Hartsville Convalescent Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
care planned interventions if indicated to decrease the risk of elopement (TAB IDT Clinical Meetings Book).
Beginning 11/28/24 the DON &/or Nursing Supervisor will monitor the visits of the assessments are conducted by the Psych NP for Resident #1 to ensure treatment and care is provided post elopement (Tab # 4). Elopement drills were conducted by Administrator and Nursing Supervisor monthly for 3 months beginning 12/2/2024 as verified by written reports. (TAB# 16). The Director of Nursing changed the monitoring of Wander guard bracelets from weekly to every shift on the Resident's Medication Administration Record beginning 12/2/24 (Tab# 19). Beginning 12/2/24 the Administrator will monitor the compliance of entering and exit of the front door changes during the Morning Stand-up meeting. Any non-compliance or violation of the front door signage or changes will be addressed immediately and document each violation on an investigation form (See Stand-up Meeting minutes). Beginning 12/2/24 the Nursing Supervisor will review the education delivered to all staff and confirm all staff have been educated, including Agency staff. The results of the review will be presented to the full Quality Committee to determine if the issue has been resolved or if the initiative should continue. A one hundred percent of all education sign-in sheets will be reviewed by nursing supervisor &/or DON to ensure that all staff have been properly educated related to the Elopement and Wandering Resident policies and Interventions communicated. The results of the review will be presented to the full Quality Committee to determine if the issue has been resolved or if the initiative should continue. 4) How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put into place. Ad Hoc QAPI meetings were held weekly times 2 weeks beginning 12/3/24 to review the action plan and needed changes and the monthly QAPI meeting was conducted the last week of December. At the OAPI meetings the results of all monitoring by the DON, nursing managers, and Administrator will be reviewed, however any concerns identified will be addressed as discovered, including any needed education and/or progressive discipline. At the December meeting the DON, Nursing Managers, and Administrator will report monitoring outcomes of in-services, care plans, IDT meetings, and Stand-up meetings, at the monthly OAPI Committee meetings. The Administrator will report to the Owner the monitoring outcomes on a monthly basis.
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HARTSVILLE CONVALESCENT CENTER in HARTSVILLE, TN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 HARTSVILLE, 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 HARTSVILLE CONVALESCENT CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.