Laurelbrook Sanitarium

Health Inspections

! Special Focus Facility: This home is being closely monitored because of a history of bad care.

Health Inspections 1
Health Deficiencies
This Nursing Home: 34
TN State Average: 7
U.S. Average: 6
TN Deficiencies Range: 1–34
Complaints & Incidents: 1
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

May 15, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.	High	Many	6/6/2012
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident.	High	Many	6/6/2012
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	High	Many	6/6/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	High	Many	6/6/2012
Protect each resident from all abuse, physical punishment, and involuntary separation from others.	High	Some	6/6/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	High	Some	6/6/2012
Give or get specialized rehabilitative services per the patient's assessment or plan of care.	High	Few	6/6/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Some	Few	6/6/2012
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Low	Many	6/6/2012
Store, cook, and serve food in a safe and clean way.	Low	Many	6/6/2012
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.	Low	Many	6/6/2012
Keep each resident free from physical restraints, unless needed for medical treatment.	Low	Some	6/6/2012
Ensure each resident receives an accurate assessment by a qualified health professional.	Low	Some	6/6/2012
1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.	Low	Some	6/6/2012
Try to resolve each resident's complaints quickly.	Low	Few	6/6/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	6/6/2012
Allow residents to have visitors.	Low	Few	6/6/2012
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	6/6/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	6/6/2012
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.	Low	Few	6/6/2012
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.	Low	Few	6/6/2012
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	6/6/2012
Ensure that residents are fully informed and understand their health status, care and treatments.	Low	Few	6/6/2012
Have an agreement with at least one or more hospitals certified by medicare or medicaid to make sure residents can be moved quickly to the hospital when they need medical care.	Low	Few	6/6/2012
Have a program that investigates, controls and keeps infection from spreading.	Low	Few	6/6/2012
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	6/6/2012
Keep complete, dated laboratory records in the resident's file.	Low	Few	6/6/2012
Keep residents' personal and medical records private and confidential.	Low	Few	6/6/2012
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.	Low	Few	6/6/2012
Make sure that special or therapeutic diets are ordered by the attending doctor.	Low	Few	6/6/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Few	6/6/2012
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	6/6/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	6/6/2012
Provide or obtain laboratory services only when ordered by the attending physician.	Low	Few	6/6/2012

December 21, 2010 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Some	Few	12/31/2010
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	12/31/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	12/31/2010

November 10, 2009 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.	Low	Few	11/16/2009
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Low	Few	11/17/2009
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	11/16/2009

August 03, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the united states.	Low	Few	8/13/2012

May 15, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Keep residents' personal and medical records private and confidential.	Low	Few	6/6/2012
Try to resolve each resident's complaints quickly.	Low	Few	6/6/2012
Allow residents to have visitors.	Low	Few	6/6/2012
Keep each resident free from physical restraints, unless needed for medical treatment.	Low	Some	6/6/2012
Protect each resident from all abuse, physical punishment, and involuntary separation from others.	High	Some	6/6/2012
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	High	Many	6/6/2012
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.	Low	Few	6/6/2012
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	6/6/2012
Ensure each resident receives an accurate assessment by a qualified health professional.	Low	Some	6/6/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	6/6/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	6/6/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Some	Few	6/6/2012
Ensure that residents are fully informed and understand their health status, care and treatments.	Low	Few	6/6/2012
Give or get specialized rehabilitative services per the patient's assessment or plan of care.	High	Few	6/6/2012
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	6/6/2012
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident.	High	Many	6/6/2012
1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.	Low	Some	6/6/2012
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.	Low	Few	6/6/2012
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.	Low	Few	6/6/2012
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.	High	Many	6/6/2012
Provide or obtain laboratory services only when ordered by the attending physician.	Low	Few	6/6/2012
Keep complete, dated laboratory records in the resident's file.	Low	Few	6/6/2012
Have an agreement with at least one or more hospitals certified by medicare or medicaid to make sure residents can be moved quickly to the hospital when they need medical care.	Low	Few	6/6/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	High	Many	6/6/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	High	Some	6/6/2012

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.