Deficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
16% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Census: 91
Deficiencies: 10
Date: Sep 13, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, environment, and facility operations at Nhc Healthcare, Farragut.
Findings
The facility was found deficient in maintaining a sanitary, orderly, and comfortable environment for residents, implementing baseline and comprehensive care plans, following physician orders for wound care, ensuring proper toileting interventions, maintaining accurate medical records, and adhering to food safety and waste disposal standards.
Deficiencies (10)
Failed to maintain a sanitary, orderly, and comfortable interior environment for 5 residents related to unsanitary portable air conditioning units and foul odors in resident rooms.
Failed to provide a summary of the baseline care plan to 1 resident within 48 hours of admission.
Failed to implement the comprehensive care plan for 1 resident related to wound care (heel protector not in place).
Failed to update a comprehensive care plan to include prompted toileting for 1 resident with bladder incontinence.
Failed to follow physician's order for pressure reducing device and wound care for 1 resident, including use of expired betadine.
Failed to provide scheduled/prompted toileting for 1 resident identified as a candidate for this intervention.
Failed to ensure nurse aide was removed from working schedule after 120 days of NAT program without certification.
Failed to properly store opened food items in dry storage and reach-in freezer, including unlabeled and partially used items.
Failed to properly dispose of garbage and refuse; dumpster was uncovered and littered with food containers attracting pests.
Failed to maintain accurate medical records related to insulin administration and blood sugar rechecks for 1 resident.
Report Facts
Residents reviewed for environment: 91
Residents affected by environmental deficiency: 5
Residents reviewed for baseline care plans: 24
Residents affected by baseline care plan deficiency: 1
Residents reviewed for wounds: 3
Residents affected by wound care deficiency: 1
Residents reviewed for comprehensive care plans: 22
Residents affected by comprehensive care plan deficiency: 1
Residents reviewed for scheduled toileting: 22
Residents affected by toileting deficiency: 1
Nurse Aides reviewed: 4
Nurse Aides affected by training deficiency: 1
Residents affected by food storage deficiency: 89
Dumpsters observed: 2
Dumpsters with deficiencies: 1
Residents reviewed for medical records: 19
Residents affected by medical record deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Administered insulin and rechecked blood sugar for Resident #6 |
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including wound care, medical record accuracy, and care plan implementation |
| Social Services Coordinator | Social Services Coordinator | Interviewed Resident #218 and confirmed lack of baseline care plan summary |
| Maintenance Director | Maintenance Director | Confirmed unsanitary conditions related to portable air conditioning units and odors |
| Wound Care Licensed Practical Nurse | Licensed Practical Nurse | Confirmed wound care deficiencies for Resident #45 and Resident #40 |
| Certified Nurse Aide #1 | Certified Nurse Aide | Reported no instructions for prompted toileting for Resident #9 |
| Registered Nurse Unit Manager #2 | Registered Nurse Unit Manager | Confirmed lack of prompted toileting intervention for Resident #9 |
| NAT Instructor | Nurse Aide Training Instructor | Confirmed NA #1 took certification exam after 120 days |
| Registered Nurse Unit Manager | Registered Nurse Unit Manager | Confirmed NA #1 worked on floor without certification |
| Administrator | Administrator | Confirmed NA #1 had not tested within 120 days and worked as NA |
| Dietary Manager | Dietary Manager | Confirmed improper food storage and uncovered dumpster |
| Regional Dietician | Regional Dietician | Observed food storage and dumpster conditions |
| Medical Director | Medical Director | Commented on expired betadine use and wound healing |
| Pharmacist | Pharmacist | Provided professional opinion on expired betadine use |
Inspection Report
Routine
Deficiencies: 1
Date: Jan 30, 2020
Visit Reason
The inspection was conducted to review medication administration practices and compliance with facility policy regarding timely medication administration for residents.
Findings
The facility failed to ensure medications were administered in a timely manner within the 1 hour before or after the scheduled time for 6 of 10 residents reviewed. Multiple instances of late medication administration were documented for residents #56, #63, #72, #3, #349, and #191. Interviews with nursing staff and the Director of Nursing confirmed the late administration and non-compliance with facility policy.
Deficiencies (1)
Failure to administer medications in a timely manner within the 1 hour before or after scheduled time for multiple residents.
Report Facts
Residents reviewed for unnecessary medications: 10
Residents affected: 6
Medication late administration instances: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse | Confirmed Resident #56's medications were administered late several times in January. |
| RN #4 | Registered Nurse | Confirmed failure to administer Resident #63's medications within the 1 hour before or after scheduled times. |
| DON | Director of Nursing | Confirmed facility failed to ensure timely medication administration for Residents #56 and #63. |
| LPN #2 | Licensed Practical Nurse | Stated medications were sometimes given late and documented as such. |
| LPN #1 | Licensed Practical Nurse | Confirmed nurses had 1 hour before and after scheduled time to administer medications. |
| RN #1 | Registered Nurse | Confirmed expectation for medication administration within 1 hour before or after scheduled time. |
| RN #5 | Registered Nurse | Confirmed medications for Resident #349 were administered late. |
| LPN #3 | Licensed Practical Nurse | Confirmed medication administration time range for scheduled 9:00 AM medications. |
| RN #2 | Registered Nurse | Confirmed medications could be administered 1 hour before or after scheduled time. |
| Consultant Pharmacist | Noted trend of late administration of 8AM and 9AM scheduled medications during monthly chart reviews. | |
| Medical Director | Stated expectation for nurses to administer medications within 1 hour before or after scheduled time. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 7, 2018
Visit Reason
Annual survey inspection of Nhc Healthcare, Farragut nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
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