General Information: ADAMS NURSING HOME
Nursing home name ADAMS NURSING HOME
Address1555 HILLABEE STREET
ALEXANDER CITY, AL 35010
Phone number (256) 329-0847
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 88
Total number of residents 59
Perc of occupied beds 67
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ADAMS NURSING HOME
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: ADAMS NURSING HOME
National AverageAlabama AverageADAMS NURSING HOME
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 59
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.34 hours 6.11 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.7 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.64 hours 0.53 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.05 hours 1.17 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.65 hours 4.41 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.05 hours 0.1 hours
Health Survey: ADAMS NURSING HOME
Heath Survey Summary on 2013-10-23
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-01
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-03
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: ADAMS NURSING HOME
Inspection Results: 10/23/2013
Corrected Deficiency Scope and Severity
11/26/2013 Provide housekeeping and maintenance services. Pattern/Potential for minimal harm
11/26/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
11/26/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/01/2012
Corrected Deficiency Scope and Severity
12/04/2012 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
12/04/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
12/04/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
12/04/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/03/2011
Corrected Deficiency Scope and Severity
12/08/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
12/08/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/08/2011 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. Pattern/Minimal harm or potential for actual harm
12/08/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
12/08/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
12/08/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
12/08/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: ADAMS NURSING HOME
Fire Safety Survey Summary on 2013-10-29
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-08
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-11-08
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: ADAMS NURSING HOME
Fire Safety Survey Results: 10/29/2013
Corrected Deficiency Severity
11/22/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
11/22/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/08/2012
Corrected Deficiency Severity
12/07/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
12/07/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/08/2011
Corrected Deficiency Severity
12/12/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
12/12/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
12/12/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
12/12/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
12/12/2011 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
12/12/2011 Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
12/12/2011 A separate and independent backup electrical power source. Pattern/Minimal harm or potential for actual harm

Resident Complaints: ADAMS NURSING HOME
Date Complaint Substantiated: 10/10/2012
CorrectedCategoryDeficiencySeverity
10/31/20121) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D

Quality Measures: ADAMS NURSING HOME
Quality Measures National Average Alabama Average ADAMS NURSING HOME
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 12.8% 9.4%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.1% 19.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.4% 2.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 5.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.0% 39.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 7.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.1% 3.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.9% 3.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.4% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.0% 5.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.6% 95.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.7% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.4% 24.2%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.0% 32.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.1% 78.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 84.9% 87.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.8% 5.0%

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