The Kings Daughters and Sons

In the surveyor’s words

From the most serious findings on record at The Kings Daughters and Sons, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 5, 2023

  Based on Prevention and Treatment of Pressure Ulcers/Injuries Quick Reference Guide 2019, policy review, medical record review, observation, and interview, the facility failed to provide skin and wound assessments, and wound treatments for residents' pressure ulcers for 2 of 4 residents (Resident #7 and #8) reviewed for pressure ulcers. The facility's failure to perform treatments and conduct assessments in accordance with facility policy contributed to the development and deterioration of pressure ulcers/injury for Resident #7 and #8 resulting in harm. The findings include: 1. […]

• No harm, potential for more than minimal, patternF880Oct 5, 2023

  Based on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 2 of 4 (Licensed Practical Nurse (LPN) #2 and #3) and when 1 of 1 (Wound Care Nurse) staff members failed to perform hand hygiene during medication administration and wound care. The findings include: 1. Review of the facility's undated policy titled, Medication Administration, revealed .Medications are administered by licensed nurses, or other staff who are legally authorized to do so .as ordered by the physician and in accordance with the professional standards of practice, in a manner to prevent contamination or infection .Compliance Guidelines .Wash hands prior to administering medication per facility protocol . […]

• No harm, potential for more than minimal, isolatedF835Mar 17, 2026

  Based on facility policy review, personnel file review, facility document review and interview, Administration failed to ensure that nursing services were provided by qualified personnel when the facility hired an imposter nurse (Imposter Nurse A) to function as a Registered Nurse (RN) using another RN's (RN C) Tennessee license. Imposter Nurse A worked at the facility from 06/12/2024 to 11/24/2024The findings include: Review of an undated policy Employment revealed, .Form I-9 [Employment Eligibility Verification].the second section, Steps 5 and 6 must be completed by the HR [Human Resource] Director.Background Investigations.Should the background investigations (s) disclose any material misrepresentation or omission on the employment application form(s) or disclose information indicating… […]

• No harm, potential for more than minimal, isolatedF550Oct 5, 2023

  Based on policy review, medical record review, observation, and interview, the facility failed to maintain and enhance resident's dignity and respect when 1 of 1 (Wound Care Nurse) nurse failed to provide privacy for 1 of 2 (Resident #7) residents observed during wound care. The findings include: 1. Review of the facility's policy titled, Dignity dated October 2022, revealed .It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, which maintains or enhances resident's quality of life by recognizing each resident's individuality .Maintain resident privacy . […]

• No harm, potential for more than minimal, isolatedF609Oct 5, 2023

  Based on facility policy review, medical record review, and interview, the facility failed to report an allegation of abuse for 1 of 4 (Resident #285) sampled residents reviewed for allegation of abuse. The findings include: 1. Review of the facility's undated policy titled, Compliance with Reporting Allegations of Abuse /Neglect/Exploitation, revealed .It is the policy of this facility to report all allegations of abuse/neglect/exploitation or mistreatment, including injuries of unknown sources and misappropriation of resident property are reported immediately to the Administrator of the facility and to other appropriate agencies in accordance with current state and federal regulations within prescribed timeframes .The facility will report all alleged violations and all substantiated… […]