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Complaint Investigation

Gallaway Health And Rehab

Inspection Date: August 27, 2025
Total Violations 2
Facility ID 445440
Location GALLAWAY, TN
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

fx [fracture] left femur.Place overbed table away from resident's leg. Put water on bed side table with in reach.Date Initiated: 07/05/2025.? Review of the facility investigation completed by the Administrator dated 7/5/2025, revealed, .DESCRIPTION OF INCIDENT.[Named Resident #1] responds to name. Disoriented to time, place, and situation. Long and short term memory are impaired. Communicates with simple words.Does not speak much. Requires assistance of one person to shower, dress, and have personal hygiene needs met.Requires assistance of two people to transfer by mechanical lift now. She did transfer with one person assist as she was able to stand and pivot.12 falls since her admission in 2014.On 7/4/25 [2025] at 10:01 AM, resident c/o [complained of pain] when staff was changing brief. [Named RN F] was summoned to the room to assess resident.observed edema to left knee.called the NP to report findings.

New orders given for ice and pain medication.notified [Hospice #1].Hospice nurse enroute to the facility to assess resident at 10:20 [AM] on 7/5/24 [2024]. The x-ray results were received and it indicated a fracture of the left distal femur.She has had several fractures in the past. Left femur fracture with repair, exact date unknown.Upon observation of [Resident #1] in the bed as she was positioned the day the pain began, I, [Named DON], observed the over bed table next to her bed. The left knee was on the side of the bed next to the over bed table. The corner of the table lined up with the bruise and abrasion on her left knee. If a staff member pushed the table over her unaware that they hit her knee, it would hit her knee and possible [possibly] cause a fracture of the left femu

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/27/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Gallaway Health and Rehab

435 Old Brownsville Rd Gallaway, TN 38036

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

required a two-person assisted mechanical lift for transfers. CNA BB replied, .I really don't know what she required, I was told it was normal to leave her on the mat all night. CNA BB confirmed she pulled Resident #3 up and put her back on the bed multiple times without assistance and without using a mechanical lift.

CNA BB was asked if she had reported Resident #3's falls to Licensed Practical Nurse (LPN) Y. She replied, .No, I figured she knew because she was sitting in the hall outside of her [Resident #3's] room all night.I figured it was something she [Resident #3] do [does] all the time, since the nurse didn't say anything.

During an interview on 8/27/2025 at 6:16 PM the MDS Coordinator stated per facility policy residents who cannot bear weight require a two person assist with a mechanical lift. The MDS Coordinator reviewed Resident #3's comprehensive care plan and confirmed a care plan was not developed and implemented for transfer assistance. The MDS Coordinator stated Resident #3 was unable to bear weight and should have had a care plan for transfers using 2 person assist with the use of a mechanical lift.

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📋 Inspection Summary

GALLAWAY HEALTH AND REHAB in GALLAWAY, TN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GALLAWAY, TN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GALLAWAY HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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