NHC Healthcare, Dickson

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jan 21, 2022

  Based on Centers for Disease Control and Prevention (CDC) guidelines, policy review, Staff Screening Tool review, Daily Schedule Report review, Timecard Detail review, observation, and interview, the facility failed to ensure practices to prevent the spread of infection were maintained when 2 of 40 staff members (Certified Nursing Assistant (CNA) #15 and #18) failed to don (to put on) Personal Protective Equipment (PPE) when entering a droplet precaution room and failed to properly dispose of a mask, and the facility failed to follow Centers for Disease Control (CDC) Infection Control guidelines to ensure all staff who enter the facility completed the screening process for the prevention and potential spread of COVID 19 when 17 of 269 staff members (Licensed Practical Nurse (LPN) #1, CNA… […]

• No harm, potential for more than minimal, isolatedF567Apr 22, 2026

  Based on the American Council on Aging Website review, medical record review, and interview, the facility failed in their responsibility in maintaining assets under $2,000 for the 2026 Tennessee Medicaid allowance for 10 of 111 (Resident #11, #16, #38, #86, #92, #101, #110, #119, #128, and #177) sampled residents. The findings include: 1. Review of the American Council on Aging Website, Tennessee Medicaid (TennCare) Income & Asset Limits for Nursing Homes & In-Home Long Term Care, dated 4/23/2026, revealed .In 2026, single Medicaid Nursing Home applicant in Tennessee must meet the following criteria.Assets under $2,000. 2. […]

• No harm, potential for more than minimal, isolatedF761Apr 22, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to properly store medications when medications were left unattended and unlabeled at bedside for 1 of 175 (Resident #41) residents and when medications were left unsecured and unlabeled in 1 of 10 (2B Medication Cart) medication carts. The findings include: 1. Review of the undated facility policy titled, Storage of Medications, revealed .Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. […]

• No harm, potential for more than minimal, isolatedF550Jan 21, 2022

  Based on policy review, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 4 of 39 staff members (Certified Nursing Assistant (CNA) #18, #20, #22, and #24) failed to use courtesy titles to address 4 of 166 sampled residents (Resident #109, #159, #372, #373) reviewed during dining observations. The findings include: Review of the facility's policy titled, PATIENT RIGHTS, revealed .The Guarantee of rights that depends on the actions of PARTNERS (employees) are requirements for personnel: right to respect and dignity are requirements of partners . […]

• No harm, potential for more than minimal, isolatedF760Jan 21, 2022

  Based on the Geriatric Medication Handbook, policy review, medical record review, observation, and interview, the facility failed to ensure residents were free from a significant medication error when 1 of 2 nurses (Licensed Practical Nurse (LPN) #1) failed to provide a substantial snack or meal within 15 minutes of insulin administration for 1 of 5 sampled residents (Resident #137) observed during medication pass. The failure to provide a substantial snack or meal within 15 minutes of insulin administration resulted in a significant medication error. […]