15 most frequently cited deficiencies comparative standard complaint life safety
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15 Most Frequently Cited Deficiencies
Comparative Standard ComplaintLife Safety
Tennessee
Nursing Home Complaint Surveys
MOST FREQUENTLY CITED DEFICIENCIES
Comparative
Tag # Fiscal Year 2009 - Date Tennessee % Surveys
TN'09 TN'08 Nation'09
F0323 FACILITY IS FREE OF ACCIDENT HAZARDS 3.80% 6.30% 4.70%
F0281 SERVICES PROVIDED MEET PROFESSIONAL STANDARDS 3.20% 3.30% 2.60%
F0157 INFORM OF ACCIDENTS/SIG CHANGES/TRANSFER/ETC 1.40% 2.50% 2.50%
F0225 NOT EMPLOY PERSONS GUILTY OF ABUSE 1.40% 0.90% 2.40%
F0514 CLINICAL RECORDS MEET PROFESSIONAL STANDARDS 1.20% 2.50% 1.80%
F0272 COMPREHENSIVE ASSESSMENTS 1.20% 2.00% 0.80%
F0309 PROVIDE NECESS CARE FOR HIGHEST PRAC WELL BEING 1.20% 3.80% 3.40%
F0279 DEVELOP COMPREHENSIVE CARE PLANS 0.60% 1.00% 1.30%
F0502 FACIL PROVIDES/OBTAINS LAB SERVICES 0.60%
F0250 MEDICALLY RELATED SOCIAL SERVICES 0.60%
F0226 POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT 0.60% 1.70% 1.30%
F0322 PROPER CARE & SERVICES FOR RES W/ NG TUBE 0.60%
F0315 RES NOT CATHETERIZED UNLESS UNAVOIDABLE 0.60%
F0333 RESIDENTS FREE FROM SIGNIFICANT MED ERRORS 0.60%
F0312 ADL CARE PROVIDED FOR DEPENDENT RESIDENTS 0.30%
Tennessee
Nursing Home Standard Health Surveys
MOST FREQUENTLY CITED DEFICIENCIES
Comparative % Surveys
Tag # Fiscal Year 2009 - Date Tennessee TN ’09 TN ’08 Nation’09
F0323 FACILITY IS FREE OF ACCIDENT HAZARDS 30.00% 38.50% 36.20%
F0371 STORE/PREPARE/DISTRIB FOOD UNDER SANITARY CONDS 28.50% 23.00% 34.60%
F0431 PROPER LABELING OF DRUGS & BIOLOGICALS 23.10% 17.50% 15.60%
F0444 WASH HANDS WHEN INDICATED 23.10% 24.60% 12.70%
F0332 MEDICATION ERROR RATES OF 5% OR MORE 22.30%
F0441 FACILITY ESTABLISHES INFECTION CONTROL PROG 18.50% 20.20% 18.40%
F0281 SERVICES PROVIDED MEET PROFESSIONAL STANDARDS 18.50% 26.20% 26.40%
F0280 DEVELOPMENT/PREP/REVIEW OF COMP CARE PLAN 17.70%
F0315 RES NOT CATHETERIZED UNLESS UNAVOIDABLE 16.90% 18.70% 18.00%
F0514 CLINICAL RECORDS MEET PROFESSIONAL STANDARDS 16.20% 13.90% 17.20%
F0309 PROVIDE NECESS CARE FOR HIGHEST PRAC WELL BEING 14.60% 26.60% 25.40%
F0221
RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQ'D FOR TREATMENT 14.60%
F0322 PROPER CARE & SERVICES FOR RES W/ NG TUBE 13.10%
F0164 PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS 12.30%
F0328 PROPER TREATMENT/CARE FOR SPECIAL CARE NEEDS 12.30%
Tennessee
Nursing Home Life Safety Code Surveys
MOST FREQUENTLY CITED DEFICIENCIES
Comparative % Surveys
Tag # Fiscal Year 2009 - Date Tennessee TN ‘09 Region ‘09 Nation ‘09
K0147 ELECTRICAL WIRING AND EQUIPMENT 40.00% 22.10% 27.20%
K0062 SPRINKLER SYSTEM MAINTENANCE 33.60% 15.70% 28.50%
K0067 VENTILATING EQUIPMENT 22.40% 8.10% 12.20%
K0029 HAZARDOUS AREAS - SEPARATION 21.60% 19.90% 27.00%
K0025 SMOKE PARTITION CONSTRUCTION 21.60% 19.80%
K0018 CORRIDOR DOORS 20.80% 16.10% 27.80%
K0052 TESTING OF FIRE ALARM 20.80% 10.20% 13.70%
K0050 FIRE DRILLS 18.40% 7.70% 17.50%
K0038 EXIT ACCESS 16.80% 11.00% 19.90%
K0064 PORTABLE FIRE EXTINGUISHERS 16.00%
K0130 OTHER 14.40% 7.30%
K0069 COOKING EQUIPMENT 11.20% 10.10% 11.50%
K0056 AUTOMATIC SPRINKLER SYSTEM 10.40% 12.70% 14.70%
K0054 SMOKE DETECTOR MAINTENANCE 8.80%
K0066 SMOKING REGULATIONS 8.80%
Regulation for Admission Agreements
42 CFR 489.22(d)(2)
The facility is in violation of its provider agreement – if they charge an individual for failure to remain an inpatient for any agreed-upon length of time or for failure to give advance notice of departure from the provider’s facility.
Registered Nurse Surveyors
http://state.tn.us/dohr/JobSearch/Employment.html
Click on Current OpeningsGo to page 3 Click on Public Health Nurse Consultant [email protected]@tn.gov