Life Care Center Of Blount County

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation and interviews the facility failed to provide dignity for 1 resident (Resident #90) of 24 residents reviewed for dignity.The findings include:Review of the facility policy titled Activities of Daily Living (ADLs), dated 9/10/2024, revealed .For residents who are unable to carry out activities of daily living receives the necessary services to maintain .grooming .Review of the medical record revealed Resident #90 was admitted to the facility on [DATE] with diagnoses including Muscle Weakness, Diabetes, and Dementia.Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #90 scored a 9 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident had moderate cognitive impairment and required partial/moderate assistance with personal hygiene.Review of a comprehensive care plan for Resident #90 dated 6/5/2026, revealed .ADL assistance .assist with .ADL's as needed .During an…

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, observations and interviews the facility failed to honor the bathing preferences of 2 residents (Resident #73 and #106) of 24 residents reviewed. The findings include: Review of the facility policy titled, Activities of Daily Living (ADLs), dated 9/10/2024, revealed .the resident will receive assistance as needed to complete activities of daily living (ADL's) .Any change .will be reported to the nurse . Review of the facility policy titled, Resident Rights, dated 9/26/2025, revealed .resident has the right to receive the services .included in care plan .make choices about aspects of his or her life in the facility that are significant to the resident . Review of the medical record revealed Resident #73 was admitted to the facility on [DATE] with diagnoses including Fracture of Left Femur, Diabetes, and Muscle Weakness. Review of a comprehensive care plan dated 6/15/2026, revealed Resident #73 had an .ADL [Activities of Daily Living] assistance .to maintain…

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 interviews, the facility failed to ensure medications were securely stored in 1 medication cart (Medication Cart 1) of 3 medication carts reviewed. The findings include: Review of the facility policy titled, Medication Storage, dated 11/28/22, revealed .the facility must store all drugs and biologicals in locked compartments .permit only authorized personnel to have access . During an observation and interview on 6/30/2026 at 7:52 PM, revealed Licensed Practical Nurse (LPN) B was standing at a medication cart preparing medications. LPN B left the medication cart and entered residents room, leaving the medication cart unlocked and unattended. LPN B returned to the medication cart and confirmed the mediation cart was left unlocked and unattended. LPN B confirmed she should have locked the medication cart when left unattended. During an interview on 6/30/2026 at 8:01 PM, Registered Nurse (RN) A stated there were no wandering residents in the facility. During the night shift observation on 6/30/2026 from 7:42 PM to 8:50 PM, no wandering…

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 Review of the medical record revealed Resident #238 was admitted to the facility on [DATE] with diagnoses including Coronary Implant and Graft, Presence of Right Artificial Knee Joint, Dementia, and Chronic Kidney Disease. Review of an admission MDS assessment for Resident #238 dated 9/20/2024, revealed Resident #238 scored a 9 on the BIMS assessment which indicated the resident had moderate cognitive impairment. Review of the facility's document titled Wound Observation Tool, dated 11/14/2024, revealed Resident #238 had an open wound on the left shin. Review of the facility's document titled Wound Observation Tool, dated 11/14/2024, revealed Resident #238 had an open wound on the left heel. Review of the comprehensive care plan dated 12/2/2024, revealed Resident #238 had a pressure ulcer on the left shin and on the left heel. Further review revealed a care plan was not developed or implemented for EBP. During an observation on 12/2/2024 at 10:49 AM, revealed there was no EBP signage posted or PPE available in…

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, refrigerator and freezer temperature log reviews, observations, and interviews, the facility failed to obtain and record twice daily temperatures for 3 of 3 refrigerators, and 2 of 2 freezers in the kitchen per facility policy. The failure had the potential to affect 88 of the 93 residents in the facility. The findings include: Review of the facility policy titled, Food Safety, revised 4/26/2023, revealed .Food is stored and maintained in a clean, safe, and sanitary manner .to minimize contamination and bacterial growth .Cold Food Storage .3. Temperatures are recorded at least twice daily on the Refrigerator/Freezer Temperature Log . Review of the facility's documentation titled, Refrigerator/Freezer Temperature Logs, kitchen staff documentation for the month of 11/2024, for 3 refrigerators, and 2 freezers located in the kitchen revealed the following: 1. For the Reach-in Fridge temperature logs dated: 11/17/2024, 11/23/2024, 11/25/2024, the temperatures for the evening or PM shifts were not obtained and documented on the log. On 11/30/2024 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 facility policy review, medical record review, observation, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP) for 14 residents (Residents #12, #18, #36, #135, #136, #385, #389, #15, #185, #186, #50, #335, #238, and #239) of 14 residents reviewed for EBP. The findings include: Review of the facility's policy titled, Enhanced Barrier Precautions (EBP), reviewed 6/3/2024, revealed .The facility should use Enhanced Barrier Precautions (EBP) as an additional .strategy for residents that meet the following criteria .EBP are indicated for residents with any of the following .wounds and/or indwelling medical devices even if the resident is not known to be infected .the facility should develop a process to communicate which residents require the use of EBP .The facility may choose to post signage on the door or wall outside of the resident room indicating the resident is on Enhanced Barrier Precautions .Examples of high-contact resident care activities requiring gown and glove…

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, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, observations, and interviews the facility failed to enter the code for isolation treatment for 1 resident (Resident #236) of 19 residents reviewed for MDS accuracy. The findings include: Review of the facility policy titled, Clostridium (Clostridioides) Difficile (CDI), reviewed 6/4/2024, revealed .The facility will care for residents with suspected and actual Clostridium Difficile in accordance with local, state, and federal guidelines .a system for .identifying .communicable diseases .transmission-based precautions to be followed to prevent spread of infections .isolation should be used . Review of the MDS 3.0 RAI Manual revised 10/4/2024, revealed .Isolation or quarantine .Code only when the resident requires transmission-based precautions .with highly transmissible .pathogens that have been acquired by physical contact . Review of the medical record revealed Resident #236 was…

