Troy Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Troy Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Oct 20, 2022

  Based on interview, document review, and the Rules of the Alabama State Board of Health, Alabama Department of Public Health (ADPH), Chapter 420-5-10, Nursing Facilities, original rules effective 8/23/1996 and last amendments effective 7/30/2016, the facility failed to ensure the full time Dietary Manager, Employee Identifier (EI) #1, met the definition of a Dietary Manager per the rules of the State of Alabama. This had the potential to affect 103 of 103 residents receiving meals from the facility kitchen. Findings Include: The Rules of the Alabama State Board of Health, ADPH, Chapter 420-5-10, Nursing Facilities, original rules effective 8/23/1996 and last amendments effective 7/30/2016 included the following: . […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2022

  Based on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to: 1.) prevent the potential for cross-contamination from a) dishwashing machine and scrap sink drainpipes extending into the floor drain, thereby creating the possibility for backflow, b) the ceiling of the Walk-in Cooler having an accumulation of dust, c) a plastic mug buried in the flour bin, and; 2.) prevent the potential from contamination from vermin or insects by a) a sugar bin not securely covered, and b) providing potential harbor in the Chemical Storeroom by placing containers directly on the floor so that half of the small floor area could not be easily swept or mopped; 3.) prevent the potential for… […]

• No harm, potential for more than minimal, widespreadF814Oct 20, 2022

  Based on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to ensure two of three dumpsters were not open and one of one oil refuse container was not covered in a thick layer of oil/grease, which could attract vermin. This had the potential to affect 108 of 108 residents in the facility. Findings Include: The 2017 Food Code of the U.S. Public Health Service and FDA included the following: . 5-501.15 Outside Receptacles. (A) Receptacles and waste handling units for REFUSE . […]

• No harm, potential for more than minimal, widespreadF880Oct 20, 2022

  Based on observation, interviews, record reviews and a review of facility policies titled Hand Hygiene Table, Hand Hygiene and LAUNDRY PROCESS, the facility failed to ensure: 1) Facility staff did not go room to room when picking up resident trays wearing the same gloves on 10/19/22; and 2) Linens were stored in a sanitary manner. This affected Resident Identifier (RI) #52 one of one residents observed during meals, and laundry had the potential to affect 108 of 108 residents residing in the facility. Findings include: 1. RI #52 was admitted to the facility on [DATE] and readmitted on [DATE]. A review of an undated facility policy titled Hand Hygiene revealed, . 2. […]

• No harm, potential for more than minimal, isolatedF550Oct 20, 2022

  Based on observation, interviews and review of a facility policy titled, Promoting/Maintaining Resident Dignity During Mealtimes, the facility failed to ensure Resident identifier (RI) #92 received their meal at the same time as their roommate, RI #76 and the facility further failed to ensure Employee Identifier (EI) #9, Certified Nursing Assistant (CNA) did not stand while feeding RI #92. This affected one of 24 sampled residents. Findings Include: The facility policy titled Promoting/Maintaining Resident Dignity During Mealtimes with no effective date documented: . 1. All staff members involved in providing feeding assistance to residents promote and maintain resident dignity during mealtimes. 5. […]