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Moundville Health And Rehabilitation, Llc
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Third Avenue P O Box 607
Moundville, AL 35474
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 68 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 04/07/2011
| Date of last standard health inspection: | 04/07/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 2 |
| Average number of Health Deficiencies in AL: | 5 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in AL: | 0 - 31 |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 04/07/2011 | 04/29/2011 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 04/07/2011 | 04/29/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 04/30/2009
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Pattern |
| Have a program to keep infection from spreading. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Isolated |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 04/30/2009 | 06/03/2009 | Potential for minimal harm | Widespread |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident's personal and medical records private and confidential. | 04/30/2009 | 06/03/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in AL | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 2 out of 5 stars |
| Total Number of Residents | 86 | 97 | 64 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 38 minutes | 1 hour 17 minutes |
|
RN Hours per Resident per Day |
40 minutes | 35 minutes | 25 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 1 hour 3 minutes | 51 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 41 minutes | 2 hours 32 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 4% |
| Percent of long-stay residents given influenza vaccination during the flu season | 68% |
| Percent of long-stay residents who are more depressed or anxious | 5% |
| Percent of long-stay residents who had a urinary tract infection | 0% |
| Percent of long-stay residents who have moderate to severe pain | 0% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 1% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 1% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 66% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 9% |
| Percent of long-stay residents whose need for help with daily activities has increased | 10% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 33% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 2% |
| Percent of short-stay residents given influenza vaccination during the flu season | 39% |
| Percent of short-stay residents who had moderate to severe pain | 22% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 5% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 43% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 04/12/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 04/12/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 6 |
| Average number of Fire Safety Deficiencies in AL: | 5 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in AL: | 0 - 11 |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| restrictions on the use of portable space heaters. | 04/12/2011 | 05/13/2011 | Potential for minimal harm | Pattern |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 04/12/2011 | 05/13/2011 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a separate and independent backup electrical power source. | 04/12/2011 | 05/13/2011 | Potential for minimal harm | Widespread |
| properly installed electrical wiring and equipment. | 04/12/2011 | 05/13/2011 | Minimal harm or potential for actual harm | Pattern |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 04/12/2011 | 05/13/2011 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 04/12/2011 | 05/13/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 06/10/2010
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 06/10/2010 | 07/05/2010 | Potential for minimal harm | Widespread |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 06/10/2010 | 07/05/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 05/05/2009
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 05/05/2009 | 05/22/2009 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| no-smoking signs where oxygen is used. | 05/05/2009 | 05/22/2009 | Minimal harm or potential for actual harm | Pattern |