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, observations and interviews the facility failed to secure medications for 1 resident (Resident #235) of 19 residents reviewed for medication storage. The findings include: Review of the facility's policy titled, Self-Administration of Medication, revised 10/31/2021, revealed Resident who requests to self-administer medications is assessed by the interdisciplinary team (IDT) to determine if the resident is safe to self-administer medications .from a central location .medication cart or medication room .or the resident is able to safely store the medication in a secure are [area] in their room .The interdisciplinary assessment will be completed in the electronic medication record . Review of the medical record revealed Resident #235 was admitted to the facility on [DATE], with diagnoses including Muscle Weakness, Cancer, Hearing Loss, and Cognitive Impairment. Review of the 5-day admission Minimum Data Set (MDS) assessment for Resident #235 dated 11/22/2024,…

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 interviews the facility failed to post accurate nursing staff information to reflect daily staffing levels on 2 of 4 days reviewed for staffing and failed to maintain the posted daily nurse staffing data for a minimum of 18 months. The findings include: Review of the facility policy titled, Staffing, dated 6/12/2024, revealed .The facility maintains adequate staff on each shift to meet residents' needs, posts daily staffing data .The facility must post the following information .Facility name .The current date .The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift .Registered nurses .Licensed practical nurses or licensed vocational nurses .Certified nurse aides .Resident census .Posting requirements .The facility must post the nurse staffing data .on a daily basis at the beginning of each shift .The facility maintains the posted daily nurse staffing data for a minimum of 18 months . During an observation on 7/10/2024 at 5:15…

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 investigation documentation review, and interview, the facility failed to report an allegation of abuse to the State Agency when a resident (Resident #15) exposed himself to another resident (Resident #14 of 13 residents reviewed for abuse. The findings include: Review of the facility policy titled, Protection of Residents: Reducing the Threat of Abuse & [and] Neglect, revised 8/10/2021, revealed .This facility does not condone resident abuse and/or neglect by anyone. This includes, but is not limited to staff members, other residents .family members .or other individuals .The facility must ensure that all alleged violations involving abuse . are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse .to other officials (including the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance…

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 the Resident Assessment Instrument (RAI) Manual 3.0, medical record review, and interview the facility failed to accurately complete a discharge Minimum Data Set (MDS) assessment for 1 resident (Resident #24) of 3 residents reviewed for falls. The findings include: Review of the RAI Manual 3.0 dated 10/2023, revealed .The MDS is completed on all residents in Medicare or Medicaid certified facilities .Sections A-Q contain the clinical data items used to assess residents in the nursing facility .Assure that the information found in the resident's most current assessment .report changes in the resident's status that may affect the accuracy of this information .J1900: Number of Falls Since Admission/Entry or Reentry or Prior Assessment .Review nursing home incident reports and medical record .for falls and level of injury . Review of the medical record revealed Resident #24 was admitted to the facility on [DATE] with diagnoses including Fracture of the Right Leg, Muscle Weakness, and Lack of…

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 and interviews the facility failed to provide scheduled showers for 3 dependent residents (Resident #12, #8, and #22) of 10 residents reviewed for Activities of Daily Living (ADLs). The findings include: Review of the facility policy titled, Activities of Daily Living (ADLs), revised 2/2024, revealed .The resident will receive assistance as needed to complete activities of daily living (ADLs) .Quality of care is fundamental .the facility must ensure that residents receive treatment .care .in accordance with professional standards of practice .hygiene .bathing .grooming .a resident who is unable to carry out activities of daily living receives .services to maintain good .personal hygiene . Medical record review revealed Resident #12 was admitted to the facility on [DATE] with diagnoses including Epilepsy, Vascular Dementia, and Urinary Incontinence. Review of a comprehensive care plan for Resident #12 dated 1/26/2022, revealed the resident was care planned…

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 review of the facility policy, observation, and interview the facility failed to store food items in a clean, safe, and sanitary manner in 1 walk in cooler, 1 dry storage area, and 1 kitchen with the potential to affect 92 residents in the facility. The findings include: Review of the facility policy, titled Food Safety, undated showed .Pre-packaged food is placed in leak-proof .sanitary .container with a tight-fitting lid .The container is labeled with the name of the contents . Review of the facility policy titled Use by Date Guide, revised 3/18/2018 showed All opened containers of food in the dry storage area should be placed in an enclosed container, labeled, and dated with the open date and use by date. Any unopened cans/packages should be marked with the date received . Observation of the kitchen with the Nutritional Coordinator on 9/20/2021 at 9:30 AM, showed the following: -1 large white bin with a lid which contained a white powdered substance with ¼ of the bin remaining. The bin was unlabeled and had an expiration date of 7/26/2021. -1 large white bin which…

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 the facility policy, medical record review, observation, and interview the facility failed to notify the Physician timely after a fall for 1 resident (#189) of 4 residents reviewed for falls. The findings include: Review of the facility policy, titled Fall Management, revised 8/2/2021 showed .The licensed nurse should create an 'event note' and include the following details .Notification of physician and any orders received .Fall refers to unintentionally coming to rest on the ground, floor, or other lower level .A fall without injury is still a fall .when a resident is found on the floor, a fall is considered to have occurred . Medical record review showed Resident #189 was admitted to the facility on [DATE] with diagnoses including Hypertension, Anxiety Disorder, Obstructive Sleep Apnea and Periprosthetic Fracture around the Internal Left Knee (broken bone that occurs around an implant). Review of Resident #189's care plan dated 9/17/2021 showed the resident is at risk for falls. Review of…

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.