Mount Royal Towers

300 ROYAL TOWER DRIVE
Birmingham, AL 35209
(205) 870-5666
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 113
Number of Residents: 97
Percent of Occupied Beds: 86%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? Yes
Quality Indicator Survey? No
Special Focus Facility? Yes
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071214 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Actual harm 20080111
20071214 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Actual harm 20080111
20071214 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Actual harm 20080111
20071214 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Actual harm 20080312
20071214 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080111
20071214 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm 20080111
20071214 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20080312
20071214 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20080111
20071214 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Pattern Minimal harm or potential for actual harm 20080111
20071214 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20080111
20071214 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080111
20080710 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20080813
20080710 Health Environmental Deficiencies Provide clean bed and bath linens that are in good condition. Widespread Potential for minimal harm 20080813
20080710 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20080813
20080710 Health Resident Rights Deficiencies Let residents give themselves their drugs if they are able. Isolated Minimal harm or potential for actual harm 20080813
20080723 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Minimal harm or potential for actual harm 20080813
20080723 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080813
20080723 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20080813
20080801 Health Resident Assessment Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080822
20080801 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080822
20080801 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Actual harm 20080822
20080801 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Minimal harm or potential for actual harm 20080822
20080801 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20080822
20090905 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20090911
20090905 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Immediate jeopardy to resident health or safety 20090906
20090905 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Isolated Immediate jeopardy to resident health or safety 20091102
20090919 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Widespread Minimal harm or potential for actual harm 20091102
20090919 Health Administration Deficiencies Keep accurate and appropriate medical records. Widespread Minimal harm or potential for actual harm 20091102
20090919 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Widespread Minimal harm or potential for actual harm 20091102
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 81
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 90
Percent of long-stay residents whose need for help with daily activities has increased: 8
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 18
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 3
Percent of long-stay residents who are more depressed or anxious: 16
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 62
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 7
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 11
Percent of long-stay residents who had a urinary tract infection: 9
Percent of long-stay residents who lose too much weight: 15
Percent of short-stay residents given influenza vaccination during the flu season: 84
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 97
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 13
Percent of short-stay residents who have pressure sores: 18
# of Residents: 97
# RN Hours per Resident: 0.35
# LPN Hours per Resident: 1.31
# CNA Hours per Resident: 2.14
Total Staff Hours per Resident: 1.66