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Complaint Investigation

Mitchell-hollingsworth Nursing & Rehabilitation

Inspection Date: September 18, 2025
Total Violations 6
Facility ID 015031
Location FLORENCE, AL
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION in FLORENCE, AL for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-09-18.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

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F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0700

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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