A list of the most recent deficiencies for Tennessee Veterans Home. 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? |
|---|---|---|---|---|
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-08-14 | 2019-09-28 | 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 | 2019-08-14 | 2019-09-28 | 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 | 2019-08-14 | 2019-09-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-14 | 2019-09-28 | N |
| 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 | 2019-08-14 | 2019-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-12 | 2019-09-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-10 | 2018-10-27 | 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 | 2018-09-10 | 2018-10-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-12 | 2017-08-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-12 | 2017-08-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-12 | 2017-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-10 | 2017-07-18 | N |
