Advanced Health Care of Nashville

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Nashville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 20, 2026

  Based on policy review, National Weather Service website review, medical record review, facility video footage review, fall investigation documentation review, Facility Reportable Incident investigation review, hospital record review, observation and interview, the facility failed to ensure a safe environment and provide adequate supervision to prevent an incident of elopement for 1 of 3 (Resident #62) sampled residents reviewed for wandering/elopement risk. The facility's failure resulted in Immediate Jeopardy on Sunday 12/22/2024 at 7:04 PM, when Resident #62, a vulnerable and cognitively impaired resident with wandering behaviors, eloped from the facility in temperatures of 30 degrees Fahrenheit, without a coat or layered clothing, fell and was subsequently transferred back into his… […]

• Immediate jeopardy, isolatedF600Oct 2, 2024

  Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to protect the resident's right to be free from neglect by facility staff for 1of 4 (Resident #1) sampled residents reviewed for abuse. On 8/18/2024, LPN G witnessed Resident #1's private sitter restraining his arms across his abdomen after an attempt to obtain a blood sample while the resident yelled No. Licensed Practical Nurse (LPN) G witnessed the private sitter's behavior escalate to crying and yelling before she left Resident #1 and the private sitter alone in the room. […]

• Immediate jeopardy, isolatedF604Oct 2, 2024

  Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to provide an environment free from the use of physical restraint used for staff convenience, that unnecessarily inhibited a resident's freedom of movement or activity for 1 of 1 (Resident #1) sampled residents reviewed for restraints. On 8/18/2024, a phlebotomist from an outside agency contracted with the facility and Resident #1's private sitter physically restrained Resident #1, while he yelled No during an attempt to obtain blood. The phlebotomist notified Licensed Practical Nurse (LPN) G that she was unable to obtain the blood, and LPN G entered Resident #1's room and observed Resident #1's private sitter holding his arms down across his body. […]

• Immediate jeopardy, isolatedF609Oct 2, 2024

  Based on facility policy review, medical record review, facility investigation review, and interviews, the facility failed to report an allegation of abuse for 1 of 4 (Resident #1) sampled residents reviewed for abuse. On 8/18/2024, Resident #1, a moderately, cognitively impaired resident was physically restrained by his private sitter while refusing a venipuncture (a procedure in which a needle is used to take blood from a vein). Licensed Practical Nurse (LPN) G observed the private sitter continuing the physical restraint of Resident #1 after the venipuncture attempt. LPN G failed to report the allegation of abuse to Administration. The facility's failure to ensure all allegations of abuse were reported immediately resulted in an Immediate Jeopardy (IJ). […]

• No harm, potential for more than minimal, isolatedF610Oct 2, 2024

  Based on facility policy review, medical record review, and interview, the facility failed to conduct a thorough investigation and take appropriate corrective actions for 1 of 1 (Resident #1) sampled residents reviewed for abuse. The findings included: Review of the facility policy titled, ABUSE POLICY AND PROCEDURE updated 7/25/2023, revealed .Any form of resident/patient abuse, mistreatment, neglect, misappropriation, exploitation, or deprivation of goods and/or services will not be tolerated .It is the responsibility of all employees to report resident/patient abuse .Patients will not be subjected to abuse by anyone including staff, other patients, consultants, or volunteers, contract employees or staff from other agencies serving our patients, family members, or legal guardians,… […]