Thursday, September 13, 2018

Maryville Nursing Home Cited, Fined


By Walter F. Roche Jr

The Tennessee Health Department has ordered an admissions freeze and imposed fines totaling $45,000 on a 181-bed Maryville nursing home after state inspectors found that seven patients at the facility fell nearly 40 times resulting in serious injuries including broken bones and a subdural hematoma.
Commissioner John Dreyzehner said the freeze on admissions was issued against Asbury Place. In addition to the fines and freeze on new admissions he appointed a special monitor to oversee operation of the facility.
The repeated falls by patients at the facility along with numerous other deficiencies were detailed in a 106-page inspection report based on a visit to the nursing home in August.
According to the inspection report seven residents fell a combined total of 39 times with most of those fall occurring in the lastseven months. Nine serious injuries were reported including a subdural hematoma and brokem hips and legs.
The report concludes that the seven were placed in an environment "detrimental to their, health safety and welfare."
One patient, the report states, fell nine times between July of 2017 and July of 2018. Two of those falls resulted in traumatic injury, including a broken hip.
"We are working closely with state and federal health regulatory agencies to ensure full compliance with quality of care guidelines. We are addressing all of the opportunities identified for us in our health care center, and are actively reviewing, and where necessary, strengthening our policies and procedures to make improvements for those we serve," said Cathy Canning, spokeswoman for Asbury.
The report faults the facility for failing to fully investigate the falls, failing to develop care plans to prevent future falls and failing to implement care plans in those cases where a plan was actually provided.
The plans themselves, the state surveyors found, often did not actually address the patient's needs.
When the surveyors questioned staffers about the falls and the failure to address them, they were told,"It is simply an unavoidable risk."
Another told surveyors, "You can't really prevent falls."
"We have a few frequent fallers," another employee told the state surveyors..
A patient who fell in a bathroom at the home on Aug. 2 suffered an acute sub-dural hematoma.
The surveyors concluded that the care plan developed for another patient who suffered four falls was "inappropriate."
A male patient, who fell four times between January and July, suffered a fracture of a cervical bone and required stitches as a result of the last fall.
In some cases the surveyors found that even when appropriate care plan was ordered, it was often not implemented t
That included a female patient who fell in February, June and July who suffered a broken hip.
Again, the report states, the plan developed for the woman "was not appropriate" and she suffered two major in juries.
A resident "who was severely cognitively impaired initially admitted to the facility for rehabilitation after suffering a fractured hip, had a total of 10 falls between April 5 and June 13," the report states.
Still other deficiencies included failing to address the pain being suffered by one patient, failing to respond to excessive weight loss and not properly treating a patient with a pressure ulcer.
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NASHVILLE, Tenn. – Tennessee Health Commissioner John Dreyzehner, MD, MPH has suspended new admissions of residents to Asbury Place at Maryville effective Sept. 12, 2018. In addition, Dreyzehner has imposed nine state monetary penalties in the amount of $5,000 each for a total assessment of $45,000. A special monitor has been appointed to review the facility’s
operations.

Asbury Place at Maryville, a 181 bed nursing home located at 2648 Sevierville Road in Maryville was ordered not to admit any new residents based on conditions found during a complaint survey conducted August 13 – August 20, 2018. The investigation was completed Sept. 4. During the investigation, surveyors found violations of the following standards: administration and basic services.

The Commissioner of Health may suspend admissions to a nursing home when conditions are determined to be, or are likely to be, detrimental to the health, safety or welfare of the residents. The order to suspend admissions remains effective until conditions have been and continue to remain corrected. A copy of the order must be posted at the public entrance where it can be plainly seen.

The nursing home has the right to a hearing regarding the suspension of admissions before the Board for Licensing Health Care Facilities or an administrative judge.

The mission of the Tennessee Department of Health is to protect, promote and improve the health and prosperity of people in Tennessee. TDH has facilities in all 95 counties and provides direct services for more than one in five Tennesseans annually as well as indirect services for everyone in the state, including emergency response to health threats, licensure of health professionals, regulation of health care facilities and inspection of food service establishments. Learn more about TDH services and programs at www.tn.gov/health.

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