Lewis Park Post Acute

In the surveyor’s words

From the most serious findings on record at Lewis Park Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 15, 2023

  Based on facility policy review, Post-Acute Care Network Participation Agreement review, Virtual Rapid Response Telecommunication (VRRT- a teleconference between the facility and hospital about a resident's status) Recommendation Standard Operating Procedure (SOP) review, facility protocol review, medical record review, and interview, the facility failed to ensure residents' right to be free from neglect for 1 of 3 (Resident #1) sampled residents reviewed for abuse/neglect. The facility's failure to ensure a resident's right to be free from neglect resulted in Immediate Jeopardy (IJ) when on [DATE], Resident #1 developed a temperature of 106.7 degrees Fahrenheit (Hyperpyrexia- a fever above 106.0 and is considered a medical emergency), a heart rate of 131, a blood glucose of 600 (normal 70… […]

• Immediate jeopardy, isolatedF684Nov 15, 2023

  Based on facility policy review, Post-Acute Care Network Participation Agreement review, Virtual Rapid Response Telecommunication (VRRT) Recommendation Standard Operating Procedure (SOP) review, facility protocol review, medical record review, TN Board of Nursing Position Statements and interview, the facility failed to ensure residents received treatment and care based on assessments, in accordance with policies, and protocols/agreements, and failed to promptly intervene for an acute change in a resident's condition for 1 of 3 (Resident #1) sampled residents reviewed for quality of care. […]

• Immediate jeopardy, isolatedF600Sep 26, 2023

  Based on policy review, personnel file review, medical record review, observation and interview, the facility failed to ensure residents were not physically abused for 2 of 4 sampled residents (Resident #1 and #2) reviewed for abuse. The facility's failure to ensure a resident's right to be free from abuse resulted in Immediate Jeopardy when Registered Nurse (RN) #1 physically struck Resident #1 and forcefully took him down to the ground, and Resident #3 physically struck Resident #2 multiple times in the jaw and neck resulting in a lacerated lip. […]

• Immediate jeopardy, isolatedF741Sep 26, 2023

  Based on policy review, job description review, facility assessment review, medical record review, observation, and interview, the facility failed to ensure staff had specific knowledge, sufficient competencies and skill sets necessary to provide appropriate care and services to 3 of 4 sampled residents (Resident #1, #2 and #3) with behavioral and mental health needs. Fourteen (14) facility staff including Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPN), Housekeeping Personnel, and a Registered Nurse failed to demonstrate appropriate interventions were implemented to prevent ongoing altercations between Resident #2 and #3, with a history of verbal and physical altercations. […]

• Immediate jeopardy, isolatedF600Jun 1, 2023

  Based on policy review, medical record review, observation and interview, the facility failed to ensure residents' right to be free from verbal, physical, and sexual abuse for 3 of 12 sampled residents (Resident #14, #60, and #71) reviewed for abuse. The facility's failure to ensure a resident's right to be free from abuse resulted in Immediate Jeopardy when the facility failed to identify an incident of resident-to-resident verbal abuse (Resident #269 and Resident #60), an incident of resident to resident sexual/physical abuse (Resident #269 and Resident #14), an incident of resident to resident physical abuse (Resident #269 and Resident #60), and an allegation of resident to resident sexual/physical abuse (Resident #269 and Resident #71). […]