NHC Healthcare, Hendersonville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 4, 2025

  Based on policy review, review of medical records, review of fall investigation documents, hospital record review, and interviews, the facility failed to ensure 1 of 10 (Resident #1) residents were free from accident hazards when staff failed to follow the resident-specific care plan for transfers. On 6/25/2024, 1 staff member transferred Resident #1 without using a lift (a mechanical device to assist caregivers in transferring residents with limited mobility), which resulted in a fall, and right tibia fracture. […]

• No harm, potential for more than minimal, patternF657Nov 4, 2025

  Based on policy review, medical record review, observations, and interviews, the facility failed to revise resident care plans to include the resident-specific transfer method to prevent falls for 4 of 10 (Resident #3, #4, #5, and #6) residents reviewed for transfers. The findings include: 1. Review of the facility policy titled, Patient Care Plans, dated 5/2025, revealed .care plan approaches are specific individualized steps partners and patients will take together to assist the patient to achieve the goal .approaches serve as instructions for patient care and provide for continuity of care by all partners .care plans are updated as needed .new problems are handled as they arise and are to be added to the current care plan even if the change in condition is not considered significant… […]

• No harm, potential for more than minimal, isolatedF558Jun 8, 2022

  Based on facility policy review, observation, and interview, the facility failed to ensure call lights were within reach for 2 of 31 sampled residents (Resident #55 and #67). The findings include: Review of the undated facility's policy titled, Patient Rights, revealed, .It is the policy of the management to provide a full complement of services as possible and attainable to meet the needs of all patients . Review of the undated facility's policy titled, Call Lights, revealed, .Center will provide each patient with a functioning call light .Be sure the call light is always within easy reach of the patient . Review of the medical record revealed Resident #55 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF574Jun 8, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to provide a daily activity update in an understandable language which affected 1 of 1 (Resident #33) non English speaking residents sampled. The findings include: Review of the facility's policy titled, Patient's Rights, revision date 2/2022 revealed, .at National Healthcare Corporation [NHC] we support the patient/resident's right to live in an environment which is individualized for them .strive to cultivate and sustain an excellent quality of life for each individual with person-centered care and services . […]

• No harm, potential for more than minimal, isolatedF657Jun 8, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to have quarterly care plan conference meetings with resident/resident representative for 4 of 31 sampled residents (Residents #33, #42, #58, and #75). The findings include: Review of the facility's policy titled, Documentation Guidelines Section VII: Patient Care Plans updated 10/2021 revealed, .Routine Reviews and Updates: Care plans are updated as needed but are reviewed completely by the interdisciplinary team (IDT) on a quarterly basis within 7 days of the completion of the clinical MDS [minimum data set] assessment . Review of the medical record revealed Resident #33 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]