Life Care Center of Tullahoma

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF550May 13, 2026

  Based on facility policy review, medical record review, observations, and interviews the facility failed to ensure dignity by exposure of a resident's bare shoulder and bra while she sat in front of the building lobby for 1 resident (Resident #10) and failed to promote dignity for residents by the continued use of disposables for resident meals for a prolonged time, potentially effecting 83 of 88 residents reviewed.The findings included: Review of the facility policy titled, Dignity, dated 9/26/2025, revealed .each resident has the right to be treated with dignity and respect .enhancing the resident's self-esteem .preferences, and choices . […]

• No harm, potential for more than minimal, isolatedF609May 13, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to report an allegation of staff to resident verbal abuse for 1 resident (Resident #5) and an allegation of staff to resident physical abuse for 1 resident (Resident#16) of 10 residents reviewed for abuse. The findings include: Review of the facility policy titled, Abuse - Reporting and Response - Suspicion of a Crime, dated 5/7/2025 revealed, .The facility will ensure reporting .against a resident or individual receiving care from the facility within prescribed timeframes to the appropriate entities . Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses which included Persistive Vegetative State, Dysphagia, Anxiety Disorder, and Autistic Disorder. […]

• No harm, potential for more than minimal, isolatedF610May 13, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to thoroughly investigate an allegation of staff to resident verbal abuse for 1 resident (Resident #5) and an allegation of staff to resident physical abuse for 1 resident (Resident#16) of 10 residents reviewed for abuse. The findings include: Review of the facility policy titled, Abuse - Conducting an Investigation, dated 4/1/2026 revealed, .It is the policy of this facility that allegations .are promptly and thoroughly investigated . Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses which included Persistive Vegetative State, Dysphagia, Anxiety Disorder, and Autistic Disorder. […]

• No harm, potential for more than minimal, isolatedF689May 13, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure chemicals were stored and secured properly on 1 of 3 housekeeping carts for 6 wandering residents of 88 residents observed for accidents and hazards. The findings include: Review of the facility's policy titled, Storage of Chemicals, dated 4/1/2026, revealed .the facility will store chemicals in accordance with manufacture's guidelines while maintaining supervision while in use . During an observation on 5/11/2026 at 2:20 PM, a housekeeping cart was observed unlocked and unattended by housekeeping staff. During an interview with Housekeeper A on 5/11/2026 at 2:22 PM, the housekeeper stated the cart with chemicals should have been locked when not in direct view. […]

• No harm, potential for more than minimal, isolatedF880May 13, 2026

  Based on facility policy review, observation and interview, the facility failed to ensure proper infection control practices during the medication administration for 1 resident (Resident #17) of 9 residents reviewed for medication administration. The findings include: Review of the facility policy titled Medication Administration .,dated 9/15/2025, revealed .The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment . Review of the medical record revealed Resident #17 was admitted to the facility on [DATE] with diagnoses including Cerebral Palsy, Encounter for Attention to Gastrostomy, Adult Failure to Thrive, and Dysphagia. […]