F760 citations in Tennessee

Based on policy review, medical record review, and interview, the facility failed to ensure residents were free from significant medication errors for 25 of 26 sample residents (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23, #24, #35, #36, #38, #40, and #41) reviewed for medication administration. The facility's failure resulted in Immediate Jeopardy (IJ) when the residents' medications were not administered as prescribed for December 2023, January 2024, February 2024, March 2024, and April 2024, and had the likelihood to cause serious adverse outcomes. …

Graceland Rehabilitation and Nursing Care Center

Based on facility policy review, medical record review, Police Report review, Emergency Medical Services (EMS) records review, hospital records review, personnel files review, the facility's corrective actions review, and interview, the facility failed to avoid a significant medication error for 1 of 4 (Resident #4) residents reviewed for medication compliance. The facility's failure to prevent, timely detect and correct transcription errors contained in the electronic medication administration record (eMAR), resulted in a Morphine overdose (twenty times the prescribed dose) for Resident #4, causing hospitalization and actual Harm to Resident #4. …

Smoky Mountain Health and Rehabilitation Center

Based on interview and record review, the facility failed to ensure residents were free from significant medication errors, which affected 1 of 1 (Resident #4) resident reviewed for antibiotic use. Findings include:An Face Sheet indicated the facility originally admitted Resident #4 on 04/15/2025 and readmitted the resident on 05/13/2026. According to the Face Sheet, the resident had a medical history that included diagnoses of pressure ulcer of sacral region, stage 4, and osteomyelitis (infection in a bone) of vertebra, sacral, and sacrococcygeal region.A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/09/2025, revealed Resident #4 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. …

Rainbow Rehab and Healthcare