Inspection Reports for NHC Maury Regional Transitional Care Unit
5010 Trotwood Avenue, Columbia, TN, 38401
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 15, 2023
Visit Reason
The inspection was conducted as an annual survey of the Nhc-Maury Regional Transitional Care Center to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 3
Date: Jun 5, 2019
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to nurse aide training, staff licensure, and infection prevention and control practices at Nhc-Maury Regional Transitional Care Center.
Findings
The facility failed to ensure nurse aides who worked more than 4 months were certified, employed a nurse with an expired license, and did not follow proper infection control practices including hand hygiene during contact isolation and wound care, potentially exposing residents to harm.
Deficiencies (3)
Failed to ensure 2 of 24 nurse aides were removed from the working schedule after 120 days of training without CNA certification.
Failed to ensure professional staff were licensed in accordance with state laws for 1 of 41 nurses reviewed (LPN with expired license).
Failed to ensure appropriate hand hygiene was performed by 3 of 8 staff during contact isolation and wound care, risking infection spread.
Report Facts
Nurse Aides not removed after 120 days: 2
Licensed Practical Nurse with expired license: 1
Staff failing hand hygiene: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Nurse Aide | Worked longer than 4 months without CNA certification |
| NA #2 | Nurse Aide | Worked longer than 4 months without CNA certification |
| LPN #2 | Licensed Practical Nurse | Worked with expired license |
| CNA #1 | Certified Nursing Assistant | Failed to perform appropriate hand hygiene during contact isolation |
| PTA #1 | Physical Therapist Assistant | Failed to perform appropriate hand hygiene during contact isolation |
| LPN #1 | Licensed Practical Nurse | Failed to perform appropriate hand hygiene during wound care |
Inspection Report
Routine
Deficiencies: 4
Date: Aug 1, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to treatment and care, respiratory care, dialysis communication, infection prevention, and other healthcare services at the nursing facility.
Findings
The facility was found deficient in multiple areas including failure to administer bowel movement protocol medications as ordered for residents, failure to maintain respiratory equipment in a sanitary manner, failure to ensure communication between the facility and dialysis clinic, and failure to maintain proper infection control practices during wound care.
Deficiencies (4)
Failure to administer treatment and services to restore normal bowel function for 2 of 4 residents reviewed for bowel incontinence.
Failure to maintain respiratory equipment in a sanitary manner for 2 of 2 residents reviewed for respiratory care.
Failure to ensure communication between the facility and the dialysis clinic for 1 of 1 resident reviewed for dialysis.
Failure to ensure infection control practices were maintained to prevent potential spread of infection during wound care.
Report Facts
Medication non-administration days: 6
Medication non-administration days: 3
Dialysis communication forms incomplete: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Reviewed toileting and medication records confirming missed bowel movement medications for Residents #229 and #230. |
| Nurse Practitioner | Interviewed and stated she was not aware of residents not having bowel movements and expected nurses to follow bowel protocol. | |
| Director of Nursing | Director of Nursing (DON) | Confirmed expectations for medication administration per bowel protocol, respiratory equipment storage, dialysis communication, and infection control practices. |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding respiratory equipment storage and confirmed improper storage practices. |
| RN #2 | Registered Nurse | Observed failing to perform hand hygiene during wound care. |
| CNA #1 | Certified Nursing Assistant | Observed failing to perform hand hygiene during wound care. |
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