The Waters of Gallatin

In the surveyor’s words

From the most serious findings on record at The Waters of Gallatin, in the surveyor’s own words.

• Actual harm, isolatedF658Sep 16, 2021

  Based on medical record review, facility documentation review and interview, the facility failed to follow a care plan while caring for 1 (Resident #1) of 2 residents reviewed for following a comprehensive care plan. This failure resulted in a fracture of the surgical neck (a [MEDICATION(S)] below the tubercles [rounded projection] of the greater and lesser tubercles of the humerus [large bone in upper arm]) and greater tuberosity causing Harm to Resident #1. The findings include: Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Sep 16, 2021

  Based on policy review, medical record review, facility documentation review and interview, the facility failed to prevent an injury during resident care for 1 (Resident #1) of 2 residents reviewed for falls. This failure resulted in a fracture of the surgical neck (a [MEDICATION(S)] below the tubercles [rounded projection] of the greater and lesser tubercles of the humerus [large bone in upper arm]) and greater tuberosity causing Harm to Resident #1. The findings include: Review of the undated facility policy INCIDENTS/ACCIDENTS/FALLS revealed .It is the policy of the facility to ensure that any incident/accident to include falls is reported immediately to the nurse or appropriate person designated to be in charge. […]

• No harm, potential for more than minimal, patternF880Apr 8, 2026

  Based on policy review, facility Infection Control Program document review, observation, and interview, the facility failed to ensure the prevention and spread of infections for 1 of 1 (Resident #97) when reusable medical equipment was not properly cleaned, and failed to establish and implement an infection control program to identify, report, investigate, and control infections and communicable diseases when the facility failed to ensure the tracking and trending of infections were conducted monthly for 1 of 3 months (February 2026) reviewed. This facility's failure to ensure tracking and trending of infections were conducted had the potential to affect 86 of the 86 residents residing in the facility.The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF569Apr 8, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to reimburse funds within 30 days to 1 of 1 (Resident #101) sampled residents reviewed for personal fund accounts. The findings include: 1. Review of the undated policy titled, Conveyance of Resident Funds Upon Death, revealed .Upon the death of a resident with a personal fund deposited with the facility must convey within 30 days the resident's funds, and a final accounting of those funds, to the individual or probate jurisdiction administering the resident's estate, in accordance with State law 2. Review of the medical record revealed Resident #101 was admitted to the facility on [DATE], with diagnoses including Chronic Obstructive Pulmonary Disease, Depression, and Adult Failure to Thrive. […]

• No harm, potential for more than minimal, isolatedF725Apr 8, 2026

  Based on facility policy review, Certified Nursing Assistant (CNA) in-service review, and interview, the facility failed to ensure 4 of 11 CNA's (CNA A, B, C, and D) received at least 12 hours of required in-service training annually. The findings include: 1. Review of the facility policy titled, Nurse Aide Training Program, with a revision date of 4/1/2026 revealed . Each nurse aide shall be provided at least 12 hours of in-service training annually, based on his/her employment date, not calendar year.The Staff Development Coordinator shall maintain documentation of training in his/her office during the current training year, and shall forward to the HR [Human Resources] Director at the completion of the training year to be maintained in the employee's personnel file. 2. […]