Quality Center For Rehabilitation And Healing Llc
QUALITY CENTER FOR REHABILITATION AND HEALING LLC in LEBANON, TN — inspection on October 2, 2025.
Found 1 citation. 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
During an interview on 9/26/2025 at 10:27 AM, MD #2 was asked if he was aware of the origin of Resident #2's injury when he evaluated her during her hospital stay. MD #2 stated, .I don't really know, 2 broken legs.Nobody [referring to staff at Facility #1] gave me evidence of really what happened.terrible thing that this happened.sure her bones were not in alignment.there was a fair amount of swelling.I don't recall saying this was a spontaneous fracture.it is clear that I can't say what caused the injury.
This surveyor stated to MD #2 it is my understanding that Osteoporosis does not cause a fracture but may be a contributing factor. MD #2 stated, .Yes, that is correct on your understanding of Osteoporosis.[FM F] loves her.I seen him at the hospital and I saw him Tuesday in my office when she [Resident #2] came back for follow up.the fractures are healing.[FM F] did question the injury.I would have been angry [Resident #2's injuries]. A (Named videoconference call) meeting was conducted on 10/8/2025 at 10:30 AM, with MD #3 and Accreditation and Regulator Specialist for Hospital #1. MD #3 was asked if he was the admitting physician for Resident #2 on 5/5/2024. MD #3 stated, Yes. MD #3 was asked why Resident #2 was admitted as a Trauma Level Activation Level 1. MD #3 stated, .we have 3 tiers the hospital goes by so we can make sure appropriate resources are there for the injuries.in her case [Resident #2] was hypotensive status with systolic pressure of the 80's so that is highest level of activation. MD #3 was asked if he was notified by Facility #1 on how Resident #2's injuries occurred. MD #3 stated, .I was not notified by the facility which is not uncommon.EMS told me patient complained of pain after using the lift to get her up to a chair.she was confused and she couldn't tell me what happened.I did not see family with her when she arrived at the hospital which was around 5:05 AM when I saw her. MD #3 was asked what was his physical assessment of Resident #2. MD #3 stated, .pain and tenderness in her lower extremities.I spent maybe 20-30 minutes with her and the trauma service assumed care for her. MD #3 was asked when he normally sees this type of injury. MD #3 stated, .Motor Vehicle injuries or with a fall which can cause a force or stress to the bone.
MD #3 was asked if Osteoporosis can cause this type of fracture or some type of injury must occur. MD #3 stated, .Osteoporosis is a weakening of the bone but there has to be some type of external pressure or force that would lead to the fracture.
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