Life Care Center of Crossville

In the surveyor’s words

From the most serious findings on record at Life Care Center of Crossville, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 28, 2024

  Based on facility policy review, medical record review, facility investigation review, hospital record review, and interview, the facility failed to prevent a fall for 1 resident (Resident #8) of 5 residents reviewed for falls. The facility's failure resulted in actual HARM to Resident #8 when the resident was receiving care by facility staff and allowed to fall to the floor from the bed, resulting in injury. The findings include: Review of the facility policy titled, Area of Focus: Fall Management, reviewed 12/4/2023, revealed .To promote patient safety and reduce patient falls .the facility must ensure that .each resident receives adequate supervision .to prevent falls . […]

• Actual harm, isolatedF656Mar 10, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to implement care plan interventions to prevent development of and to treat a pressure ulcer for 1 resident (#5) of 3 residents reviewed for pressure ulcers. The facility's failure resulted in the development and worsening of an unstageable pressure ulcer causing actual harm to Resident #5 The findings included: Review of a facility policy Comprehensive Care Plans and Revisions issued 3/2/2022 showed .The facility should monitor the resident over time to help identify changes in the resident condition that may warrant an update to the person-centered plan of care .When these changes occur, the facility should review and update the plan of care to reflect the changes to care delivery . […]

• Actual harm, isolatedF686Mar 10, 2022

  Based on facility policy review, review of NPIAP (National Pressure Injury Advisory Panel) Pressure Injury Stages, medical record review, observation, and interview, the facility failed to implement interventions to prevent the development of a pressure ulcer for 1 resident (#5) of 3 residents reviewed for pressure ulcers. The facility's failure resulted in the development and worsening of an unstageable pressure ulcer causing actual harm to Resident #5. The findings included: Review of a facility policy Skin Integrity & Pressure Ulcer/Injury Prevention and Management revised on 8/25/2021 showed .Provide associates and licensed nurses with procedures to manage skin integrity, prevent pressure ulcer/injury, complete wound assessment/documentation, and provide treatment and care of skin… […]

• No harm, potential for more than minimal, widespreadF849Dec 4, 2024

  Based on facility contract review, facility policy review, medical record review, and interview, the facility failed to ensure a coordinated plan of care with the hospice provider was available in the medical record for 4 residents (Resident #6, #19, #21, and #44) of 4 residents reviewed for hospice services. The findings include: Review of the facility's hospice contract titled, Hospice Services Agreement, dated 7/19/2021, revealed .Hospice Plan of Care .written care plan .reviewed at intervals by the Interdisciplinary Group .Hospice shall furnish facility with copy of .Plan of Care . […]

• No harm, potential for more than minimal, widespreadF885Jan 25, 2022

  Based on review of a facility policy, and interview, the facility failed to provide timely notification to family members of newly developed cases of Covid-19 on 1/19/2022 affecting 79 of 93 residents and on 1/22/2022 affecting 92 of 92 residents reviewed for notification. The findings included: Review of a facility policy Coronavirus (COVVID 19) ([CONDITION(S)]-CoV-2) revised 12/27/2022 showed .COVID-19 Reporting to Residents, their Representatives, and Families as required .The facility must .Inform residents, their representatives, and families of those residing in facilities by 5:00 PM the next calendar day following the occurrence of either a single confirmed infection of COVID-19, or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of… […]