Weakley Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Feb 17, 2021

  Based on review of the Center for Disease Control and Prevention (CDC) guidelines, review of the BinaxNOW COVID-19 Ag ([MEDICATION NAME]-a foreign substance that induces an immune response) Card instructions, policy review, medical record review, observation, and interview, the facility failed to follow CDC infection control guidelines when the facility labeled and stored worn, potentially contaminated surgical masks in open, zippered, plastic bags labeled with the staff member's name outside of 5 of 5 resident rooms (Resident #14, #15, #16, #17, and #18) on the COVID Monitoring Unit (designated unit for new admissions, hospital admissions, and residents that had been out of the facility for appointments). […]

• Immediate jeopardy, isolatedF689Jun 29, 2024

  Based on review of the State licensure regulations, job description review, policy review, medical record review, review of facility investigations, observation, and interview, the facility failed to ensure the environment was free from accident hazards when dangerously elevated hot water temperatures were measured for 8 of 69 (Resident Rooms #13, #17, #18, #86, #89, #90, #91, #93) rooms, and when the facility failed to provide a safe environment and adequate supervision to prevent falls and injury for 7 of 7 (Resident #2, #11, #21, #28, #46, #52, and #54) sampled residents reviewed for accidents. […]

• Immediate jeopardy, isolatedF600Feb 17, 2021

  Based on policy review, facility video footage review, medical record review, observation, and interview, the facility failed to ensure a resident was free from neglect when Registered Nurse (RN) #1 and Licensed Practical Nurse (LPN) #1 neglected to respond immediately to a resident's change in condition for 1 of 7 sampled residents (Resident #4) reviewed for neglect and change in condition, which resulted in Immediate Jeopardy for Resident #4. RN #1 and LPN #1 neglected to respond immediately to concerns of Physical Therapist (PT) #1 that the resident did not look good and her breathing was not normal. LPN #1 sent a Nurse Aide (a non-certified nursing assistant) (NA) #1 to check on the resident. […]

• Immediate jeopardy, isolatedF684Feb 17, 2021

  Based on the Centers for Medicare and Medicaid Services (CMS) QSO (Quality, Safety, Oversight)-,[DATE]-NH (Nursing Home) Memorandum Summary (MEMO), policy review, Ambulance Report, facility video footage, hospital record review, medical record review, observation, and interview, the facility failed to provide the needed care and services timely when Registered Nurse (RN) #1 and Licensed Practical Nurse (LPN) #1 did not respond immediately to a resident's change in condition and Emergency Medical Services (EMS) were not allowed immediate entrance into the facility for 1 of 7 sampled residents (Resident #4) reviewed for change in condition, which resulted in Immediate Jeopardy for Resident #4. […]

• Actual harm, isolatedF692Sep 10, 2025

  Based on policy review, medical record review, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status and implement nutritional interventions for 1 of 4 (Resident #38) sampled residents reviewed for weight loss. This resulted in an actual Harm when the facility failed to implement interventions following a significant weight loss for Resident #38 resulting in another significant weight loss 29 days later. The findings include: 1. […]