The Gardens of Nashville

The facility failed to maintain building and equipment in a safe and operating condition. Specifically, the call bell system was not working properly to alert staff via the pager system, and shared bathroom sink plumbing equipment was not in good operating condition.

The facility failed to maintain the building and equipment in a safe and operating condition. Specifically, the electronic call bell system was not functioning properly to alert staff, and shared bathroom sink plumbing equipment was not operating in good condition.

The facility failed to contact the prescribing practitioner to clarify medication orders for a resident receiving insulin. Specifically, the facility did not address the need for order adjustments when the resident missed multiple doses of insulin due to scheduled dialysis treatments.

The facility failed to contact the prescribing practitioner to clarify medication orders for one resident. Specifically, the resident missed multiple doses of Humalog KwikPen insulin at 3:00 PM on various dates in April, May, and June 2023 because the resident was at dialysis and the order was not clarified to account for the resident's absence.

The facility failed to ensure referral and follow-up for 4 out of 5 sampled residents. Specifically, Resident #4 did not have an appointment scheduled for a required diabetic eye examination after receiving a referral from their primary care provider.

The facility failed to ensure proper referral and follow-up for a resident's healthcare needs. Specifically, the facility did not ensure an appointment was scheduled for a diabetic eye examination after receiving a referral from the resident's primary care provider in April 2021.

The facility failed to maintain clean and good repair of walls, ceilings, and floors. Specific issues included torn drywall, brown staining on floor moldings, unpainted wall patches, and holes in ceilings in resident rooms and hallways.

The facility failed to provide matching therapeutic diet menus for physician-ordered diets. Specifically, for four sampled residents on no added salt/low concentrated sweets diets, there was no corresponding therapeutic menu available for food service staff guidance.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific observations included torn drywall, unpainted patches, peeling wallpaper, and brown staining on floor moldings and walls in resident rooms and hallways.