Bledsoe County Nursing Home

In the surveyor’s words

From the most serious findings on record at Bledsoe County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641May 7, 2026

  Based on interview, record review, and facility policy review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for 4 (Residents #3, #6, #12, and #23) of 4 sampled residents reviewed for resident assessment. Findings included:A facility policy titled, MDS Assessment Coordinator, revised 11/2019, indicated, 3. Each individual who completes a portion of the assessment (MDS) must certify the accuracy of that portion of the assessment by: a. dating and signing the assessment (MDS); and b. identifying each section completed. 1. An admission Record revealed the facility admitted Resident #23 on 08/02/2009. According to the admission Record, the resident had a medical history that included a diagnosis of type 2 diabetes mellitus with hyperglycemia. […]

• No harm, potential for more than minimal, isolatedF698May 7, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure there was a physician's order and a care plan for dialysis for 1 (Resident #18) of 1 sampled resident reviewed for dialysis. Findings included: A facility policy titled, Hemodialysis, implemented 07/30/2021, revealed, The facility will provide the necessary care and treatment, consistent with professional standards of practice, physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences, to meet the special medical, nursing, mental and psychosocial needs of residents receiving hemodialysis. Per the policy, 12. The facility will ensure that the physician's orders for dialysis include: a. The type of access for dialysis and location; b. […]

• No harm, potential for more than minimal, isolatedF644Aug 8, 2023

  Based on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-Admission Screening and Resident Review (PASARR) after a new mental health diagnosis for 1 resident (#15) of 3 residents reviewed for PASARR. The findings include: Record review revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder and Anxiety Disorder. Record review of the most recent PASARR Level 1 assessment dated [DATE], revealed Resident #15 had a mental health diagnosis of Anxiety Disorder. […]

• No harm, potential for more than minimal, isolatedF644Aug 8, 2023

  Based on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) after a new mental health diagnosis for 1 resident (#15) of 3 residents reviewed for PASARR. The findings include: Record review revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder and Anxiety Disorder. Record review of the most recent PASARR Level 1 assessment dated [DATE], revealed Resident #15 had a mental health diagnosis of Anxiety Disorder. […]

• No harm, potential for more than minimal, isolatedF756Aug 8, 2023

  Based on facility policy review, medical record review, and interview the facility failed to ensure the Physician reviewed and acted upon irregularities identified by the Consultant Pharmacist for 2 residents (#30 an #32) of 5 residents reviewed for unnecessary medications. The findings include: Review of the facility policy, Medication Regimen Reviews, revised 5/2019 revealed .The Consultant Pharmacist provides the Director of Nursing Services and Medical Director with a written, signed and dated copy of all medication regimen reports .Copies of medication regimen review reports, including physician responses, are maintained as part of the permanent medical record . […]