Deficiency Records for Tennova Lafollette Health and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Tennova Lafollette Health and Rehab Center. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-29 | 2022-07-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-05-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-06 | 2022-05-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-06 | 2022-05-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-06 | 2022-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-06 | 2022-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-06 | 2022-05-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-06 | 2022-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-21 | 2020-02-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-21 | 2020-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-23 | 2020-02-10 | 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 | 2020-01-23 | 2020-02-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-23 | 2020-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-23 | 2020-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-21 | 2020-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-21 | 2020-01-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-03 | 2019-01-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-03 | 2019-01-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-05 | 2018-12-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-05 | 2018-12-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-12-03 | 2018-12-19 | N |
