Inspection Reports for
Westmoreland Health And Rehabilitation Center
TN, 37186
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 8
Date: Feb 27, 2022
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident rights, care planning, infection control, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity and privacy, incomplete and unimplemented care plans, improper wound care and medication administration, inadequate infection prevention practices, and unsanitary food storage and handling conditions.
Deficiencies (8)
Failure to keep Resident #8 clothed or covered and failure to ensure privacy covers on urinary catheter drainage bags for Residents #33, #43, and #54.
Failure to have a call light within reach for Resident #27.
Failure to implement person-centered care plans for Residents #14, #43, and #50 regarding respiratory care, anticoagulant therapy, and elopement risk respectively.
Failure to revise care plan for Resident #8 to include preference for wearing only a brief.
Failure to ensure Resident #63 had clean and groomed fingernails.
Failure to follow physician's orders for wound dressing changes for Resident #38, midline dressing changes for Resident #43, and medication administration for Resident #59.
Failure to store food at proper temperatures, prevent contamination, and maintain dietary department sanitation.
Failure to prevent spread of infection related to urinary catheter drainage bag and tubing placement, oxygen tubing touching floor, and failure to don appropriate PPE in Transmission Based Precaution rooms.
Report Facts
Residents sampled: 93
Residents affected by dignity/privacy deficiency: 4
Residents affected by call light deficiency: 1
Residents affected by care plan deficiencies: 4
Residents affected by nail grooming deficiency: 1
Residents affected by treatment and care deficiencies: 3
Residents affected by food safety deficiencies: 89
Residents affected by infection control deficiencies: 2
Walk-in cooler temperature: 43
Nourishment refrigerator temperature: 44
Sanitizing solution concentration: 100
Blood glucose level: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Confirmed Resident #8 should be clothed/covered and care planned for preference; confirmed elopement risk not on Resident #50's care plan; confirmed expectation to follow physician orders for Resident #59; confirmed infection control issues for Resident #54 and #60. |
| RN #1 | Registered Nurse | Confirmed urinary catheter drainage bags not in privacy covers for Residents #33, #43, and #54; confirmed urinary drainage bag and tubing laying on floor for Resident #54. |
| LPN #1 | Licensed Practical Nurse | Confirmed Resident #63's nails were dirty and long; confirmed wound dressing on Resident #38 was not changed as ordered. |
| LPN #2 | Licensed Practical Nurse | Confirmed wound dressing on Resident #38 was not changed on due date. |
| LPN #5 | Licensed Practical Nurse | Confirmed did not change wound dressing on Resident #38 on due date. |
| RN #3 | Licensed Practical Nurse | Confirmed failure to administer ordered glucagon to Resident #59. |
| Certified Nurse Aide #1 | Certified Nurse Aide | Confirmed Resident #63's nails were dirty and long. |
| Certified Nurse Aide #5 | Certified Nurse Aide | Confirmed took meal tray into TBP room without appropriate PPE. |
| Certified Medication Assistant #2 | Certified Medication Assistant | Stated Resident #8 does not like to be clothed or covered. |
| MDS Coordinator #1 | MDS Coordinator | Confirmed care plan deficiencies for Residents #8, #14, and #43. |
| MDS Coordinator #2 | MDS Coordinator | Confirmed Resident #14 had no care plan for respiratory care. |
| Unit Manager | Licensed Practical Nurse (LPN) | Confirmed call light should be placed near Resident #27's face. |
| Certified Dietary Manager | Certified Dietary Manager (CDM) | Confirmed food safety and sanitation deficiencies including improper food storage temperatures, contamination risks, and sanitizing solution concentration. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 8, 2019
Visit Reason
The inspection was conducted as a routine annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met the required standards at the time of the survey.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: May 10, 2018
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care and facility operations.
Findings
The facility was found deficient in providing appropriate pressure ulcer care for one resident due to failure to follow physician's orders for heel floats. Additionally, the dietary department failed to maintain equipment in a sanitary manner during multiple observations.
Deficiencies (2)
Failed to follow Physician's Orders for application of heel floats for Resident #73.
Dietary department failed to maintain dietary equipment in a sanitary manner in 2 of 5 observations.
Report Facts
Residents affected: 1
Observations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding Resident #73's heel floats and suspected deep tissue injury | |
| Registered Nurse (RN) #1 | Interviewed confirming expectation of heel floats placement on residents in bed | |
| Certified Dietary Manager (CDM) | Interviewed confirming dietary equipment sanitation deficiencies |
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