15 Most Frequently Cited Deficiencies

Comparative Standard ComplaintLife Safety

Tennessee

Nursing Home Complaint Surveys

MOST FREQUENTLY CITED DEFICIENCIES

Comparative

Tag # Fiscal Year 2009 - Date Tennessee % Surveys

TN'09 TN'08 Nation'09

F0323 FACILITY IS FREE OF ACCIDENT HAZARDS 3.80% 6.30% 4.70%

F0281 SERVICES PROVIDED MEET PROFESSIONAL STANDARDS 3.20% 3.30% 2.60%

F0157 INFORM OF ACCIDENTS/SIG CHANGES/TRANSFER/ETC 1.40% 2.50% 2.50%

F0225 NOT EMPLOY PERSONS GUILTY OF ABUSE 1.40% 0.90% 2.40%

F0514 CLINICAL RECORDS MEET PROFESSIONAL STANDARDS 1.20% 2.50% 1.80%

F0272 COMPREHENSIVE ASSESSMENTS 1.20% 2.00% 0.80%

F0309 PROVIDE NECESS CARE FOR HIGHEST PRAC WELL BEING 1.20% 3.80% 3.40%

F0279 DEVELOP COMPREHENSIVE CARE PLANS 0.60% 1.00% 1.30%

F0502 FACIL PROVIDES/OBTAINS LAB SERVICES 0.60%  

F0250 MEDICALLY RELATED SOCIAL SERVICES 0.60%  

F0226 POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT 0.60% 1.70% 1.30%

F0322 PROPER CARE & SERVICES FOR RES W/ NG TUBE 0.60%  

F0315 RES NOT CATHETERIZED UNLESS UNAVOIDABLE 0.60%  

F0333 RESIDENTS FREE FROM SIGNIFICANT MED ERRORS 0.60%  

F0312 ADL CARE PROVIDED FOR DEPENDENT RESIDENTS 0.30%  

Tennessee

Nursing Home Standard Health Surveys

MOST FREQUENTLY CITED DEFICIENCIES

Comparative % Surveys

Tag # Fiscal Year 2009 - Date Tennessee TN ’09 TN ’08 Nation’09

F0323 FACILITY IS FREE OF ACCIDENT HAZARDS 30.00% 38.50% 36.20%

F0371 STORE/PREPARE/DISTRIB FOOD UNDER SANITARY CONDS 28.50% 23.00% 34.60%

F0431 PROPER LABELING OF DRUGS & BIOLOGICALS 23.10% 17.50% 15.60%

F0444 WASH HANDS WHEN INDICATED 23.10% 24.60% 12.70%

F0332 MEDICATION ERROR RATES OF 5% OR MORE 22.30%  

F0441 FACILITY ESTABLISHES INFECTION CONTROL PROG 18.50% 20.20% 18.40%

F0281 SERVICES PROVIDED MEET PROFESSIONAL STANDARDS 18.50% 26.20% 26.40%

F0280 DEVELOPMENT/PREP/REVIEW OF COMP CARE PLAN 17.70%  

F0315 RES NOT CATHETERIZED UNLESS UNAVOIDABLE 16.90% 18.70% 18.00%

F0514 CLINICAL RECORDS MEET PROFESSIONAL STANDARDS 16.20% 13.90% 17.20%

F0309 PROVIDE NECESS CARE FOR HIGHEST PRAC WELL BEING 14.60% 26.60% 25.40%

F0221

RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQ'D FOR TREATMENT 14.60%

F0322 PROPER CARE & SERVICES FOR RES W/ NG TUBE 13.10%

F0164 PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS 12.30%

F0328 PROPER TREATMENT/CARE FOR SPECIAL CARE NEEDS 12.30%

Tennessee

Nursing Home Life Safety Code Surveys

MOST FREQUENTLY CITED DEFICIENCIES

Comparative % Surveys

Tag # Fiscal Year 2009 - Date Tennessee TN ‘09 Region ‘09 Nation ‘09

K0147 ELECTRICAL WIRING AND EQUIPMENT 40.00% 22.10% 27.20%

K0062 SPRINKLER SYSTEM MAINTENANCE 33.60% 15.70% 28.50%

K0067 VENTILATING EQUIPMENT 22.40% 8.10% 12.20%

K0029 HAZARDOUS AREAS - SEPARATION 21.60% 19.90% 27.00%

K0025 SMOKE PARTITION CONSTRUCTION 21.60%   19.80%

K0018 CORRIDOR DOORS 20.80% 16.10% 27.80%

K0052 TESTING OF FIRE ALARM 20.80% 10.20% 13.70%

K0050 FIRE DRILLS 18.40% 7.70% 17.50%

K0038 EXIT ACCESS 16.80% 11.00% 19.90%

K0064 PORTABLE FIRE EXTINGUISHERS 16.00%  

K0130 OTHER 14.40% 7.30%

K0069 COOKING EQUIPMENT 11.20% 10.10% 11.50%

K0056 AUTOMATIC SPRINKLER SYSTEM 10.40% 12.70% 14.70%

K0054 SMOKE DETECTOR MAINTENANCE 8.80%  

K0066 SMOKING REGULATIONS 8.80%  

Regulation for Admission Agreements

42 CFR 489.22(d)(2)

The facility is in violation of its provider agreement – if they charge an individual for failure to remain an inpatient for any agreed-upon length of time or for failure to give advance notice of departure from the provider’s facility.

Registered Nurse Surveyors

http://state.tn.us/dohr/JobSearch/Employment.html

Click on Current OpeningsGo to page 3 Click on Public Health Nurse Consultant 1debbie.thrasher@tn.govvincent.davis@tn.gov