Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
65% occupied
Based on a April 2019 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Deficiencies: 10
Date: Jun 21, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, bed-hold policies, care planning, activities of daily living, vision and hearing services, nutrition, medication management, and food safety.
Findings
The facility was found deficient in multiple areas including failure to promptly resolve grievances regarding missing personal belongings, failure to provide written bed-hold notices upon hospitalization, failure to conduct care plan conferences with residents or representatives, failure to ensure scheduled showers and grooming, failure to assist a resident in obtaining vision services, failure to follow physician orders for therapeutic diet, failure to monitor for side effects of psychotropic medications, failure to maintain hot food at proper temperatures, failure to accommodate dietary preferences, and failure to maintain and clean kitchen range hoods.
Deficiencies (10)
Failed to make prompt efforts to resolve grievances for missing personal belongings for 2 of 3 sampled residents.
Failed to provide written bed-hold notice to resident and representative at time of hospitalization for 5 of 5 sampled residents.
Failed to have care plan conference meeting with resident or representative for 6 of 6 sampled residents.
Failed to ensure 2 of 59 sampled residents received showers/baths as scheduled and failed to ensure 1 resident had clean and groomed fingernails.
Failed to ensure proper treatment and assistive devices to maintain vision for 1 of 59 residents.
Failed to follow physician orders related to therapeutic diet for 1 of 1 sampled residents.
Failed to adequately monitor for side effects or behaviors for 1 of 6 sampled residents reviewed for unnecessary medications.
Failed to maintain and serve hot food at or greater than 135 degrees Fahrenheit for 1 of 2 meal service observed.
Failed to accommodate dietary preferences for 5 of 5 sampled residents reviewed for dietary preferences.
Failed to maintain and clean the range hoods during 1 of 3 observations.
Report Facts
Residents affected: 2
Residents affected: 5
Residents affected: 6
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Named in grievance finding for missing electric razor charging cord |
| Licensed Practical Nurse #6 | 5th floor Unit Manager | Named in grievance finding for missing electric razor charging cord |
| Social Service Director | SSD | Named in grievance and bed-hold notice findings |
| Administrator | Named in grievance and bed-hold notice findings | |
| Licensed Practical Nurse #11 | LPN | Named in bathing and grooming deficiency |
| Licensed Practical Nurse #10 | LPN | Named in bathing and grooming deficiency |
| Certified Dietary Manager | CDM | Named in dietary preference and food temperature findings |
| Registered Dietician | RD | Named in dietary preference findings |
| Regional Nurse | Named in psychotropic medication monitoring deficiency | |
| Speech Therapist | Named in vision services deficiency |
Inspection Report
Deficiencies: 1
Date: Jun 21, 2023
Visit Reason
The inspection was conducted to evaluate compliance with the facility's comprehensive care plan requirements, specifically regarding the use of mechanical lifts for resident transfers.
Findings
The facility failed to follow the comprehensive care plan for 1 of 59 sampled residents by not using two staff members for mechanical lift transfers as required by policy and the resident's care plan.
Deficiencies (1)
Failed to develop and implement a complete care plan that meets all the resident's needs, including the requirement for two staff members to assist with mechanical lifts.
Report Facts
Residents sampled: 59
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #9 | Certified Nursing Assistant | Observed transferring Resident #92 alone with mechanical lift |
| Unit Manager #1 | Unit Manager | Confirmed two-person assist required for mechanical lifts |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 69
Deficiencies: 2
Date: Apr 10, 2019
Visit Reason
The inspection was conducted based on complaints regarding staff disrespectfully referring to residents requiring feeding assistance as 'feeders' and failure to investigate an incident involving a non-facility hypodermic syringe found in a resident's room.
Complaint Details
The complaint involved disrespectful staff language towards residents requiring feeding assistance and failure to investigate a non-facility hypodermic syringe incident. The findings substantiated that staff used inappropriate terms and the facility did not conduct a proper investigation of the syringe incident.
Findings
The facility failed to respectfully address one resident requiring feeding assistance by staff referring to residents as 'feeders' and did not investigate an incident involving a non-facility hypodermic syringe found in a resident's room. Interviews with staff confirmed inappropriate terminology use and lack of proper incident investigation.
Deficiencies (2)
Failure to respectfully address resident requiring feeding assistance, referring to resident as a feeder.
Failure to investigate an incident involving a non-facility hypodermic syringe found in a resident's room.
Report Facts
Residents requiring feeding assistance: 45
Residents reviewed: 69
Feeders on the floor: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNT #1 | Certified Nurse Technician | Interviewed regarding feeding assistance coordination |
| RN #1 | Registered Nurse, Staff Educator | Interviewed about training staff on appropriate terminology for feeding assistance |
| Administrator | Interviewed confirming appropriate terminology and failure to investigate syringe incident | |
| Director of Nursing | Interviewed confirming expectation for staff terminology regarding feeding assistance | |
| LPN #1 | Licensed Practical Nurse, Weekend Supervisor | Interviewed about incident report handling for hypodermic needle |
Inspection Report
Routine
Census: 56
Deficiencies: 2
Date: Mar 11, 2018
Visit Reason
The inspection was conducted to assess the facility's compliance with staffing requirements and environmental cleanliness, focusing on whether sufficient nursing staff were provided to meet residents' needs and if the nursing home environment was maintained clean and safe.
Findings
The facility failed to provide adequate nursing staff on the 5th floor on 3/11/18, resulting in residents experiencing delays in care such as waiting 40-45 minutes for assistance. Additionally, the facility failed to maintain a clean environment, as evidenced by a dirty fan in a resident's room.
Deficiencies (2)
Failed to provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Failed to maintain a clean environment for 1 of 5 observed fans on the 5th floor.
Report Facts
Residents on 5th floor: 56
Certified Nurse Aides scheduled: 4
Delay in resident care: 40
Delay in resident care: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #2 | Interviewed regarding staffing and resident care delays on 3/14/18 | |
| Certified Nurse Aide #3 | Interviewed regarding staffing and resident care delays on 3/14/18 | |
| Assistant Director of Nursing #2 | Interviewed confirming dirty fan directed toward resident on 3/12/18 |
Viewing
Loading inspection reports...
