Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 1, 2024
Visit Reason
The visit was conducted as a complaint survey at Graceland Rehabilitation and Nursing Center from April 5, 2024, through May 1, 2024.
Complaint Details
The complaint survey was substantiated by citations for failure to provide adequate care oversight, insufficient staffing, and neglect of a ventilated resident's hygiene and monitoring.
Findings
The facility was cited for deficiencies related to failure to provide proper oversight of care, insufficient and incompetent staffing, lack of readiness to perform CPR measures, and inadequate hair care and monitoring of a resident on ventilation.
Deficiencies (3)
Failure to administer the facility in a manner that provided oversight of the care being provided to residents and ensuring staff were sufficient in numbers and competent in their duties.
Staff were not readily available to perform cardiopulmonary resuscitation (CPR) measures for residents, and a nurse was not assigned to work on the Ventilation Unit.
A resident was observed connected to ventilation with matted, unkempt, and tangled hair, and staff acknowledged the resident had not been provided hair care or proper monitoring.
Report Facts
Civil Monetary Penalty: 1500
Days for payment submission: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Machelle Ann Calaway | Administrator | Named as the authorized representative of the facility and acknowledged deficiencies related to resident care and staff monitoring. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 15, 2023
Visit Reason
The visit was a follow-up survey conducted from February 13 to February 15, 2023, to determine if previously identified deficient practices detrimental to resident health, safety, or welfare had been corrected as stated in the facility's approved plan of correction.
Complaint Details
The original complaint survey was conducted from November 3 through December 2, 2022, which led to the suspension of admissions due to deficient practices. The follow-up survey confirmed correction of these deficiencies.
Findings
The follow-up survey found that the deficient practices had been corrected and the facility returned to substantial compliance. Consequently, the suspension of admission of new residents was lifted on February 23, 2023.
Report Facts
Inspection period: 33
Follow-up survey period: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Machelle A. Calaway | Administrator | Named as facility administrator in relation to the inspection and follow-up |
| Logan Grant | Executive Director | Signed the letter reporting the follow-up survey results and lifting of suspension |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Dec 2, 2022
Visit Reason
The inspection was conducted as a complaint survey at Graceland Rehabilitation and Nursing Center from November 3, 2022, through December 2, 2022, to investigate alleged violations of licensure statutes and regulations.
Complaint Details
The visit was complaint-related, triggered by allegations of violations detrimental to resident health, safety, or welfare. The investigation was completed on December 29, 2022.
Findings
The survey revealed serious violations detrimental to the health, safety, or welfare of residents, resulting in the suspension of new admissions and the assessment of six Type A civil monetary penalties totaling $45,000. The violations involved administration, residents' rights, performance improvement, infection control, and nursing services.
Deficiencies (6)
Tenn. Comp. R. & Regs. 0720-18-.04(1) Administration was violated with serious deficiencies detrimental to resident health and safety.
Tenn. Comp. R. & Regs. 0720-18-.04(15) Administration was violated with serious deficiencies detrimental to resident health and safety.
Tenn. Comp. R. & Regs. 0720-18-.12(1)(g) Residents Rights were violated with serious deficiencies detrimental to resident health and safety.
Tenn. Comp. R. & Regs. 0720-18-.06(l)(a) Basic Service [Performance Improvement] was violated with serious deficiencies detrimental to resident health and safety.
Tenn. Comp. R. & Regs. 0720-18-.06(3)(a) Basic Services [Infection Control] was violated with serious deficiencies detrimental to resident health and safety.
Tenn. Comp. R. & Regs. 0720-18-.06(4)(b) Basic Services [Nursing Service] was violated with serious deficiencies detrimental to resident health and safety.
Report Facts
Type A Civil Monetary Penalties: 6
Total Civil Monetary Penalty Amount: 45000
Monitor Hours: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Logan Grant | Executive Director | Signed the order assessing penalties and suspension of admissions |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jun 11, 2019
Visit Reason
The visit was an annual licensure survey conducted by the Department of Health from June 8, 2019 through June 11, 2019.
Findings
The facility was found to be in violation of medication storage requirements, specifically improper storage of internal and external medications and preparations. A Type C Civil monetary penalty of $250.00 was assessed based on these findings.
Deficiencies (1)
Tenn. Code Ann. § 68-11-804(c)7 and rule 1200-08-06-.06(6)(b): Internal and external medications and preparations intended for human use were not stored separately and securely. Cabinets or drug rooms were not properly locked when not in use, and poisons or external medications were stored in the same compartment without proper labeling.
Report Facts
Monetary penalty amount: 250
Days written notice: 3
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