Deficiency Records for Nashville Center For Rehabilitation and Healing Ll
Updated as of February 01, 2021
This is not the most recent data for Nashville Center For Rehabilitation and Healing Ll. For the most recent information, click here.
A list of the most recent deficiencies for Nashville Center For Rehabilitation and Healing Ll. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-20 | 2020-03-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-20 | 2020-03-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-26 | 2019-11-27 | 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 | 2019-04-24 | 2019-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-24 | 2019-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-24 | 2019-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-22 | 2019-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-22 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-22 | 2019-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-22 | 2019-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-22 | 2019-05-17 | N |
| Be properly staffed | Fire Safety | 2019-04-22 | 2019-05-17 | 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 | 2018-12-20 | 2019-01-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-12-20 | 2019-01-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-12-20 | 2019-01-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-20 | 2019-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-12-20 | 2019-01-25 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-09 | 2018-05-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-11 | 2018-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-11 | 2018-05-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-11 | 2018-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-11 | 2018-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-11 | 2018-05-01 | N |
| Keep all essential equipment working safely. | Health | 2018-04-11 | 2018-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-11 | 2018-05-01 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-09 | 2018-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-09 | 2018-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-09 | 2018-04-09 | 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 | 2017-01-23 | 2017-03-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-25 | 2017-03-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-25 | 2017-03-11 | N |
