NHC Healthcare, Sequatchie

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 8, 2023

  Based on facility policy review, observation, and interview the facility failed to maintain sanitary kitchen equipment with the potential to affect 90 residents in the facility. The findings include: Review of the facility policy titled, Safety & Sanitization Best Practice Guidelines, dated 11/2017, showed .Equipment must be cleaned and/or sanitized after every use according to the manufacturer's directions .Non-food contact surfaces of foodservice equipment should be free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance .Department inspection should be conducted to review sanitation and immediate action should be taken to correct any problems that interfere with meeting sanitary standards . […]

• No harm, potential for more than minimal, patternF644Apr 22, 2026

  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 6 resident's (Resident #6, Resident #9, Resident #10, Resident #47, Resident #48, & Resident #63) of 12 residents reviewed for PASARR. The findings include: Review of the facility's policy titled, PRE-ADMISSSION SCREENING AND RESIDENT REVIEW (PASRR), revised date 11/2016, revealed .For those patients found nursing facility appropriate .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 . 1. […]

• No harm, potential for more than minimal, patternF880Feb 8, 2023

  Based on Centers for Disease Control and Prevention (CDC) guidance documentation, facility policy review, manufacturer instruction review, medical record review, observation, and interview the facility failed to ensure Personal Protective Equipment (PPE) was donned according to manufacturer's recommendations, failed to follow appropriate infection control practices for PPE for 4 Residents (#17, #22, #2, #16) of 15 residents observed for Transmission Based Precautions, and failed to sanitize hands after glove removal after provided care for 2 residents (#17 and #22) in 1 of 5 hallways. […]

• No harm, potential for more than minimal, isolatedF576Apr 22, 2026

  Based on facility policy review and interviews, the facility failed to ensure mail was delivered on Saturdays to 9 residents (Resident #11, Resident #12, Resident #15, Resident #18, Resident #20, Resident #29, Resident #37, Resident #51, and Resident #56) of 9 residents reviewed for mail delivery. The findings include: Review of the facility's policy titled Mail Distribution to Patients, undated, revealed .CMS requires mail to be distributed to the patients within 24 hours of delivery by Postal Service .Be sure your center has a system set up to deliver mail to the patients within 24 hours, including weekends and when Life Enrichment is out of the building . […]

• No harm, potential for more than minimal, isolatedF569Feb 8, 2023

  Based on facility policy review, medical record review, review of the facility's Current Balance Report, Review of Trust Fund Statements, and interview, the facility failed to refund personal funds within 30 days of discharge for 6 residents (Residents #245, #244, #240, #241, #243, and #242) of 56 residents reviewed for resident funds. The findings include: Review of the facility policy titled, Patient Rights, undated, showed .The money you have deposited in your patient trust fund belongs to you and automatically becomes a part of your estate in the event of your death. […]