Southern Tenn Medical Center SNF

In the surveyor’s words

From the most serious findings on record at Southern Tenn Medical Center SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF578Sep 4, 2025

  Based on facility policy review, medical record review, and interviews, the facility failed to ensure 3 residents (Resident #4, Resident #11, and Resident #17) were offered the opportunity to formulate an advanced directive upon admission to the facility of 3 residents reviewed for advanced directives. The findings include: Review of the facility's undated policy titled, Advanced Directives, revealed .The facility will provide information to the resident/ resident representative on Advanced Directives and will assist the resident/ resident representative in formulating advanced care planning .Upon admission, the resident/ resident representative will be provided with written information concerning the right to .formulate an advanced directive if he or she chooses to do so .Prior to or upon… […]

• No harm, potential for more than minimal, widespreadF582Sep 4, 2025

  Based on medical record review and interviews the facility failed to provide the required Notice of Medicare Non-Coverage (NOMNC) and Advanced Beneficiary Notice (ABN) for 3 residents (Resident #3, Resident #5, and Resident #33) of 3 residents reviewed for beneficiary notification.The findings include: Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] with diagnoses including Myocardial Infarction [Heart Attack] and Muscle Weakness. Review of a 5 day Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #3 scored a 4 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF880Jul 13, 2022

  Based on facility policy review, Centers for Disease Control and Prevention (CDC) guidance, observation, and interview, the facility failed to properly prevent COVID-19 (an infectious disease caused by the [CONDITION(S)]-CoV-2 virus) by failing to implement universal use of eye protection as part of Personal Protective Equipment (PPE) during resident care interactions in a community with high COVID-19 transmission which had the potential to result in COVID-19 transmission to all 11 residents in the facility. The findings include: Review of the facility's policy titled, Infection Prevention and Control Plan, revised 4/20/2021, showed .following objectives are in place to reduce or eliminate risks .appropriate use of personal protective equipment . […]

• No harm, potential for more than minimal, patternF835Sep 4, 2025

  Based on job description review, facility policy review, medical record review, and interview, the facility failed to provide effective administrative leadership and oversight to ensure the required documentation was maintained or obtained related to Notice of Medicare Non Coverage (NOMNC) for 3 residents (Resident #3, Resident #5, and Resident #33), failed to maintain or obtain the required documentation related to Advanced Beneficiary Notices (ABN) for 3 residents (Resident #3, Resident #5, and Resident #33), failed to offer assistance with the formulation of Advanced Directives for 3 residents (Resident #4, Resident #11, and Resident #17), and had not documented staff or residents received education on COVID-19 vaccination for 5 residents (Resident #7, Resident #11, Resident #19,… […]

• No harm, potential for more than minimal, patternF867Sep 4, 2025

  Based on facility policy review, job description review, Quality Assurance Performance Improvement (QAPI) meeting minutes review, medical record review, and interview, the facility's leadership and QAPI Committee failed to identify, address and initiate corrective action plans for quality deficiencies to ensure the residents attained or maintained their highest practicable physical, functional, mental, and psychosocial well-being when the residents were not offered the opportunity to formulate advanced directives upon admission, were not provided Advance Beneficiary Notices (ABN) or Notice of Medicare Non-Coverage (NOMNC) documentation upon discharge, and had not documented the staff or residents received education on the COVID-19 vaccine for 5 residents (Resident #7, Resident #11,… […]