Obion County Nursing Home

In the surveyor’s words

From the most serious findings on record at Obion County Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 29, 2024

  Based on review of the Blood Glucose Monitoring User Guide, policy review, job description review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when multi-use blood glucose meters were not cleaned and disinfected to prevent cross-contamination of bloodborne pathogens for 4 of 14 sampled residents (Residents #3, #9, #38, and #49) reviewed for blood glucose monitoring. Observations revealed 4 of 6 nurses (Licensed Practical Nurses (LPN) #1, #2, #3, and #4) failed to disinfect the blood glucose meters after use on each Resident observed during blood glucose monitoring/medication administration. […]

• Actual harm, isolatedF689Jun 26, 2025

  Based on policy review, medical record review, facility video review, facility investigation review, observation, and interview, the facility failed to ensure staff followed the facility policy for a resident transfer and assessment of an injury after a transfer for 1 of 3 (Resident #1) sampled residents reviewed for accident hazards. On 6/11/2025, Resident #1, a cognitively impaired vulnerable resident, who required 2-person assistance with transfers, was transferred from the bed into the shower chair, and from the shower chair into the wheelchair, using her arms instead of the mechanical lift, by 2 Certified Nursing Assistants (CNA) A and B. […]

• No harm, potential for more than minimal, patternF880Mar 19, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to perform practices to prevent the potential spread of infections during medication administration and pressure ulcer care when 3 of 3 (Licensed Practical Nurse (LPN) A, B, and C) staff members failed to perform hand hygiene, administered contaminated medications and performed pressure ulcer care with contaminated gloves. The findings include: 1. Review of the undated facility policy titled, Hand Hygiene, revealed .All staff will perform proper hand hygiene procedures to prevent the spread of infections to other personnel, residents, and visitors. This applies to all staff working in all locations within the facility . […]

• No harm, potential for more than minimal, isolatedF835Jan 20, 2026

  Based on facility policy review, Board of Examiners of Nursing Home Administrators (BENHA) review, facility benefit plan review, employee file review, employee W-2 form review, employee check stub review, timeclock punch detail review, bookkeeping system screenshot review, Certified Public Accounting (CPA) Firm documentation review, facility email review and interview, Administration failed to ensure appropriate checks and balances were implemented to prevent financial mismanagement of the payroll system and the facility checking account. […]

• No harm, potential for more than minimal, isolatedF837Jan 20, 2026

  Based on facility policy review, Board of Examiners of Nursing Home Administrators (BENHA) review, Governing Board/Body Meeting minutes review, Certified Public Accounting (CPA) Firm documentation review, and facility email review, the Governing Board/Body failed to provide oversight and implement appropriate checks and balances to prevent financial mismanagement of the payroll system and the facility bank account into which payments, including Medicare, Medicaid, insurance, and private payments from residents were deposited. The Governing Board/Body failed to appoint an Administrator who was held accountable to responsibly manage the facility and the payroll system and communicate all aspects of the facility's financial operations to the Governing Board/Body. […]