NHC Healthcare, Chattanooga

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, Chattanooga, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 12, 2022

  Based on review of facility policy, observation, and interview the facility failed to maintain a clean environment in 1 of 1 kitchen observed with the potential to affect 162 of 174 residents in the facility. The findings include: Review of the facility policy titled, Safety & Sanitation Best Practice Guidelines, revised 11/2017 showed .Equipment must be cleaned and/or sanitized after every use .Cleaning shall be done during periods when the least amount of food is exposed such as after closing . During the initial kitchen observation and interview on 1/10/2022 at 10:30 AM, with the Dietary Supervisor showed dried brown food debris on the meat slicer. […]

• No harm, potential for more than minimal, patternF550Jan 12, 2022

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 4 residents (#28, #65, #92, and #96) of 34 residents reviewed for dignity. The findings include: Review of the facility's undated policy titled, Patient Dignity, showed Each resident shall be cared for in a matter that promotes and enhances quality of life, dignity, respect and individuality .Residents shall be treated with dignity and respect at all times .Staff shall maintain an environment in which confidential clinical information is protected .Signs indicating the resident's clinical status or care needs shall not be openly posted in the resident's room unless specifically requested by the resident or family member. […]

• No harm, potential for more than minimal, patternF656Jan 12, 2022

  Based on facility policy review, medical record review, and interviews the facility failed to develop and implement comprehensive care plans for 4 residents (#24, #41, #150, and #156) of 34 residents reviewed for care plans. The findings include: Review of the facility policy titled, NHC Care Plan Development, undated showed .center will ensure an interdisciplinary and comprehensive approach to the development of the patient's plan of care .Care Plan Approaches are individualized . Resident #24 was admitted to the facility on [DATE], readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF641Oct 16, 2024

  Based on facility policy review, medical record review and interview, the facility failed to accurately code a Preadmission Screening and Resident Review (PASRR) level 2 on the Minimum Data Set (MDS) assessment for 3 residents (Resident #35, Resident #81 and Resident #84) of 7 residents reviewed for PASRR. The findings include: Review of the facility's policy titled, PRE-ADMISSION SCREENING & [and] Resident Review (PASRR), revised 11/2016, revealed .requires all centers to screen patients .to determine if they have Mental Illness, Intellectual or Developmental Disability .those patients found nursing facility appropriate under Level II [2] review, the Center [facility], should incorporate .PASRR Level II determination .into the patient's assessments (MDS) . […]

• No harm, potential for more than minimal, isolatedF656Oct 16, 2024

  Based on facility policy review, medical record review and interview, the facility failed to implement a person centered comprehensive care plan intervention related to falls for 1 resident (Resident #51) of 3 residents reviewed for falls. The findings include: Review of the facility's policy titled, Documentation Guidelines, revised 6/2023, revealed .Care Plan Approaches [interventions] are specific, individualized steps partners [staff] and patients will take together to assist the patient to achieve the goal .Approaches serve as instructions for patient care . Review of the facility's undated policy titled, [Named facility] FALLS PROGRAM, revealed .to reduce the patients' risk of falling .implement appropriate interventions .Evaluate effectiveness of the interventions . […]