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The Highlands Of Dyersburg Health & Rehab

Inspection Results


Nursing Homes Tennessee Dyersburg The Highlands Of Dyersburg Health & Rehab

The Highlands Of Dyersburg Health & Rehab has been cited for a total of 89 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 The Highlands Of Dyersburg Health & Rehab.

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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
03-07-2020

Allow residents to self-administer drugs if determined clinically appropriate.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-07-2020

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:
03-07-2020

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
J
Corrected:
03-07-2020

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-07-2020

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:
J
Corrected:
03-07-2020

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:
G
Corrected:
03-07-2020

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
03-07-2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
03-07-2020

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:
L
Corrected:
03-07-2020

Provide enough food/fluids to maintain a resident's health.
Category:
Quality of Life and Care Deficiencies
Scope:
G
Corrected:
03-07-2020

Dispose of garbage and refuse properly.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
03-07-2020

Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category:
Administration Deficiencies
Scope:
L
Corrected:
03-07-2020

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
L
Corrected:
03-07-2020

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:
08-13-2019

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
J
Corrected:
08-13-2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category:
Administration Deficiencies
Scope:
J
Corrected:
08-13-2019

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:
02-22-2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
02-22-2019

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:
E
Corrected:
02-22-2019

Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
02-22-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
02-22-2019

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:
02-22-2019

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:
02-22-2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
02-22-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
02-22-2019

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:
02-07-2018

Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
02-07-2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
02-21-2018

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:
02-20-2018

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:
02-09-2018

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-22-2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-22-2018

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:
02-20-2018

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:
02-21-2018

Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-20-2018

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
02-25-2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
02-22-2018

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:
D
Corrected:
02-20-2018

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
02-20-2018

Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Develop Emergency Preparedness policies and procedures.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Establish policies and procedures including evacuation.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-14-2020

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-13-2020

Have exits that are accessible at all times.
Category:
Egress Deficiencies
Scope:
D
Corrected:
01-13-2020

Install proper backup exit lighting.
Category:
Egress Deficiencies
Scope:
D
Corrected:
02-06-2020

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:
02-11-2020

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-19-2020

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-18-2020

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-12-2020

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
02-11-2020

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
C
Corrected:
02-10-2020

To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
02-03-2020

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-19-2020

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-19-2020

Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
02-22-2019

Develop Emergency Preparedness policies and procedures.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
02-22-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-22-2019

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

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-22-2019

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Establish policies and procedures including evacuation.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Develop a communication plan.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Provide emergency officials contact information.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Establish methods for sharing information.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Provide family notifications of emergency plan.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-05-2018

Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
02-05-2018

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
D
Corrected:
02-06-2018

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:
02-19-2018

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

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
04-05-2018

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-27-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
04-06-2018

Ensure heating and ventilation systems that have been properly installed according to the manufacturers instructions.
Category:
Services Deficiencies
Scope:
D
Corrected:
02-27-2018

Have elevators that firefighters can control in the event of a fire.
Category:
Services Deficiencies
Scope:
D
Corrected:
03-02-2018

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
03-05-2018

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-27-2018



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