Life Care Center of Ooltewah

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Apr 29, 2026

  Based on facility policy review, medical record reviews, observations, and interviews, the facility failed to maintain infection control practices when staff did not use Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) for 1 resident (Resident #21), and failed to identify and implement EBP for 4 residents (Residents #44, #90, #110, and #112) of 15 residents reviewed for EBP needs.The findings include:Review of the facility's policy titled, Enhanced Barrier Precautions, dated 8/2025, revealed .The facility should use Enhanced Barrier Precautions (EBP) .during high-contact resident care activities .EBP are indicated for residents with .wounds and/or indwelling medical devices .wounds generally include chronic wounds .examples of chronic wounds include .pressure… […]

• No harm, potential for more than minimal, isolatedF656Apr 29, 2026

  Based on facility policy review, medical record review, and interviews, the facility failed to accurately assess the resident upon admission and develop a care plan to account for the resident's experience and preferences to eliminate or mitigate triggers that may cause re-traumatization for 1 resident (Resident #107) of 2 residents reviewed with Post Traumatic Stress Disorder (PTSD). The findings include:Review of the facility policy titled, Trauma-Informed Care, dated 1/6/2026, revealed, .The facility will use a multi-pronged approach to identifying resident's with PTSD or history of trauma .assessing .for indicators of trauma upon admission .this assessment will include asking the resident about triggers that may be stressors or may prompt a recall of a previous traumatic event .the… […]

• No harm, potential for more than minimal, isolatedF761Apr 29, 2026

  Based on facility policy review, manufacturer guidelines review, observations, and interviews, the facility failed to properly store a controlled substance for 1 resident in 1 medication room (Resident #112 in the 100 medication room), and failed to maintain refrigerator temperatures specified for vaccine storage in 1 medication room (200 medication room) of 3 medication rooms observed.The findings include:Review of the facility's policy titled, Inventory Control of Controlled Substances, dated 12/2007, revealed .facility should maintain separate individual controlled substance records on all Schedule II medications [medications with a risk of abuse of diversion] .should include .resident name .medication .quantity received by the facility .quantity remaining .the facility should ensure… […]

• No harm, potential for more than minimal, isolatedF684Dec 14, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to follow a physician's order for medication administration for 1 resident (Resident #56) of 6 residents reviewed for medications. The findings include: Review of the facility's policy titled, Administration of Medications, reviewed on 8/25/2022, showed .The facility will ensure medications are administered safely and appropriately per physician order . Resident #56 was admitted to the facility on [DATE] with diagnoses including Hemiplegia and Hemiparesis, and Dorsalgia (back pain). Review of an admission Minimum Data Set (MDS) assessment dated [DATE], showed Resident #56 was cognitively intact and received scheduled and as needed pain medication. […]

• No harm, potential for more than minimal, isolatedF689Dec 14, 2022

  Based on the facility policy review, medical record review, observation, and interview, the facility failed to implement a fall intervention for 1 resident (Resident #42) of 3 residents reviewed for falls. The findings include: Review of the facility policy titled, Fall Management, reviewed 9/29/2022, showed .Implement interventions .consistent with a resident's .care plan .Supervision .Refers to an intervention and means of mitigating the risk of an accident .During the admission .a care plan will be developed .interdisciplinary team will review and revise the care plan .upon a fall . Resident #42 was admitted to the facility on [DATE] with diagnoses including Fracture of Third Lumbar Vertebra, Wedge Compression Fracture of Fourth Lumbar Vertebra and Muscle Weakness. […]