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Deficiency Records for Tennessee Veterans Home
A list of the most recent deficiencies for Tennessee Veterans Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Tennessee Veterans Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-15 | 2024-06-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-15 | 2024-06-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-15 | 2024-06-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-15 | 2024-06-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-15 | 2024-05-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-15 | 2024-05-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-15 | 2024-05-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-15 | 2024-05-16 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-08-14 | 2019-09-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-14 | 2019-09-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-14 | 2019-09-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-14 | 2019-09-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-08-14 | 2019-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-12 | 2019-09-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-10 | 2018-10-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-12 | 2017-08-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-12 | 2017-08-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-12 | 2017-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-10 | 2017-07-18 | N |
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