medical records, and a document titled, Wounds, the facility failed to ensure: 1) RI # 5's wound interventions were implemented to reduce the risk of pressure ulcer development; and 2) RI # 6's pressure ulcer dressing was changed daily as ordered. These deficient practices affected RI # 5 and RI # 6, two of four sampled residents reviewed for pressure ulcers. Finding include: 1) Review of the document titled, Wounds with a reference number of NM.I-6exh-3 and a revised date of 10-1-10 revealed, Activity of Mobility Deficit . For bed-bound individuals: . […]