NHC Healthcare, Cookeville

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF689Jun 17, 2026

  Based on facility policy review, medical record review, facility investigation review, and interviews, the facility failed to ensure a care plan intervention was in place after a fall for 1 resident (Resident #11) of 3 residents reviewed for accidents. The findings include:Review of the facility policy titled, .[FACILITY NAME] FALLS PROGRAM . undated, revealed .Initiate a falls care plan .Implement appropriate interventions .Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including Unspecified Dementia, Difficulty in Walking, and History of Falling. […]

• No harm, potential for more than minimal, isolatedF644Feb 12, 2025

  Based on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-Admission Screening and Resident Review (PASARR) timely after a new mental health diagnosis for 3 residents (Residents #43, #47, and #69) of 11 residents reviewed for PASARR. The findings include: Review of the facility's policy titled, Pre-admission Screening and Resident Review (PASRR), revised on 11/2016, revealed .Center should refer any patient for Level II resident review upon a significant change in status/ condition such as newly evident or possible serious mental disorder, intellectual disability or a related condition . […]

• No harm, potential for more than minimal, isolatedF656Feb 12, 2025

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to develop a person-centered comprehensive care plan related to hospice services for 1 resident (Resident #75) and for dental issues for 1 resident (Resident #85) of 19 residents reviewed for care plans. The findings include: Review of the facility's policy titled, SECTION VII: PATIENT CARE PLANS, dated 11/2023, revealed .services outlined in the comprehensive care plan meet .standards of quality .Problems are patient conditions .Care plans are updated as needed .New problems are handled as they arise .are to be added to the current care plan . […]

• No harm, potential for more than minimal, isolatedF812Feb 12, 2025

  Based on medical record review, observations, and interviews, the facility failed to properly store refrigerated food items for 1 Resident (Resident #5) of 19 residents observed for a homelike environment related to food storage. The findings include: Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including Stroke, Difficulty Swallowing, Kidney Disease, and Falls. Review of an annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #5 scored a 15 on the Brief Interview for Mental Status assessment which indicated the resident was cognitively intact. Further review of the annual MDS assessment revealed Resident #5 was able to feed herself with staff set up and staff clean up assistance. […]

• No harm, potential for more than minimal, isolatedF812Dec 15, 2021

  Based on interview and observation, the facility failed to ensure refrigerated food was not expired. The facility failed to discard one bag of mild cheddar cheese. The facility census was 102. Findings include: During the initial tour of the kitchen on [DATE] at 10:55 AM, one bag, labeled mild cheddar cheese, revealed an opened date of [DATE] and an expiration date of [DATE]. During interview on [DATE] at 10:59 AM, the Dietary Director (DD) #1 confirmed the cheddar cheese had expired on [DATE] and should have been removed from the refrigerator and discarded. […]