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Claiborne And Hughes Hlth Cntr

Inspection Results


Nursing Homes Tennessee Franklin Claiborne And Hughes Hlth Cntr

Claiborne And Hughes Hlth Cntr has been cited for a total of 74 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Claiborne And Hughes Hlth Cntr.

There are 315 nursing homes in Tennessee with a total of 6,551 deficiencies resulting in an average of 20.80 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
J
Corrected:
10-07-2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
J
Corrected:
10-07-2020

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
J
Corrected:
10-07-2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
10-07-2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
01-03-2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-03-2020

Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
01-03-2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
01-03-2020

Put firmly secured handrails on each side of hallways.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
01-03-2020

Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
01-03-2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
07-12-2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
02-18-2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
02-18-2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-18-2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
02-18-2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide routine and 24-hour emergency dental care for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-18-2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
02-18-2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
Category:
Administration Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
02-18-2019

Keep residents' personal and medical records private and confidential.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-02-2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-02-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
03-02-2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
03-02-2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
03-02-2018

Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
01-22-2020

Create arrangements with other facilities to receive patients.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
01-22-2020

List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
01-22-2020

Provide primary/alternate means for communication.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
01-22-2020

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-22-2020

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-22-2020

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-22-2020

Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-22-2020

Have exits that are accessible at all times.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-22-2020

Have an enclosure around a vertical opening shaft.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-22-2020

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
D
Corrected:
01-22-2020

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
01-22-2020

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
01-22-2020

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Establish policies and procedures including evacuation.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Establish methods for sharing information.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide family notifications of emergency plan.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-18-2019

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
D
Corrected:
02-18-2019

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
D
Corrected:
02-18-2019

Have properly located and lighted "Exit" signs.
Category:
Egress Deficiencies
Scope:
D
Corrected:
02-18-2019

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2019

Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2019

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2019

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2019

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
02-22-2019

Ensure heating and ventilation systems that have been properly installed according to the manufacturers instructions.
Category:
Services Deficiencies
Scope:
F
Corrected:
02-22-2019

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
02-22-2019

To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
02-22-2019

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-22-2019

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-22-2019

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
03-02-2018

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
03-02-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
03-02-2018

Ensure heating and ventilation systems that have been properly installed according to the manufacturers instructions.
Category:
Services Deficiencies
Scope:
D
Corrected:
03-02-2018

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
03-02-2018



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Claiborne And Hughes Hlth Cntr


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