A list of the most recent deficiencies for Viviant Healthcare of Murfreesboro. 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? |
---|---|---|---|---|
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-08-11 | 2023-09-20 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-11 | 2023-09-20 | Y |
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 | 2023-08-11 | 2023-09-20 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-11 | 2023-09-20 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-20 | Y |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-08-11 | 2023-09-20 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-20 | 2023-04-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-07 | 2023-03-24 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-20 | 2023-02-18 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-20 | 2023-02-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-02-18 | N |
Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-02-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-20 | 2023-02-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-18 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-20 | 2023-02-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-20 | 2023-02-18 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-20 | 2023-02-18 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-20 | 2023-02-18 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-20 | 2023-02-18 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-18 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-20 | 2023-02-18 | N |
Report COVID19 data to residents and families. | Health | 2023-01-20 | 2023-02-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-01 | 2022-06-25 | Y |
Respond appropriately to all alleged violations. | Health | 2022-06-01 | 2022-06-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-06-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-25 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-21 | 2022-02-08 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-21 | 2022-02-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-28 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-14 | 2021-10-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-06 | 2021-04-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-04-25 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-12 | 2020-03-27 | N |
Provide activities to meet all resident's needs. | Health | 2020-02-12 | 2020-03-27 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-02-12 | 2020-03-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-27 | N |
Keep all essential equipment working safely. | Health | 2020-02-12 | 2020-03-27 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-12 | 2020-03-27 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-21 | 2019-03-31 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-21 | 2019-03-31 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-21 | 2019-03-31 | 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 | 2019-02-21 | 2019-03-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-21 | 2019-03-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-05 | 2018-04-24 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-05 | 2018-04-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-03-07 | 2018-04-21 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-07 | 2018-04-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-04-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | Not Fixed | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-09 | Not Fixed | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | Not Fixed | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | Not Fixed | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-09 | Not Fixed | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | Not Fixed | Y |
Respond appropriately to all alleged violations. | Health | 2023-11-09 | Not Fixed | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | Not Fixed | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | Not Fixed | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | Not Fixed | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-09 | Not Fixed | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-09 | Not Fixed | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-11-09 | Not Fixed | Y |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-11-09 | Not Fixed | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-09 | Not Fixed | Y |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-11-09 | Not Fixed | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | Not Fixed | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-09 | Not Fixed | Y |
Provide and implement an infection prevention and control program. | Health | 2023-11-09 | Not Fixed | Y |