Red Boiling Springs TN Opco LLC

In the surveyor’s words

From the most serious findings on record at Red Boiling Springs TN Opco LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Sep 28, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to develop a care plan for 2 of 34 sampled residents (Resident #5 and Resident #37). The findings include: Review of the facility's policy titled, Comprehensive Care Plans, dated 8/30/2022, revealed, .It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment . Review of the medical record revealed Resident #5 was readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF835Sep 28, 2022

  Based on medical record review and interview, the facility Administrator failed to respond to an identified concern of unauthorized narcotics found on two separate occasions for 1 of 34 residents (Resident #5). The findings include: Review of the medical record revealed Resident #5 was readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 had a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. Resident #5 required extensive assistance with bed mobility with two staff. […]

• Immediate jeopardy, isolatedF867Sep 28, 2022

  Based on medical record review and interview the facility QAPI program failed to identify a problem with a resident having access to unauthorized medication and failed to develop an action plan to correct the problem for 1 of 34 residents (Resident #5). The findings include: Review of the medical record revealed Resident #5 was readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 had a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. Resident #5 required extensive assistance with bed mobility with two staff. […]

• No harm, potential for more than minimal, widespreadF757Sep 28, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to adequately monitor 10 of 10 sampled residents (Resident #5, #7, #15, #19, #25, #29, #37, #41, #42, #100) reviewed for anticoagulant therapy. The findings include: Review of the facility's policy titled, High Risk Medications-Anticoagulants, dated 1/1/2022, revealed, .This facility recognizes anticoagulants are associated with greater risks of adverse consequences than other medications .The resident's plan of care shall alert staff to monitor for adverse consequences. Risks associated with anticoagulants include: a. […]

• No harm, potential for more than minimal, widespreadF880Jan 6, 2021

  Based on review of facility policy, medical record review, observation, and interview, the facility failed to follow infection control measures by failing to disallow non-essential COVID-19 positive staff to work, failing to complete COVID-19 assessments twice daily on 2 of 4 sampled residents, failing to maintain an active screening process, failing to don proper PPE (personal protective equipment) prior to entering a COVID-19 isolation room, and failing to ensure staff wore a face shield or goggles as a facility practice. […]