Crossville Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Crossville Health and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Jul 6, 2023

  Based on interviews, record review, facility policy review, and document reviews, the facility failed to ensure Certified Nursing Assistant (CNA) #4 did not raise her voice at one (Resident #1) of seven sampled residents. Findings included: Review of a facility policy titled, Federal Rights of Resident/Guest(s), dated 11/28/2016, indicated, Respect and dignity. The resident/guest has a right to be treated with respect and dignity. A review of Resident #1's Face Sheet revealed the facility admitted the resident on 10/27/2022 with diagnoses that included Unspecified Dementia, Adjustment Disorder with Depressed Mood, and Adjustment Disorder with Anxiety. […]

• No harm, potential for more than minimal, isolatedF641Nov 4, 2021

  Based on observation, interviews, record review, and review of the Centers for Medicare & (and) Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #74's Quarterly Minimum Data Set (MDS) assessment dated [DATE], and RI #120's Quarterly MDS assessment dated [DATE], was accurately coded to reflect the residents received [CONDITION(S)] treatments during these assessment periods. This affected RI #74 and RI #120, two of 33 sampled residents for whom MDS assessments were reviewed. Findings Include: A review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.17.1, dated 10/2019 revealed the following: . […]

• No harm, potential for more than minimal, isolatedF880Nov 4, 2021

  Based on observation and interviews, the facility failed to ensure licensed staff did not place the end of the tubing from the tube feeding bottle on the bed covers of Resident Identifier (RI) #113 after disconnecting the tubing from the resident, prior to administering medications by gastrostomy tube. This affected RI #113, one of two residents observed receiving medications by gastrostomy tube. Findings Include: RI #113 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] A review of RI #113's November 2021 Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . On 11/02/2021 at 4:11 PM, Employer Identifier (EI) #5, a Licensed Practical Nurse (LPN) was observed giving medications to RI #113. […]