C M Tucker Jr Nursing Care Center Fewell and Stone

In the surveyor’s words

From the most serious findings on record at C M Tucker Jr Nursing Care Center Fewell and Stone, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 18, 2025

  Based on a review of facility policy, record review, and interview, the facility failed to protect Resident (R)1 from physical abuse. Specifically, Certified Nursing Assistant (CNA)1 pinched the nose of R1, resulting in R1 suffering injuries to the face.On 12/17/25 at 7:28 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 09/19/25. The IJ was related to 42 CFR 483.25 - Freedom from Abuse, Neglect, and Exploitation.On 12/18/25 the facility provided an acceptable IJ Removal Plan. On 12/18/25 the survey team validated the facility's corrective actions and determined the facility put forth due diligence in addressing the noncompliance. […]

• Immediate jeopardy, isolatedF689Jul 15, 2024

  Based on interviews, record review, review of facility policy, and review of the facility's video surveillance the facility failed to provide appropriate supervision to prevent Resident (R)1's elopement from the facility. On 07/15/24 at 1:45 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On 07/15/24 at 2:11 PM, the Administrator was notified that the failure to properly supervise a resident, resulting in a successful elopement from the facility, constituted Immediate Jeopardy (IJ) at F689. […]

• Immediate jeopardy, isolatedF600Jan 12, 2024

  Based on review of the facility policy, documentation, and interviews, the facility failed to ensure residents on [NAME] 122, 1 of 2 Units, were free from neglect, when a nurse failed to follow emergency evacuation procedures during a fire emergency. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.45 (Abuse) at a scope and severity of J. The IJ began on 12/16/23 at approximately 12:45 AM when the facility fire alarm sounded, and a Code Red was called. […]

• Immediate jeopardy, isolatedF755Jan 12, 2024

  Based on review of the facility policy, record reviews, and interviews, the facility failed to have systems in place to control, account for, and reconcile controlled medications to prevent loss, diversion, or accidental exposure as evidenced by Resident (R)408 and R409, who received R40's prescribed morphine. On 01/11/2024 at 5:30 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, isolatedF600Feb 1, 2023

  Based on review of the facility policy, record reviews, and interviews, the facility failed to protect 2 of 2 residents from neglect. Specifically, Certified Nursing Aid (CNA)1 was observed via video surveillance on multiple occasions purposefully withholding fluids from Residents (R)1 and R2. On 10/06/22 the State Survey Agency (SSA) received an initial 24-hour report stating that on 09/02/22 a CNA, later identified as CNA1 was withholding fluids from residents. The facility substantiated the allegations and CNA1 was terminated from employment. […]