Inspection Reports for Tucker Nursing & Rehab Center

An abbreviated/partial extended survey was conducted to investigate complaints GA00255151 and GA00255279 at Tucker Wellness and Rehabilitation Center.

The complaints were substantiated but no deficiencies were cited during the survey.

Complaints GA00255151 and GA00255279 were substantiated with no deficiencies cited.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints identified by their codes from 11/12/2024 through 12/3/2024.

All complaints investigated during the survey were unsubstantiated, and no regulatory violations were cited.

Complaints GA00252583, GA00252568, GA00252008, GA00251984, GA00251425, GA00250731, GA00248890, GA00248355, and GA00247669 were investigated and found to be unsubstantiated.

The document is a statement of deficiencies and plan of correction for Tucker Wellness and Rehabilitation Center, indicating a regulatory inspection was conducted.

The report contains an initial comment section but does not provide specific details on deficiencies or findings.

A Life Safety Code Revisit was conducted to verify correction of previously cited Life Safety Code deficiencies.

All previously cited Life Safety Code deficiencies had been corrected at the time of the revisit.

A health revisit survey was conducted to verify correction of deficiencies cited in the June 6, 2024 Recertification Survey conducted in conjunction with a Complaint survey.

All deficiencies cited as a result of the June 6, 2024 Recertification Survey and Complaint survey were found to be corrected.

The inspection was a State Licensure survey conducted from June 2, 2024 through June 6, 2024, to determine compliance with the State Long Term Care Requirements.

The facility was cited for deficiencies including failure to properly store over-the-counter medication securely for one resident, and failure to provide adequate assistance with activities of daily living related to facial hair removal for another resident.

A standard survey was conducted from June 2, 2024 through June 6, 2024, including investigation of multiple complaint intake numbers which were found unsubstantiated.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to ADL care, hazardous chemical storage, medication storage, and inaccurate nurse staffing data reporting.

Complaint Intake Numbers GA00243895, GA00244095, GA00246234, GA00244818, GA00243591, and GA00246194 were investigated and found unsubstantiated.

The visit was a Life Safety Code survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.

The facility was found not in substantial compliance with fire safety requirements, including improper sealing of penetrations above the North Hall smoke compartment with foam instead of proper U.L. caulk, a deteriorated door latch at the South shower room, and an unsafe extension cord running through the ceiling in the laundry room behind the boilers.

This document is a Statement of Deficiencies and Plan of Correction for Tucker Wellness and Rehabilitation Center following a survey completed on 12/28/2023.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the complaint survey on 2023-11-03.

All deficiencies cited as a result of the 11/3/2023 complaint survey were found to be corrected.

This survey was a follow-up to a complaint survey conducted on 11/3/2023; all cited deficiencies were corrected.

The inspection was a Licensure Survey conducted from October 10, 2022 through November 3, 2023, to assess compliance with facility regulations including enforcement of the no smoking policy and emergency care preparedness for residents with tracheostomies.

The facility failed to enforce its no smoking policy, allowing staff and a resident to smoke near an active propane tank, and failed to maintain emergency tracheostomy supplies at the bedside of a resident with a tracheostomy. These failures created Immediate Jeopardy risks to resident safety. The facility submitted a credible allegation of compliance and removal plan, which was validated as of October 20, 2023, but the facility remains out of compliance while continuing to implement a Plan of Correction.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint numbers initiated on 10/10/2023 and concluded on 11/3/2023, focusing on allegations including lack of emergency tracheostomy supplies, smoking violations, and medication issues.

The facility was found to be in Immediate Jeopardy due to failure to have emergency tracheostomy supplies at the bedside for resident R2, failure to enforce a no-smoking policy resulting in staff and a resident smoking near an active propane tank, and failure to ensure licensed nursing staff were trained and competent in emergency tracheostomy care. Additionally, non-pharmacist labeled medications were provided at discharge for resident R9. A credible allegation of compliance was received on 10/25/2023 with corrective actions implemented by 10/20/2023, but the facility remains out of compliance while continuing oversight and plan of correction.

The investigation was initiated due to multiple complaints including GA00239990 and GA00233483. Immediate Jeopardy was identified related to lack of emergency trach supplies and smoking violations. A credible allegation of compliance was received on 10/25/2023 with corrective actions implemented by 10/20/2023.

The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.

The report contains initial comments but does not provide detailed findings or deficiencies.

A revisit was conducted at Tucker Wellness and Rehabilitation Center to verify correction of deficiencies cited during the standard recertification survey and complaint investigations.

All deficiencies cited as a result of the standard recertification survey and complaints investigated were found to be corrected as of 2023-01-25.

The inspection was a Licensure Survey conducted from December 22, 2022 through December 27, 2022 to assess compliance with licensure requirements for the facility.

The facility failed to maintain a clean and comfortable home-like environment, evidenced by dirty wheelchairs for four residents and six resident rooms with dirty floors, windowsills, damaged walls and doors, dirty equipment, and an improperly functioning air mattress. Environmental concerns were verified by the Administrator and Director of Nursing.

A standard survey was conducted from December 20, 2022 through December 27, 2022, investigating multiple complaint intake numbers in conjunction with the standard survey to assess compliance with Medicare/Medicaid regulations.

The facility was found not in substantial compliance with regulations, with deficiencies including unclean wheelchairs for four residents, dirty and damaged resident rooms, failure to develop a baseline care plan for a newly admitted resident with complex needs, and incomplete discharge summary documentation for one resident.

Multiple complaint intake numbers (GA00219341, GA00220202, GA00221218, GA00222995, GA00224925, GA00226440, GA00226866, GA00219892, GA00221202, GA221847, GA00223746, GA00226148, GA00228037, GA00220096) were investigated in conjunction with the standard survey.

A Life Safety Code Survey was conducted to assess compliance with fire safety and related regulations, including review of the Emergency Preparedness Program.

The facility was found in compliance with the requirements for participation in Medicare/Medicaid at 42 CFR Subpart 483.90(a) and the NFPA 101 Life Safety Code 2012 edition. The North Hallway was not surveyed due to 16 COVID patients being assessed in their rooms.

An Abbreviated/Partial Extended Survey was conducted in conjunction with a COVID-19 Focused Infection Control survey to investigate multiple complaints and infection control compliance at Tucker Wellness and Rehabilitation Center.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 related to emergency preparedness and infection control regulations. Several complaints were investigated, with some substantiated but no deficiencies identified. The facility implemented CMS and CDC recommended practices for COVID-19 preparation.

Complaints #GA00213332, #GA00214278, #GA00217100, and #GA00218932 were unsubstantiated. Complaints #GA00211238, #GA00214317, #GA00214957, #GA00216742, #GA00216784, #GA00217463, and #GA00217654 were substantiated with no deficiencies.