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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.