Nhc Healthcare, Knoxville

Based on facility policy review, observation, and interview, the facility failed to ensure expired food items were not available for resident use in 1 of 2 nourishment room refrigerators observed. The findings include:Review of the facility's policy titled, Safety & [and] Sanitation Best Practice Guidelines, dated 6/2025, revealed .REFRIGERATOR .STORAGE .Refrigerated .foods will be stored properly for optimal product safety .Expiration dates .will be used .to ensure food safety .During an observation and interview on 4/27/2026 at 10:56 AM, revealed the 2nd floor nourishment room refrigerator contained five unopened 10 fluid ounce bottles of orange juice with an expiration date of 4/8/2026. The Certified Dietary Manager confirmed the items were expired and available for resident use.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, medical record review, review of facility investigations, observations and interviews, the facility failed to ensure 4 residents (Residents #1, #7, #9, and #3) were free from physical abuse during 4 separate resident versus resident altercations of 23 sampled residents. The findings include: Review of the Administrative Procedures Manual, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, dated [DATE], revealed .Abuse: the willful infliction of injury .Willful, as used in this definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm .Physical Abuse: includes hitting, slapping, pinching and kicking . 1. Review of the medical records and facility investigation documentation revealed a resident-versus-resident altercation occurred between Resident #1 and Resident #2 on [DATE]. Review of the medical record revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on facility policy review, observations, and interview, the facility failed to ensure kitchen staff wore protective beard coverings while preparing food observed for 2 of 2 staff members. The facility failed to maintain a sanitary kitchen environment as evidenced by undated food and food open to air observed in 1 of 1 dry storage rooms and failed to maintain sanitary kitchen equipment which had the potential to affect 100 of 102 residents. The findings include: Review of the facility policy, Hygiene & Safety Practices, revised 11/2017, revealed .partners shall wear hair restraints such as hats, hair coverings, or nets, beard restraints .that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils, and linens; and unwrapped single-service and single-use articles . Review of the facility policy titled, Safety & Sanitization Best Practice Guidelines, dated 11/2017, showed .packages should be closed securely . Review of the facility policy titled, Safety & Sanitization Best Practice Guidelines, dated 11/2017, showed .Equipment…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observations, and interviews, the facility failed to provide a clean and homelike environment for 13 of 38 resident rooms. The facility failed to repair wallpaper in 8 of 38 resident rooms and in 5 out of 5 hallways. The facility failed to clean air vents on 5 of 5 hallways. The facility failed to replace ceiling tiles in 5 of 38 resident rooms. The facility failed to repair window seals which resulted in uncomfortable temperature levels in 5 of 38 resident rooms. The findings include: Review of the facility policy titled, NHC Knoxville Housekeeping Policy, dated 3/15/2023, showed .NHC expects to maintain our building in a manor [manner] that is clean, presentable for our patients and staff. Routine cleaning of patient rooms Daily. High-Touch surfaces, floors and sinks are cleaned daily. Low touch surfaces are scheduled weekly or when visibly soiled. Weekly High surfaces .such as tops of cupboards, vents, walls, baseboards and corners. Monthly window blinds, bed curtains and any…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure 1 of 10 residents (Resident #80) was treated in a dignified manner during incontinence care. The findings include: Review of the facility's policy titled Resident Rights dated 2/2020, showed .We strive to cultivate and sustain an excellent quality of life for each individual with person-centered care and services . Review of the medical record revealed Resident #80 was admitted to the facility on [DATE] with diagnoses including Cerebral Vascular Accident with Right-sided Hemiplegia, Diabetes and Atherosclerotic Heart Disease. