Legacy Park Health And Rehabilitation
LEGACY PARK HEALTH AND REHABILITATION in KNOXVILLE, TN — inspection on February 27, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F760.
445105
Review of the facility's policy titled, Change in a Resident's Condition or Status, dated 2001, revealed . promptly notifies .his or her attending physician .changes in the resident's medical/mental condition and/or status .Prior to notifying the physician or healthcare provider, the nurse will make detailed observations and gather relevant and pertinent information for the provider, including .information prompted by the Interact SBAR [situation, background, assessment, recommendation] Communication Form .
Review of the medical record for Resident #2 revealed the resident was admitted to the facility on [DATE] with diagnoses including Cerebral Infarction, Neuromuscular Dysfunction of Bladder, Hemiplegia/Hemiparesis, and Vascular Dementia.
Review of a baseline care plan dated 11/21/2024, revealed Resident #2 had an indwelling urinary catheter.
Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #2 scored a 12 on the Brief Interview for Mental Status (BIMS) assessment, which indicated moderate cognitive impairment.
Continued review revealed Resident #2 had an indwelling urinary catheter.
Review of a 7:00 PM-7:00 AM shift report dated 12/4/2024, revealed Resident #2's indwelling urinary catheter was changed during the shift.
Review of a nurse's note for Resident #2 dated 12/5/2024 at 11:30 AM, revealed Resident #2 reported the indwelling urinary catheter had been replaced on 12/4/2024 at approximately 11:00 PM.
Review of the medical record for Resident #2 from 11/21/2024-12/5/2024 revealed no documentation the resident's indwelling urinary catheter had been replaced.
Review of the medical record for Resident #2 revealed there was no documentation of the resident's urine output from 11/21/2024-12/5/2024.
Review of the medical record for Resident #17 revealed the resident was admitted to the facility on [DATE] with diagnoses including Chronic Kidney Disease and Pressure Ulcer of Sacral Region, Unspecified Stage.
445105
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 445105 B.
Wing 02/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shannondale Health Care Center 7424 Middlebrook Pike Knoxville, TN 37909