Hanceville Nursing & Rehab Center, Inc

Inspectors wroteBased on observation, interviews, the facility's Week 4 menu, the facility's Disher (scoop) Sizes chart, the facility's Diet Type Report, and the facility's policies for Menu Planning and Menu Planning and Requirements, the facility failed to ensure residents receiving a Pureed Diet for Lunch on 12/10/2025 (Wednesday) received a full half cup (1/2 cup, 4-ounce) portion of Pureed Stewed Tomatoes and Pureed [NAME] Rice. This had the potential to affect five of 24 residents receiving Pureed Diets. Findings Include: Review of the facility's policy titled, Menu Planning, dated 11/03/2022, included the following: . 1. Menus are planned and approved by the Dietary Manager and the Registered Dietitian.2. Menus are planned for four-week cycles. 3. The menu format will include: .Diet Textures: .Pureed. [...]

Inspectors wroteBased on observations, interviews, the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, the dishwasher manufacturer's Operation, Cleaning, and Maintenance Manual, and the facility's policies for Food and Equipment Storage and Safety and Sanitation: Mechanical Dishwashing Procedure, the facility failed to ensure the potential for cross contamination did not exist when:1) storage shelves were less than six inches from the floor,2) a sink drainpipe did not extend into a floor drain; and3) the dishwasher final rinse did not exceed 195 degrees Fahrenheit (F). This had the potential to affect 185 of 185 residents receiving meals from the facility's kitchen. Findings Include:1) The U.S. FDA 2022 Food Code included the following: . 3-305.11 Food Storage. (A) . FOOD shall be protected from contamination by storing the FOOD: (1) In a clean, dry location; [...]

Inspectors wroteBased on observation, interviews, the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, and a facility policy titled, Dumpsters, the facility failed to ensure a dumpster door was closed and food-related trash, which could attract vermin, was not on the ground in the dumpster area on 12/09/2025. This had the potential to affect 187 of 187 residents in the facility. Findings Include:The facility's policy titled, Dumpsters, dated 05/06/2021, included the following: . The facility will maintain dumpsters for the disposal of waste materials. Procedure:Dumpsters will be kept closed when not in use. The area surrounding dumpsters will be kept clean and free from debris. The U.S. FDA 2022 Food Code included the following: . 5-501.15 Outside Receptacles. (A) Receptacles and waste handling units for REFUSE, . [...]

Inspectors wroteBased on observations, interviews, record reviews, and review of the facility's policy titled Oxygen Safety the facility failed to ensure oxygen signage was posted outside the room doors of Resident Identifier (RI) #49 and RI #55, two of four residents' requiring oxygen on one of seven units at the facility. Findings Include: A review of the facility's policy titled, Oxygen Safety with a revised date of 09/06/2019, revealed the following: . a. Safety is the responsibility of all . Oxygen Storage: . 10. Precautionary signs readable from 5 feet shall be maintained on the door or gate where oxygen is used or stored. RI #49 was readmitted to the facility on [DATE] with diagnoses including: Chronic Diastolic Congestive Heart Failure and Chronic Obstructive Pulmonary Disease and Dependence on Supplemental Oxygen. [...]

Inspectors wroteBased on observations, record review, interviews, review of facility policies titled Enteral Nutrition Protocol, Ice - Machine Cleaning, Safety and Sanitation: Cleaning and Sanitation of Ice Scoops, and review of the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, the facility failed to ensure care, cleaning, and services in the facility were provided in a manner to prevent cross-contamination and the spread of infections. [...]

Inspectors wroteBased on observation, interviews, and review of the facility's policies titled, Dining Room Service and Promoting/Maintaining Resident Dignity During Mealtimes, the facility failed to ensure trays, insulated lids, and trash were not stacked and left on the dining room table in Room Locator (RL #3) on 12/09/2025, while residents were eating a meal at the table. Staff said this was not presenting a homelike environment for dining experience. This had the potential to affect five of 35 sampled residents. Findings Include: A facility policy titled Dining Room Service dated 09/05/2022, included the following: . Policy:Individuals will be encouraged to receive dining room service. A comfortable, attractive atmosphere will be maintained in the dining room area. A facility policy titled Promoting/Maintaining Residents Dignity During Mealtimes dated 12/02/2025, included the following: . [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure:1) Resident Identifier (RI) #180's rescue inhaler was secured in the medication cart on 12/09/2025 instead of being found in RI #180's room on the bed side table, creating the risk of being overused by RI #180; and2) an unlabeled and undated, used vial of Lidocaine 1% was found in a drawer in a medication room on 12/11/2025, and staff said they would not know how long it had been there or when it was last used. This affected RI #180 and one of four medication rooms observed by the surveyor during the medication storage task. Findings Include: 1) RI #180 was admitted to the facility on [DATE] with diagnoses including: Chronic Obstructive Pulmonary Disease, Congestive Heart Failure and Acute and Chronic Respiratory Failure with Hypoxia. [...]

Inspectors wroteBased on interview, review of the facility's Non-Controlled CERTIFICATE OF INVENTORY AND DESTRUCTION forms and review of a facility policy titled, Drug destruction, the facility failed to ensure the Non-Controlled CERTIFICATE OF INVENTORY AND DESTRUCTION forms contained the two required signatures. This deficient practice affected September 2018, October 2018, January 2019 and August 2019, four of twelve months of Non-Controlled CERTIFICATE OF INVENTORY AND DESTRUCTION forms reviewed. Findings Include: A review of a facility policy titled, Drug destruction, dated 12/03/2018, revealed: . 5. A Non-Controlled Medication Destruction Record must be maintained for all non-controlled drugs destroyed . The following information shall be included on this record: . h. The signature of the consultant pharmacist destroying the medications; and i. [...]