cms_TN: 14015
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14015 | PICKETT CARE AND REHABILITATION CENTER | 445390 | 129 HILLCREST DRIVE | BYRDSTOWN | TN | 38549 | 2009-03-04 | 225 | D | 1 | 1 | HQCZ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, facility policy review, and interview, the facility failed to implement the abuse policy for one resident (#14) of three residents reviewed with an allegation of abuse. The findings included: Resident #14 was re- admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Medical record review of the Minimum Data Set, dated dated dated [DATE]; revealed the resident had no long term or short term memory impairment, and was independent with daily decision making. Medical record review of facility documentation dated January 19, 2009, revealed Certified Nursing Assistant #1 reported to the Assistant Director of Nursing #1, and Assistant Director of Nursing #2 that resident #14 reported on January 18, 2009, a Certified Nursing Assistant #2 had "slammed (resident #14) leg to the ground, and CNA#2 said" don't holler at me" Continued review revealed that resident #14 reported CNA#2 told resident #9 (resident #14 roomate) "you sure pee a lot, and resident #9 heard a slap followed by protest, and CNA #2 request not to yell at ..." Continued review revealed no documentation the Physician, Adult Protective Services, and Ombudsman were notified, and no completed incident report. Review of the facility policy Prevention of Abuse, Neglect and Misappropriation of Resident's Property revealed " ...The Administrator will report to other officals in accordance with State Law (including to state survey and investigation agency): a. Adult Protective Services ...c. Attending Physician ...e.Ombudsman ..." Interview with Assistant Director of Nursing #1 and Assistant Director of Nursing #2 on March 2, 2009, at 1:45 p.m., in the Director of Nursing office, confirmed CNA #1 reported the allegation, the resident was examined and no injury, and the resident denied her leg was hurt. Interview with resident #9 on March 3, 2009, at 10:00 a.m., revealed, resident #9 denied witnessing any mistreatment of [REDACTED]. Interview with the Social Worker, on March 3, 2009, at 10:15 a.m., in the conference room, confirmed, Adult Protective Services and Ombudsman were not notified of the allegation. Interview with the Administrator on March 3, 2009, at 11:00 a.m., in the conference room, confirmed on January 19, 2009, resident #14 made the allegation; the facility investigated and did not substantiate the allegation, and the accused did not work during the investigation. Continued interview confirmed an incident report was not completed, Adult Protective Services, the Ombudsman, and Physician were not notified as per facility policy. TN 762 | 2014-07-01 |