Sevierville Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Sevierville Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 8, 2023

  Based on facility policy review, observation, and interview, the facility failed to ensure food items were labeled and stored properly in 1 of 2 freezers in the kitchen and failed to ensure a clean and sanitary milk cooler which had the potential to affect all 80 residents in the facility. The findings include: Review of the facility's undated policy titled, Sanitization, showed The food service area shall be maintained in a clean and sanitary manner .All kitchens, kitchen areas and dining areas shall be kept clean, free from litter and rubbish and protected from rodents, roaches, flies and other insects .All equipment, food contact surfaces and utensils shall be washed to remove or completely loosen soils by using the manual or mechanical means necessary .Kitchen and dining room surfaces… […]

• No harm, potential for more than minimal, patternF761Mar 16, 2021

  Based on facility policy review, observation, and interview the facility failed to ensure medications were stored in a locked medication cart on 2 resident hallways (100 Back Hall and 200 Odd Hall) of 4 resident hallways observed. The findings include: Review of facility policy Medication Cart Use revised 6/1/2016 showed .Security The medication cart and its storage bins are kept locked until the specific time of medication administration . Observation on 3/15/2021 at 10:35 AM, on the 100 Hall outside of room [ROOM NUMBER] showed the 100 Back Hall medication cart with the medication drawers closed, unlocked, and unattended. During an interview on 3/15/2021 at 10:35 AM, the Registered Nurse (RN) House Supervisor confirmed the 100 Back Hall medication cart was left unlocked and unattended. […]

• No harm, potential for more than minimal, isolatedF880Mar 4, 2026

  Based on facility policy reviews, medical record reviews, observations and interviews, the facility failed to follow appropriate infection practices to prevent the potential spread of infection for 8 residents (Residents #57, #54, #81, #9, #71, #30, #59, and #72) of 85 residents observed for infection control.The findings include:Review of the facility's undated policy titled, Wound Management, revealed .protocols for wound care are established .using current guidelines .for wound management .infection control practices are maintained to decrease and prevent the transmission of infection during wound care and/or dressing changes .Review of the facility's undated policy titled, Enhanced Barrier Precautions [EBP], revealed EBP are an infection control intervention designed to reduce… […]

• No harm, potential for more than minimal, isolatedF550Nov 8, 2023

  Based on facility policy review, observation, and interview, the facility failed to ensure medical information was not visible for 1 resident (Resident #325) of 80 observed. The findings include: Review of the facility's policy titled, Resident Rights, with a revised date of 12/2016, showed .Employees shall treat all residents with kindness, respect, and dignity .Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to .a dignified existence .be treated with respect, kindness, and dignity .privacy and confidentiality . Resident #325 was admitted to the facility on [DATE] with diagnoses including Fracture of the Left Femur, Encounter for Orthopedic Aftercare, Fall, Muscle Weakness, and Anemia. […]

• No harm, potential for more than minimal, isolatedF641Nov 8, 2023

  Based on medical record review and interview, the facility failed to accurately code a Minimum Data Set (MDS) assessment for 1 resident (Resident #60) of 18 residents reviewed for MDS assessments. The findings include: Resident #60 was admitted to the facility on [DATE] with diagnoses including Intracapsular Fracture of Left Femur, Malignant Neoplasm of Unspecified Bronchus of Lung, and Malignant Neoplasm of Brain. Review of the Physician's Orders dated 7/25/2023, showed Resident #60 had been ordered hospice care. Review of the comprehensive care plan dated 7/25/2023, showed Resident #60 received hospice services for end-of-life care. Review of the MDS assessment dated [DATE], showed hospice care had not been captured or documented on the MDS for Resident #60. […]