Collierville Nursing And Rehabilitation, Llc

In the surveyor’s words

From the most serious findings on record at Collierville Nursing And Rehabilitation, Llc, in the surveyor’s own words.

• Immediate jeopardy, patternF695Sep 18, 2021

  Based on policy review, medical record review, observation and interview, the facility failed to provide necessary mechanical ventilator (a machine used to assist or replace spontaneous breathing) equipment and supplies for residents with tracheostomies (an opening in the front of the neck with a tube inserted into the windpipe to help you breathe) that required mechanical ventilation and failed to provide the necessary mechanical ventilator audible, external alarm system and response processes that Resident #1 required; failed to provide monitoring processes of continuous pulse oximetry (a process to measure the oxygen level in the blood) and end tidal [MEDICATION(S)] (the level of [MEDICATION(S)] that is released at the end of an exhaled breath) when a resident had breathing problems; or… […]

• Immediate jeopardy, patternF726Sep 18, 2021

  Based on policy review, personnel file review, observation, and interview, the facility failed to ensure 3 of 3 agency Licensed Practical Nurses (LPN #1, #2, and #3) were competent to provide [CONDITION(S)] (an opening in the front of the neck with a tube inserted into the windpipe to help you breathe) Care and Suctioning, the necessary knowledge and skills to provide care for residents with respiratory care needs, and mechanical ventilation (a machine to assist or replace spontaneous breathing with a machine). […]

• Immediate jeopardy, patternF835Sep 18, 2021

  Based on job description review, medical record review, observation, and interview, facility Administration failed to provide oversight of staff and facility resources effectively and efficiently to ensure necessary services for residents with respiratory care needs and mechanical ventilation (assisted breathing with a machine). The lack of oversight resulted in inadequate and lack of necessary supplies available for use in the care of residents with mechanical ventilation and respiratory care needs. […]

• Immediate jeopardy, patternF867Sep 18, 2021

  Based on policy review, job description review, record review, medical record review, observation, and interview, the Quality Assurance Performance Improvement (QAPI) committee failed to ensure systems and processes were in place and consistently followed by staff to address quality concerns related to safe individualized resident care when the staff failed to conduct a timely Ad Hoc (as needed) committee meeting and corrective action plan after Resident #1 arrived at the facility to be admitted and the facility did not have a ventilator available for the resident. […]

• Actual harm, isolatedF689Nov 29, 2022

  Based on policy review, record review, observation, and interview, the facility failed to implement interventions to prevent an accident resulting in a facial laceration requiring sutures for 1 of 6 (Resident #1) total care residents reviewed. The facility's failure resulted in Harm for Resident #1. The findings included: 1. Review of the facility policy titled Accidents and Supervision dated 1/2/2022 and revised 3/23/2022, revealed .The resident environment will remain as free of accident hazards as possible. […]