Heritage Hall Tazewell

In the surveyor’s words

From the most serious findings on record at Heritage Hall Tazewell, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jun 12, 2025

  Based on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to: (a) ensure a resident identified as a smoker was assessed for capability and safety needs regarding smoking, (b) provide adequate monitoring and supervision of residents who smoke, ensure lighters, cigarettes, and/or electronic cigarettes (vapes) were stored in a manner to prevent misuse from other vulnerable residents and/or a fire hazard, and/or (c) ensure smoking safety precautions were in place for the resident's individual safety, as well as the safety of others for five (5) of 19 sampled residents (Resident #3, Resident #7, Resident #8, Resident #9, and Resident #10). […]

• No harm, potential for more than minimal, patternF761May 26, 2022

  Based on observation and staff interview, the facility staff failed to dispose of expired medications stored in 2 of 4 medication storage rooms and 1 of 6 medication carts. The facility staff failed to dispose of expired medications including Loratadine, Cranberry supplements, Omeprazole, Vitamin D-3, Vitamin B-6, [MEDICATION(S)] suppositories, Vitamin C, [MEDICATION(S)] and a bottle of [MEDICATION(S)]. The findings included: On 5/26/22 at 10:30 am, in the presence of licensed practical nurse (LPN) #1, surveyor observed the following unopened bottles of medication located in storage cabinets in the Unit 2 medication room: Loratadine 10 mg tablets with an expiration date of October 2021; Loratadine 10 mg tablets with an expiration date of January 2022; Cranberry Supplement 450 mg tablets… […]

• No harm, potential for more than minimal, isolatedF684Jun 12, 2025

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure residents receive treatment and care according to the medical provider orders for 2 of 19 sampled residents (Resident #3 and Resident #1). The findings included: 1. For Resident #3, the facility staff failed to provide Bacitracin ointment to burns on the face, nares, and right hand. Resident #3's diagnosis list indicated diagnoses, which included, but not limited to Schizoaffective Disorder Bipolar Type, Chronic Obstructive Pulmonary Disease, Asthma, and Generalized Muscle Weakness. […]

• No harm, potential for more than minimal, isolatedF686Jun 12, 2025

  Based on resident and staff interview and clinical record review the facility staff failed to provide wound care as ordered to one of 19 residents in the survey sample, resident #1 (R1). The findings included: R1's minimum data set (MDS) assessment with an assessment reference date of 4/9/25 assigned the resident a brief interview for mental status score of 15/15 indicating intact cognition. On 6/10/25 at 2:15 PM this surveyor interviewed R1. They stated that the former wound nurse refused to take care of him and he had to, Chase different ones down to get my dressings changed. She said I supposedly said something dirty to her but that isn't true, she just doesn't like me. When asked if the wound is improving R1 stated, Oh yeah, it's much better than it was. […]

• No harm, potential for more than minimal, isolatedF755Jun 12, 2025

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure medical provider ordered medication was available for administration for 1 of 19 sampled residents (Resident #2). The findings included: For Resident #2, the facility staff failed to ensure the narcotic pain medication, Oxycontin was available for administration on six (6) separate occasions. Resident #2's diagnosis list indicated diagnoses, which included, but not limited to Hemiplegia and Hemiparesis following Cerebral Infarction, Generalized Muscle Weakness, Chronic Kidney Disease, Conversion Disorder with Seizures, Irritable Bowel Syndrome, and Constipation. […]