Inspection Reports for
The Heritage at Brentwood
900 Heritage Way, Brentwood, TN 37027, United States, TN, 37027
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Apr 20, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident rights and pressure ulcer care at Somerfield at the Heritage nursing home.
Findings
The facility failed to provide information regarding residents' rights to develop Advance Directives for 2 of 11 sampled residents. Additionally, the facility failed to accurately assess and reclassify a pressure injury for 1 sampled resident.
Deficiencies (2)
F 0578: The facility failed to provide information regarding a resident's right to develop an Advance Directive for 2 of 11 sampled residents. There was no documentation that residents or their legal representatives were informed or provided written information about Advance Directives upon admission.
F 0686: The facility failed to accurately assess a pressure injury for 1 sampled resident. A Stage 2 pressure injury present on admission was not reclassified as Stage 3 or unstageable when clinical evidence indicated progression.
Report Facts
Sampled residents for Advance Directives: 11
Residents affected by Advance Directive deficiency: 2
Sampled residents for pressure ulcers: 1
Residents affected by pressure ulcer deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Confirmed lack of Advance Directive documentation for Residents #49 and #302 | |
| Director of Nursing | Confirmed pressure injury assessment deficiencies for Resident #205 |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 18, 2019
Visit Reason
Annual inspection survey completed for regulatory compliance of the nursing home facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Jan 29, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, medication availability, medication administration, and medication storage at the nursing home.
Findings
The facility failed to maintain privacy and confidentiality of medical records, ensure availability of medications for administration, prevent significant medication errors related to insulin administration timing, and secure medication storage carts when unattended.
Deficiencies (4)
F 0583: The facility failed to maintain privacy and confidentiality of medical records for 1 of 5 sampled residents when personal health information was visible on an unattended medication cart computer monitor.
F 0755: The facility failed to ensure medications were available for administration for 1 of 4 residents observed during medication pass when ergocalciferol was not available for 3 days.
F 0760: The facility failed to ensure residents were free from significant medication errors when a nurse failed to provide food promptly after a rapid-acting insulin injection for 1 of 4 residents.
F 0761: The facility failed to ensure medications were securely locked and inaccessible in 1 of 4 medication storage areas when a medication cart was found unlocked and unattended.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Medication doses missed: 3
Insulin units administered: 8
Time delay: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse | Named in privacy and medication availability findings |
| RN #1 | Registered Nurse | Named in medication error finding related to insulin administration |
| Interim Director of Nursing | Interim Director of Nursing | Interviewed regarding privacy, medication availability, medication administration, and medication storage deficiencies |
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