Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 1
Date: Sep 14, 2022
Visit Reason
The inspection was conducted to assess compliance with COVID-19 testing requirements for staff with medical and religious exemptions during the specified weeks in August and September 2022.
Findings
The facility failed to develop and implement a system to ensure all exempted staff performed twice weekly COVID-19 testing as required, with 3 of 8 staff members not completing the testing for 3 of 4 weeks reviewed, potentially affecting resident safety.
Deficiencies (1)
Failure to ensure all staff with medical and religious exemptions performed twice weekly COVID-19 testing as required.
Report Facts
Staff members not performing required testing: 3
Weeks reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding staff COVID-19 testing compliance |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Aug 22, 2019
Visit Reason
The inspection was conducted due to complaints regarding failure to notify physicians of pressure ulcers, inadequate pressure ulcer care, failure to provide mouth and nail care, improper medication monitoring, and unsanitary food handling practices.
Complaint Details
The complaint investigation revealed substantiated issues including failure to notify physicians about pressure ulcers, inadequate wound care, failure to provide mouth and nail care, improper medication monitoring and documentation, and unsanitary food handling practices.
Findings
The facility failed to notify physicians about pressure ulcers and their deterioration, failed to provide adequate pressure ulcer care and mouth/nail care, failed to monitor side effects and document appropriate diagnoses for psychotropic medications, and failed to maintain sanitary food handling practices including hair restraints and separation of clean and dirty trays.
Deficiencies (5)
Failure to notify physician of a pressure ulcer on admission and deterioration to an unstageable pressure ulcer for Resident #138.
Failure to provide mouth and nail care for Resident #29.
Failure to provide appropriate pressure ulcer care and prevent new ulcers for Residents #53 and #138.
Failure to monitor side effects and behaviors and failure to document an appropriate diagnosis for antipsychotic medication for Resident #58.
Failure to ensure food was stored, prepared, and served under sanitary conditions including hair and beard restraints and improper handling of meal trays.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 126
Pressure ulcer measurements: 5.5
Pressure ulcer measurements: 4.9
Pressure ulcer measurements: 4.8
Pressure ulcer measurements: 0.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Admitting nurse for Resident #138 and signer of general orders related to pressure ulcer care |
| Licensed Practical Nurse #3 | LPN | Performed wound assessments and interviewed regarding pressure ulcer care for Resident #138 |
| Director of Nursing | DON | Interviewed regarding wound care, physician notification, and facility policies |
| Physician #1 | Physician | Resident #138's physician interviewed about notification of pressure ulcer |
| Nurse Practitioner | Nurse Practitioner | Interviewed regarding notification and treatment orders for Resident #138's pressure ulcer |
| Certified Dietary Manager | CDM | Interviewed regarding sanitary conditions in kitchen and hair restraint policies |
| Unit Manager #1 | Unit Manager | Interviewed regarding pressure ulcer care for Resident #138 |
| Unit Manager #2 | Unit Manager | Interviewed regarding medication side effect and behavior monitoring documentation |
Inspection Report
Deficiencies: 2
Date: Oct 17, 2018
Visit Reason
The inspection was conducted to assess compliance with safety and medication storage regulations in the nursing home.
Findings
The facility failed to ensure the environment was free from accident hazards, as sharps and aerosol cans were found in resident rooms. Additionally, medications were not stored securely or safely, with unattended medications observed in multiple resident rooms.
Deficiencies (2)
Facility failed to ensure the area was free from accident hazards as evidenced by sharps and aerosol cans in resident rooms.
Facility failed to ensure medications were stored securely and safely as evidenced by unattended medications in resident rooms.
Report Facts
Residents affected: 116
Residents affected: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding storage of sharps, aerosol cans, and medications |
Viewing
Loading inspection reports...
