CULLMAN HEALTH CARE CENTER

Nursing Home Inspector

1607 MAIN AVE NE
CULLMAN, AL 35055
Cullman County
Phone: 256-734-8745
Provider Number: 015048
Last Inspection: 02/09/2017

About the Nursing Home

Number of Beds: 95
Number of Residents: 91
Beds Available: 4
Percent Occupancy: 96%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

25

Facility
14

County
14

AL
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2017
24

2016
31

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 3/6/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/6/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/6/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/6/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 3/6/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 3/6/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 3/6/2017
 

1/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 1/30/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 1/30/2016
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 1/30/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/30/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 1/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/30/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 1/30/2016
 

12/4/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 1/1/2015
 
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 1/1/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/1/2015
 
Failed To: Put firmly secured handrails on each side of hallways. Isolated : Minimal 3 1/1/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 1/1/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/1/2015
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 1/1/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 1/1/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

11/19/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/9/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg AL State Avg
Number of Residents 91 131.75 98.51
Registered Nurses 0.38 0.64 0.70
Licensed Practical / Vocational Nurses 0.31 0.43 0.97
Certified Nursing Assistants 1.35 2.51 2.60
Total Staff Hours 2.04 3.58 4.28

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% AL State Avg%
of high risk long-stay residents with pressure ulcers 6 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 93
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 1 0 1
of long-stay residents who lose too much weight 9 9 8
of long-stay residents who received an antianxiety or hypnotic medication 39 28 29
of long-stay residents who received an antipsychotic medication 33 18 18
of long-stay residents who self-report moderate to severe pain 19 7 5
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 8 15 15
of long-stay residents whose need for help with daily activities has increased 11 11 12
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 9 7 3
of low risk long-stay residents who lose control of their bowels or bladder 32 31 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 83
of short-stay residents who had an outpatient emergency department visit 15 10 11
of short-stay residents who made improvements in function 44 58 61
of short-stay residents who newly received an antipsychotic medication 0 1 2
of short-stay residents who self-report moderate to severe pain 31 17 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 92 80
of short-stay residents who were rehospitalized after a nursing home admission 18 19 21
of short-stay residents who were successfully discharged to the community 33 56 53
of short-stay residents with pressure ulcers that are new or worsened 3 1 0