Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-02-22 | 5 | 2024-02-22 | 0 |
| Cycle 2 | 2021-06-30 | 3 | 2021-06-30 | 2 |
| Cycle 3 | 2019-02-12 | 10 | 2019-02-12 | 4 |
NURSING HOME PUBLIC RECORD
878-880 West Main Street · Pleasant Hill, TN 38578 · Cumberland County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-02-22 | 5 | 2024-02-22 | 0 |
| Cycle 2 | 2021-06-30 | 3 | 2021-06-30 | 2 |
| Cycle 3 | 2019-02-12 | 10 | 2019-02-12 | 4 |
4 rows carry G–L scope/severity codes; 3 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-05-25 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-05-25 · complaintDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-05-25 · complaintHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-03-08Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-03-04Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-03-05Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-03-04Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-03-05Establish an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2021-07-07Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2021-07-07Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2021-07-07Ensure 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.
Correction field: Deficient, Provider has date of correction · 2021-07-07Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2021-06-28Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2019-03-08Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2019-03-08Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2019-03-08Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2019-03-08Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2019-03-08Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2019-03-08Implement 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 necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2019-03-08Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-03-08Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2019-03-08Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2019-03-08Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2019-03-08Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-24 | Fine | $30,722 | 0 |
| 2024-02-22 | Fine | $39,163 | 0 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.