Mitchell-hollingsworth Nursing & Rehabilitation
MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL — inspection on September 18, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Based on findings from the statements, eyewitnesses, interviews and resident's history, it was concluded that there was a resident-to-resident altercation of Abuse-Physical between said residents.
During an interview on [DATE] at 2:48 PM, the Director of Nursing (DON) stated he recalled this incident, unsure what caused it, but resident had behaviors including wandering. DON added it was witnessed by the CNA. CNA5 and the Resident Assistant were unavailable for interview.
Facility ID:
Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-09-18.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-09-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.
Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-18.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-05.