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Complaint Investigation

Harborview Post Acute

Inspection Date: October 27, 2025
Total Violations 1
Facility ID 445428
Location MEMPHIS, TN
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Inspection Findings

F-Tag F0726

Nursing and Physician Services Deficiencies
Harm Level: Actual Harm

F 0726 Level of Harm - Actual harm Residents Affected - Few

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

Resident #1 had both eyes swollen shut, and one eye swollen shut, and a knot was on the back of his head. LPN D was not aware of an order to transfer Resident #1 to the ER for evaluation. LPN D was asked from his assessment of Resident #1, should 911 had been called. LPN D stated, That depends on what the provider says. During interview on 10/23/2025 at 2:56 PM, the Quality Service Consultant (QSC) was asked should it have taken 7 hours to transport Resident #1 to the ER after the FNP gave the order. The QSC stated, No, it should not have taken 7 hours. During a telephone interview on 10/24/2025 at 12:14 PM, the FNP acknowledged it sometimes can take 3 to 4 hours for non-emergency transfers but was not aware that

it had taken 7 hours for Resident #1 to be transported to the ER. The FNP was asked based on your assessment of Resident #1, should 911 been called for transport to the ER for evaluation. The FNP stated, Yes . The FNP was asked should a neurological (neuro) checks and assessments be completed in the dark.

FNP stated, No, that's not a good assessment. During an interview on 10/27/2025 at 10:47 AM, LPN A acknowledged he did not recall Resident #1. LPN A was read the FNP note dated 3/31/2023, which indicated LPN A was unsure of what the patient looked like during his assessment as it was dark. LPN A stated, No, that does not make sense . During an interview on 10/27/2025 at 12:24 PM, RN E stated she would not be able to see well if she completed neuro checks/assessment in the dark. RN E was asked the protocol for a resident with head injuries from a fall. RN E stated, .notify the provider, and the provider will say whether to send the patient out . During an interview on 10/27/2025 at 12:49 PM, LPN F was asked if neuro checks/assessments should be completed in the dark. LPN F stated, No ma'am, you can't see the patient or if they are making a facial expression, not all patients can talk. LPN F was asked who determines when a patient is sent out 911 or by non-emergency services. LPN F stated The provider will tell the nurse or you may have to ask. During an interview on 10/27/2025 at 1:10 PM, when LPN G was asked should neuro checks/assessment be completed in the dark. LPN G stated, No During an interview on 10/27/2025 at 2:22 PM, the Director of Nursing (DON) was asked did the facility identify an issue with the nurse [LPN A] completing neuro checks/assessment in the dark. The DON stated, I was not aware of that until you came in on the complaint. The DON was asked is it her expectation for neuro checks/assessments not to be completed in the dark. The DON stated, I do not expect them to do that at all .it should be completed with good lighting.

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📋 Inspection Summary

Harborview Post Acute in MEMPHIS, 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 MEMPHIS, 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 Harborview Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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