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Church Hill Care & Rehab Ctr

Inspection Results


Nursing Homes Tennessee Church Hill Church Hill Care & Rehab Ctr

Church Hill Care & Rehab Ctr has been cited for a total of 26 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 Church Hill Care & Rehab Ctr.

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
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:
05-10-2019

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-09-2019

Provide enough food/fluids to maintain a resident's health.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-10-2019

Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-09-2019

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:
05-09-2019

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:
D
Corrected:
09-13-2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-18-2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
05-18-2018

Ensure that residents are free from significant medication errors.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-18-2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-18-2018

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:
05-18-2018

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
05-18-2018

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:
03-08-2019

Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
04-03-2017

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-15-2019

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:
04-23-2019

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
05-16-2019

Ensure that testing and maintenance of electrical equipment is performed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
05-24-2019

Establish policies and procedures including evacuation.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
05-14-2018

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
05-10-2018

List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
04-17-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
F
Corrected:
04-18-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-03-2018

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
04-14-2017

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
03-31-2017

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
D
Corrected:
03-17-2017



Learn more about Church Hill Care & Rehab Ctr at the following resources

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Church Hill Care & Rehab Ctr


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