Dickson Health and Rehab

In the surveyor’s words

From the most serious findings on record at Dickson Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF692May 28, 2026

  Based on policy review, medical record review, and interview, the facility failed to provide care to ensure that acceptable parameters of nutritional status were maintained and dietary recommendations were reviewed and implemented for 3 of 3 (Resident #2, #6, #7) residents reviewed for weight loss. The findings include: 1. Review of the undated facility policy titled, Weight Monitoring, revealed .Based on the resident's comprehensive assessment, the facility will ensure that all residents maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise.The physician should be informed of a… […]

• No harm, potential for more than minimal, patternF695May 28, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to follow Physician's orders for 5 of 7 (Resident #8, #13, #15, #17 and #60) residents and the facility failed to have orders for oxygen administration and tracheostomy care for 2 of 7 (Resident #62 and #70) reviewed for respiratory care. The findings include: 1. Review of the undated facility policy titled, Oxygen Administration, revealed .Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences.Oxygen is administered under orders of a physician.Change oxygen tubing and mask/cannula weekly and as needed if it becomes soiled or contaminated. […]

• No harm, potential for more than minimal, patternF727May 28, 2026

  Based on policy review, employee time sheet review, and interview, the facility failed to ensure a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, for 11 of 31 days reviewed and failed to ensure the facility had an RN that was not the Director of Nursing (DON) when the census was above 60 for 7 of 31 days reviewed. The findings include: 1. Review of the facility policy titled, Nursing Services-Registered Nurse (RN), dated 10/2017, revealed .It is the intent of the facility to comply with Registered Nurse staffing requirements.utilize the services of a Registered Nurse for at least 8 consecutive hours per day, 7 days a week.The Director of Nursing may serve as a charge nurse only when the facility has average daily occupancy of 60 or fewer residents. […]

• No harm, potential for more than minimal, patternF882May 28, 2026

  Based on policy review and interview the facility failed to ensure employment of a qualified Infection Preventionist to monitor and maintain the facility's Infection Prevention and Control Program. This had the potential to affected 65 of 65 residents residing in the facility. The findings include: Review of the facility policy titled, Infection Preventionist, dated 2/1/2026, revealed .The facility will employ one or more qualified individuals with responsibility for implementing the facility's infection prevention and control program.whose primary role is to coordinate and be actively accountable for the facilities infection prevention and control program to include the antibiotic stewardship program.The IP [Infection Preventionist] will physically work on site in the facility.The IP must… […]

• No harm, potential for more than minimal, patternF812Mar 6, 2025

  Based on policy review, kitchen sanitation logs, refrigerator temperature logs, observation, and interview, the facility failed to ensure food was served under sanitary conditions when the kitchen floor was dirty with pieces of paper scattered on the floor, a black rubber floor mat was sticky and had crumbs and particles under it, the deep fryer had a sticky build up, the oven handles were sticky and the oven had crumbs in it, and 3 dry food storage bins had crumbs and thick sticky area in the outer edge of the lids. The facility failed to log refrigerator temperatures on the nutrition refrigerator and had an undated item in it. The facility had a census of 62 with 62 of those residents receiving a tray from the kitchen. The findings include: 1. […]