NHC Healthcare, Lawrenceburg

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 8, 2026

  Based on facility policy review, the facility's Appropriate Bed Height education document, medical record review, and interview, the facility failed to ensure residents remained free from accident hazards for 1 of 3 (Resident #46) sampled residents reviewed for accident hazards. On 9/5/2025, Certified Nursing Assistant (CNA) E left Resident #46's bed at an unsafe height and the resident inappropriately positioned in the bed after bathing the resident when she exited the resident's room to retrieve supplies. Resident #46 fell from the bed, fractured and dislocated her right humerus (upper arm), requiring transfer to the emergency room (ER) and treatment for a fracture (FX). The facility's failure to ensure an environment free from accident hazards resulted in an actual Harm to Resident #46. […]

• No harm, potential for more than minimal, isolatedF689Apr 30, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to provide an environment free of accident hazards related to elopement for 1 of 1 (Resident #33) sampled resident when Resident #33 was able to exit the facility without the knowledge of the staff. The findings include: 1. Review of the facility's policy titled, Wandering and Elopements, dated 2001, revealed .The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for residents . […]

• No harm, potential for more than minimal, isolatedF690Apr 30, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to provide care and services to maintain an indwelling urinary catheter (a plastic tube inserted into the bladder to drain urine) when nursing staff failed to provide catheter care for an indwelling urinary catheter for 1 of 2 (Resident #32) sampled residents reviewed for the use of an indwelling urinary catheter. The findings include: 1. Review of the facility's undated policy titled CATHETER CARE, INDWELLING (MALE AND FEMALE), revealed .Indwelling Catheter Care will be provided once daily .Catheter care will be provided using approved techniques in order to decrease the risk of catheter-associated urinary tract infection. 2. […]

• No harm, potential for more than minimal, isolatedF695Apr 30, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to follow physician orders for oxygen for 1 of 3 (Resident #46) sampled residents reviewed for oxygen therapy. The findings include: 1. Review of the undated facility policy titled, RESPIRATORY: NASAL CANNULA, revealed .must perform an oxygen check and document .Verify physician order for liter flow, device of delivery and duration . 2. Review of the medical record review revealed Resident #46 was admitted to the facility on [DATE], with diagnoses including Oxygen, Chronic Obstructive Pulmonary Disease, Respiratory Failure, Dementia, Palliative Care, and Heart Failure. […]

• No harm, potential for more than minimal, isolatedF609May 9, 2024

  Based on interviews, record review, and facility policy review, the facility failed to report an allegation of potential abuse for 1 (Resident #44) of 1 sampled resident reviewed for abuse. Findings included: A facility policy titled, Patient Protection and Response Policy for Allegations/Incident of Abuse, Neglect, Misappropriation of Property and Exploitation, revised on 02/01/2023, revealed, It is the policy of this facility that abuse allegations are reported per Federal and State Law. […]