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #80 had no speech, absence of spoken words, was always incontinent of bladder and bowel, and required extensive assistance of two persons for toileting (includes change of incontinent pads). Observation while passing by Resident #80's room on 3/14/2023 at 3:46 PM, revealed the door into the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, medical record review, and interviews, the facility staff failed to report allegations of abuse to the Administrator for 2 residents (Resident #57 and Resident #30) of 5 residents reviewed for abuse. The findings included: Review of the facility's policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, dated 2/1/2023, showed .REPORTING POLICY .Any partner having either direct or indirect knowledge of any event that might constitute abuse .must report the event immediately, but not later than 2 hours .All allegations of possible abuse .will be immediately assessed .It is the policy of this facility that 'abuse' allegations .are reported per Federal and State Law . Resident #30 was admitted to the facility on [DATE], with diagnoses including Blindness Right Eye, Dementia with Anxiety, Insomnia, and Weakness. Review of Resident #30's quarterly Minimum Data Set (MDS) assessment dated [DATE],…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, interview, and observations, the facility failed to ensure care and interventions for 1 resident (Resident #30) with Dementia of 13 residents with Dementia reviewed. Resident #30 exhibited behaviors of grabbing other residents, wandering, and agitation with no effective person-centered interventions in place. The findings include: Resident #30 was admitted to the facility on [DATE], with diagnoses including Blindness Right Eye, Dementia with Anxiety, Insomnia, and Weakness. Review of Resident #30's comprehensive care plan showed 06/27/2022 .Diagnosis of dementia with anxiety disorder, restlessness and agitation. Patient has difficulty sleeping at night- insomnia. Combative behavior towards staff with rejection of care. Patient known to inappropriately grasp at objects and wander related to poor eyesight. Anxiety and agitation worse in PM [evening] .Goal .Mood/Behaviors will be well managed with current regimen without undue side effects . Review of the care planned interventions…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observation, and interview, facility staff failed to follow handwashing procedures for 1 resident (#299) of 1 resident in contact isolation precautions. The findings include: Review of the facility policy titled, Infection Control Clinical Supplement dated 12/2019, showed .This is intended as a supplement to help provide more detailed disease specific direction for initiation and duration of precautions .Contact Precautions .For patients with known or suspected .infections or colonization with resistant organisms transmitted by direct or indirect contact with residents or the environment .Hand hygiene is the single most important practice to reduce the transmission of infectious agents in healthcare settings .When dealing with C. difficile infection, hand washing with either plain or antiseptic-containing soap and water is recommended over alcohol based products because spores are not killed by alcohol products; the mechanical action of washing with soap and water washed off the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to follow the care plan for falls for 1 resident (#86) of 23 sampled residents. The findings include: Medical record review revealed Resident #86 was admitted to the facility on [DATE] with diagnoses including History of Falling, Fracture of Left Femur, Osteoarthritis, Lack of Coordination, and Hypertension. Medical record review of the Baseline Care Plan, dated 11/19/19, revealed .fall risk .bed in lowest position . Medical record review of Resident #86's admission Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview of Mental Status (BIMS) score of 14, indicating the resident was cognitively intact. Further review revealed the resident required extensive assistance of 2 persons for transfers, bed mobility, and toileting. Medical record review of the Comprehensive Care Plan, dated 12/3/19 revealed .Keep bed in lowest position . Medical record review of the Certified Nursing Assistant Care Plan, dated 12/3/19, revealed to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, facility documentation review, observation and interview the facility failed to add a new intervention after a fall for 1 resident (#69) and failed to implement a care plan intervention to prevent accidents for 1 resident (#86) of 5 residents reviewed for accidents. The findings include: Review of the facility policy, Falls Policy, revised 7/14/17 revealed .Based on the preceding assessment, the staff and/or physician will identify pertinent interventions to try to prevent subsequent falls and to address risks of serious consequences of falls .If underlying causes cannot be readily identified or corrected, staff will try various relevant interventions, based on assessment of the nature or category of falls, until falling reduces or stops or until a reason is identified for its continuation . Medical record review revealed Resident #69 was admitted to the facility on [DATE] with diagnoses including Dementia with Behavior Disturbance, Diabetes, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.