Trevecca Center for Rehabilitation and Healing LLC

In the surveyor’s words

From the most serious findings on record at Trevecca Center for Rehabilitation and Healing LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jul 27, 2022

  Based on facility policy, observation and interview the facility failed to provide needed bath linens to support a comfortable and homelike environment for 222 residents in the facility. The findings include: Review of the facility's policy titled, Departmental Laundry and Linen, dated 2/22/2021 revealed .The Purpose of this procedure is to provide a process for the safe and aseptic handling, washing, and storage of linen .separate soiled and clean linen at all times . Review of the facility's policy titled, Bath, Shower/Tub, dated 2/22/2021 revealed .Equipment and Supplies .the following equipment and supplies will be necessary when performing this procedure .face cloth and bath towels .place one (1) towel in the tub for the resident to sit on .place a towel in the bath chair for the… […]

• No harm, potential for more than minimal, patternF607Jul 27, 2022

  Based on facility policy review, facility record review, and interview, the facility failed to screen potential employees for a history of abuse, neglect, exploitation, or misappropriation of resident property in order to prohibit abuse, which had the potential to affect all 222 residents in the facility. The findings include: Review of the facility's undated policy titled, Abuse Policy, revealed, .It is the policy of this facility that acts of physical, verbal, mental and financial abuse including neglect and exploitation directed against residents are absolutely prohibited. […]

• No harm, potential for more than minimal, isolatedF585Jun 21, 2023

  Based on facility policy review, medical record review, observation, and interview the facility failed to make prompt efforts to resolve grievances for missing personal belongings for 2 of 3 sampled residents (Residents #36 and #155). The findings include: Review of the medical record revealed Resident #36 was admitted to the facility on [DATE] with a diagnosis which included Multiple Sclerosis. Review of the Significant Change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had a Brief Interview for Mental Status (BIMS) score of 15 which indicated no cognitive impairment. During an interview on 6/13/2023 at 10:28 AM, Family Member #6 stated she had reported to Licensed Practical Nurse (LPN) #1 Resident #36 was missing an electric razor charging cord. […]

• No harm, potential for more than minimal, isolatedF625Jun 21, 2023

  Based on facility policy review, medical record review, and interview, the facility failed to provide a written bed-hold notice to the resident and the resident's representative at the time of hospitalization for 5 of 5 (Resident #91, Resident # 118, Resident #131, Resident #137, and Resident #224) sampled residents reviewed for hospitalization . Review of the facility policy titled, Bed-Holds and Returns, dated 5/18/2023 revealed, .Residents and /or representatives are informed [in writing] of the facility and state [if applicable] bed-hold policies .All residents/representative are provided written information regarding the facility and state bed-hold policies, which address holding or reserving a resident's bed during periods of absence [hospitalization or therapeutic leave] . […]

• No harm, potential for more than minimal, isolatedF656Jun 21, 2023

  Based on facility policy review, medical record review, observation, and interview, the facility failed to follow the comprehensive care plan for 1 of 59 (Resident #92) sampled residents reviewed. The findings include: Review of the facility policy titled, Care Plans Comprehensive dated 5/18/2023, revealed, .developed and implemented for each resident .describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being . Review of the facility policy titled, Lifting Machine Using Mechanical dated 5/19/2023 revealed, .to establish the general principles of safe lifting using a mechanical lifting device .At least two (2) nursing assistants are needed to safely move a resident with a mechanical lift . […]