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🔎 Life Care Center Of Bruceton-hollow Rock

Inspection Results


Inspection Overview

Life Care Center Of Bruceton-hollow Rock has been cited for a total of 30 deficiencies since we began saving each survey.

In Tennessee, the average facility has **18.90 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

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.

Survey Date: 2024-07-25
Correction Date: 2024-08-23
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-07-25
Correction Date: 2024-08-23
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2023-08-31
Correction Date: 2023-10-06
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey Date: 2022-02-16
Correction Date: 2022-03-04
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2022-02-16
Correction Date: 2022-03-04
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Perform COVID19 testing on residents and staff.

Survey Date: 2022-02-16
Correction Date: 2022-03-04
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: F

Ensure staff are vaccinated for COVID-19

Survey Date: 2022-02-16
Correction Date: 2022-03-04
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: K

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: K

Respond appropriately to all alleged violations.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: K

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: K

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2021-08-23
Correction Date: 2021-09-20
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2019-05-15
Correction Date: 2019-06-14
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2019-05-15
Correction Date: 2019-06-14
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey Date: 2017-06-21
Correction Date: 2017-07-28
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-06-21
Correction Date: 2017-07-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Have a program that investigates, controls and keeps infection from spreading.

Survey Date: 2017-06-21
Correction Date: 2017-07-28
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Survey Date: 2017-06-21
Correction Date: 2017-07-28
Category: Administration Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**