NHC Healthcare, Tullahoma

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF695Jun 11, 2025

  Based on facility policy review, medical record review, observation and interview, the facility failed to ensure a nebulizer mask was stored appropriately for 1 resident (Resident #219) of 3 residents observed on nebulized medications. The findings include: Review of the facility's policy, Specific Medication Procedures .Oral Inhalation Administration, revised 2/25/2025, revealed .Turn on the nebulizer and check outflow port for visible mist .Remain with the resident for the treatment .Administer therapy until medication is gone .When treatment is complete, turn off nebulizer and disconnect .When equipment is completely dry, store in a plastic bag with the resident's name and date on it . […]

• No harm, potential for more than minimal, patternF812Jun 11, 2025

  Based on facility policy review, observation and interview, the facility failed to ensure dietary workers wore protective hair coverings during food preparation in the kitchen, which had the potential to affect 89 of 90 residents residing in the facility. The findings include: Review of the facility's policy, Hygienic & Safety Practices, dated 11/2017, revealed .provide a safe product for all customers .wear hair restraints such as hats, hair coverings, or nets, beard restraints .worn effectively to keep their hair from contacting exposed food . During an observation in the food preparation area on 6/9/2025 at 9:22 AM, the Assistant Dietary Manager (ADM) was preparing desserts for the lunch meal service. […]

• No harm, potential for more than minimal, isolatedF638Jun 11, 2025

  Based on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, medical record review and interview, the facility failed to complete quarterly assessments, using the Centers for Medicare & Medicaid Services specified RAI process, within the regulatory time frames for 7 residents (Resident #19, #21, #48, #62, #82, #85 and #95) of 28 sampled residents reviewed for MDS assessment. The findings include: Review of the MDS 3.0 RAI Manual v (version) 1.19.1, dated 10/2024, pages 2-35, revealed, .The Quarterly assessment is an OBRA (Omnibus Budget Reconciliation Act) non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous OBRA assessment of any type. […]

• No harm, potential for more than minimal, isolatedF657Jun 11, 2025

  Based on facility policy review, medical record review, observation and interview, the facility failed to revise the care plan for 1 resident (Resident #5) of 18 residents reviewed for care plans. The findings include: Review of the facility's policy, Documentation Guidelines, updated 5/2024, revealed .The center .ensure an interdisciplinary and comprehensive approach .development of patient's care plan of care .updating .care plans .problems are handled as they arise .added to current care plan . […]

• No harm, potential for more than minimal, isolatedF689Jun 11, 2025

  Based on facility policy review, medical record review, facility document review, observations and interviews, the facility failed to ensure medications were stored and secured properly for 2 residents (Resident #5 and #219) of 90 residents observed. The findings include: Review of the facility's policy, Medication Storage in the Facility, updated 2/25/2025, revealed .Medications .stored safely .securely .and properly .medication supply .accessible only to licensed nursing personnel .medications .stored in medication cart . Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including Heart Failure, Malignant Neoplasm of Pancreas and Anxiety. […]