Alta Heights Post Acute

In the surveyor’s words

From the most serious findings on record at Alta Heights Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Feb 27, 2025

  Based on the facility policy review, observations and interviews, the facility failed to properly label, date and store food items in the kitchen and failed to properly store, label and date personal resident food items in the 300 Hall nourishment room. The findings included: 1. Review of the facility policy titled Food Receiving and Storage dated November 2022, revealed .All food stored in the refrigerator or freezer are covered, labeled and dated ['use by' date] .All foods belonging to residents are labeled with the resident's name, the item and the 'use by' date .beverages are dated when opened and discarded after twenty-four (24) hours .partially eaten food is not kept in the refrigerator . […]

• No harm, potential for more than minimal, patternF880Feb 27, 2025

  Based on policy review, observation, and interview the facility failed to ensure practices to prevent the potential spread of infection were maintained when 3 of 3 nurses (Licensed Practical Nurse (LPN O, LPN W, LPN X) failed to clean reusable equipment before and after use and failed to use protective barriers, and when 1 of 3 nurses (LPN X) failed to wear Personal Protective Equipment (PPE) in enhanced barrier precaution rooms. The findings include: 1. Review of the facility's policy titled Enhanced Barrier Precautions, dated 2001, revealed Enhanced barrier precautions (EBPs) are utilized to reduce the transmission of multi-drug resistant organisms (MDROs) to residents .EBPs are indicated .for resident with wounds and/or indwelling medical devices regardless of MDRO colonization… […]

• No harm, potential for more than minimal, patternF921Feb 27, 2025

  Based on policy review, observation, and interview, the facility failed to provide and maintain a safe and sanitary environment for 11 of 48 occupied rooms (Resident #5, #9, #29, #36, #40, #44, #51, #65, #20 and #67's room, #68 and #27's room, and #72, and #73's room) when there was a broken/missing piece on the window blind, a sharp screw exposed on the closet door, there were holes in the wall, missing hooks from the privacy curtain, the air conditioner's front panel and filter was off, a cable cord box was not attached to the wall, there were bulging and missing pieces from the over tables, there were missing laminate pieces from the dresser and nightstands, plaster was peeling from the wall, uncovered corner pieces on the wall, a broken bed with no mattress stored in a resident's room,… […]

• No harm, potential for more than minimal, isolatedF641Apr 29, 2026

  Based on review of the Resident Assessment Instrument Manual Version 1.20.1, medical record review, and interview, the facility failed to complete an accurate Minimum Data Set (MDS) assessment for 2 of 18 (Resident #62 and #74) residents reviewed for MDS discrepancies. The findings include: 1. Review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1, dated October 2025, revealed .J1800: Any Falls Since Admission/Entry or Reentry or Prior Assessment .1. Yes .Continue to J1900, Number of Falls Since .Prior Assessment .Code 2, two or more: if the resident had two or more .falls since admission/entry or reentry or prior assessment .L0200 .Check all that apply . […]

• No harm, potential for more than minimal, isolatedF558Feb 27, 2025

  Based on policy review, interview, and observation, the facility failed to provide reasonable accommodations of needs for water temperature when bathing for 3 of 14 sampled residents (Resident #24, #28, and #64) interviewed for activities of daily living. The findings include: 1. Review of the facility policy titled, Resident Rights, dated 8/2009, revealed .Employees shall treat all residents with kindness, respect, and dignity .Federal and state laws guarantee certain basic rights to all residents of the facility . Review of the Rules of the Tennessee Health Facilities Commission dated July 2022, revealed .Water distribution systems shall be arranged to provide hot water at each hot water outlet at all times. […]