Life Care Center of Elizabethton

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 29, 2024

  Based on review of facility contracts, facility policy, medical record review, facility documentation and interviews, the facility failed to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy, received anticoagulation therapy for the diagnoses of Atrial Fibrillation (A-Fib) and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to ensure the physician reviewed the total program of care, including medications, which resulted in Resident #5 not receiving anticoagulation therapy from 10/31/2023-12/5/2023. […]

• Immediate jeopardy, isolatedF711Feb 29, 2024

  Based on review of the facility contract, facility policy, medical record review, facility documentation and interviews, the facility failed to provide physician services to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy received anticoagulation therapy for the diagnosis of Atrial Fibrillation and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to ensure the physician reviewed the total program of care, including medications, which resulted in Resident #5 not receiving anticoagulation therapy from 10/31/2023-12/5/2023. […]

• Immediate jeopardy, isolatedF756Feb 29, 2024

  Based on review of facility contract, facility policy, medical record review, facility documentation and interviews, the facility failed to complete a thorough medication regimen review to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy received anticoagulation therapy for the diagnosis of Atrial Fibrillation and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to provide anticoagulation therapy resulting in Resident #5 not receiving anticoagulation therapy from 10/31/2023 - 12/5/2023. […]

• Immediate jeopardy, isolatedF657Aug 4, 2021

  Based on review of facility policy, medical record review, review of a facility investigation, and interviews, the facility failed to revise a comprehensive care plan to include current code status for 1 resident (Resident #1) of 6 residents reviewed for care plans. The facility's failure to revise the care plan resulted in Resident #1 receiving Cardiopulmonary Resuscitation (CPR) against the resident's and the resident's representative wishes and placed the resident in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). The Administrator was notified of the IJ on [DATE] at 4:15 PM, in the conference room. […]

• Immediate jeopardy, isolatedF678Aug 4, 2021

  Based on review of facility policy, review of a hospice contract, medical record review, review of a facility investigation, and interview, the facility failed to ensure a process was in place to honor a resident's end of life wishes for 1 resident (Resident #1) of 6 residents reviewed for advance directive status. The facility failed to make readily available a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility's failure to ensure a system was in place to honor end-of-life wishes placed Resident #1 in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). […]