A list of the most recent deficiencies for Knox County Nursing Home District. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-13 | 2022-05-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-21 | 2022-01-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-21 | 2022-01-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-21 | 2022-01-18 | Y |
| Report COVID19 data to residents and families. | Health | 2021-09-21 | 2021-09-22 | N |
| Report COVID19 data to residents and families. | Health | 2021-07-26 | 2021-09-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-26 | 2021-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-26 | 2021-08-18 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-09-30 | 2020-11-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-09-30 | 2020-11-27 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-09-30 | 2020-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-30 | 2020-11-27 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-09-30 | 2020-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-30 | 2020-11-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-09-30 | 2020-11-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-09-30 | 2020-11-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-09-30 | 2020-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-30 | 2020-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-30 | 2020-11-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Use approved construction type or materials. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-30 | 2020-11-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-21 | 2019-04-05 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-02-21 | 2019-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-21 | 2019-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-21 | 2019-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-21 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-21 | 2019-04-05 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-02-21 | 2019-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-21 | 2019-04-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-21 | 2019-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-21 | 2019-04-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Develop a communication plan. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-02-01 | Not Fixed | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-01 | Not Fixed | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-01 | Not Fixed | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-01 | Not Fixed | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-01 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | Not Fixed | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-01 | Not Fixed | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-02-01 | Not Fixed | N |
| Post nurse staffing information every day. | Health | 2024-02-01 | Not Fixed | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-01 | Not Fixed | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-02-01 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | Not Fixed | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-01 | Not Fixed | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-02-01 | Not Fixed | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-01 | Not Fixed | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-01 | Not Fixed | N |
