NHC Healthcare Rossville

In the surveyor’s words

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

• Immediate jeopardy, widespreadF609Mar 8, 2024

  Based on interview, record review, and policy review, the facility failed to identify and report abuse including an injury of unknown source, and misappropriation of property for four of 29 sampled residents (R) (R245, R74, R6, and R70). The facility's nursing staff reported incidents of abuse directly to the facility's Director of Nursing (DON) and the facility's Director of Social Services (DSS); however, neither identified the incidents as abuse nor reported the abuse to the State Survey Agency (SSA). Additionally, a resident reported to the DSS that she was missing money; however, the DSS did not identify the resident's missing money as an incident of possible misappropriation and report the possible misappropriation to the SSA. […]

• Immediate jeopardy, widespreadF610Mar 8, 2024

  Based on interview and record review, the facility failed to investigate incidents of abuse, misappropriation, and injury of unknown source for five of 29 sampled residents (R) (R245, R74, R6, and R70, and R56). Additionally, the facility failed to prevent further abuse and possible abuse to all residents of the facility by failing to investigate. The facility's nursing staff reported incidents of abuse directly to the facility's Director of Nursing (DON) and the facility's Director of Social Services (DSS); however, neither investigated the incidents of abuse, misappropriation, or the injury of unknown source. These systemic failures had the potential to affect all residents and future residents of the facility. […]

• Immediate jeopardy, widespreadF835Mar 8, 2024

  Based on interviews, record review, and review of the facility's Director of Nursing's (DONs) and the Director of Social Services (DSS) Job Descriptions, the facility failed to be administered in a manner that enabled effective use of its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This failure had the likelihood of affecting all residents of the facility. The facility's administration failed to maintain standard levels of care and services for its residents when Immediate Jeopardies were identified at F600-J, F609-L, and F610-L. 1. […]

• Immediate jeopardy, patternF600Mar 8, 2024

  Based interview, record review, and review of the facility's policy, the facility failed to ensure four of 29 sampled residents (R) (R245, R74, R6, and R70) were free from abuse. The facility's administration was aware of incidents where either abuse occurred or incidents of possible abuse; however, the facility did not act to protect the residents from abuse. The facility's failure had affected and/or had the likelihood to affect residents of the facility including any future admissions to the facility. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]

• Actual harm, isolatedF689Mar 8, 2024

  Based on record review, interview, and policy review, the facility failed to transfer a resident with the correct transfer lift and with the assistance of two staff during routine care for one of five residents (R) (R29) reviewed for falls. This failure resulted in harm when R29 fell and required sutures to the top of the skull. The findings constituted past noncompliance, as the facility implemented a plan of correction. Findings included: A review of a policy provided by the facility titled NHC Rossville Falls Program, dated January 2024, failed to address Hoyer lift transfers. […]