Talladega Healthcare Center, Inc

In the surveyor’s words

From the most serious findings on record at Talladega Healthcare Center, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 11, 2022

  Based on observations, interviews and review of facility policies, titled Sanitation: Food Handling, Nourishment Room Refrigerators and Personal Cleanliness and Standards for Sanitation, the facility failed to ensure: 1. food in the kitchen cooler/freezer was labeled with an open and use by date; 2. kitchen in staff wore head coverings This had the potential to affect 184 of 184 residents who received meals from the kitchen. Findings include: 1. A review of the facility's policy titled Sanitation: Food Handling with an updated date of [DATE] revealed Policy Statement Foods are prepared and served in a sanitary manner, in order to prevent bacterial, biological and physical contamination and the possible spread of infection. Policy Interpretation and Implementation .11. […]

• No harm, potential for more than minimal, patternF609Mar 11, 2022

  Based on interview, review of the facility's online reports to the State Agency and a facility policy titled, ABUSE PREVENTION, the facility failed to ensure allegations of abuse were reported to the state agency within two hours. This affected six out of 91 reports of abuse reviewed. Findings include: Review of the facility's policy titled, ABUSE PREVENTION, revised 12/20/2018, revealed, .POLICY AND PROCEDURE . Procedures: . VII. REPORTING/RESPONSE . The Administrator will ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including suspicious injuries and misappropriations of resident property are reported immediately but no later than 2 hours after the allegation is made. […]

• No harm, potential for more than minimal, isolatedF584Oct 5, 2022

  Based on observations, interview and a facility policy titled Environmental Conditions the facility failed to provide necessary housekeeping services to maintain a clean and sanitary environment and maintenance services necessary to maintain good repair of equipment. This deficient practice was observed on 2 of 4 days of the survey and affected two of eight shower rooms within the facility. Findings include: An undated facility policy titled Environmental Conditions documented: .The facility will provide a safe, functional, sanitary and comfortable environment for residents . On 9/13/22 the State agency received an anonymous complaint that the facility had shower rooms with what appeared to be black mold on the floors and walls and poor drainage that caused standing water. […]

• No harm, potential for more than minimal, isolatedF602Mar 11, 2022

  Based on interviews, record review, review of facility policies titled, CONTROLLED SUBSTANCE RECONCILIATION, Abuse Prevention, and a review of Alabama Department of Public Health Online Incident Reporting System report, the facility failed to ensure RI (Resident Identifier) #220's [MEDICATION(S)] ([MEDICATION(S)]) tablets were all accounted for and further failed to ensure RI #220 controlled substance count sheet remained with the resident's blister medication card at all times. […]

• No harm, potential for more than minimal, isolatedF640Mar 11, 2022

  Based on interview, record review and a review of the, Centers for Medicare & Medicaid Services Long- Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure RI (Resident Identifier)'s #2 and #3's discharge MDS (Minimum Data Set) assessment was transmitted to CMS within 14 days of the discharge date . This deficient practice affected two out 35 sampled residents whose MDS's were reviewed. Findings Include: A review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019 revealed: '' .09. […]