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DONALSON CARE CENTER Inspection Report, Violations & Safety Grade (FAYETTEVILLE, Tennessee)

1681 WINCHESTER HIGHWAY, FAYETTEVILLE, Tennessee 37334

Phone: 9314337156

CMS Overall:2/5

Overview & Bed Count

Certified Beds
168
Avg Residents/Day
78.6
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Lincoln
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.500.60-0.10
Total Nurse Hours per Resident per Day4.273.82+0.45
CMS Staffing Rating3/52.5/5-
Nursing Staff Turnover37.3%48.6%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2026-08-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-03-12Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-03-12Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-03-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-12Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2025-03-12Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-03-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-03-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-03-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2021-06-30Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2021-06-30Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2021-06-30Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2021-06-30Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2021-06-30Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2021-06-30Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2021-06-30Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-06-30Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-07-15Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.K – Immediate Jeopardy
2019-07-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2019-07-15Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.K – Immediate Jeopardy
2019-07-15Nursing and Physician Services DeficienciesDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.K – Immediate Jeopardy
2019-07-15Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.K – Immediate Jeopardy
2019-07-15Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2019-07-15Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2019-07-15Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-03-12Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesProvide family notifications of emergency plan.D – Moderate Harm Potential
2025-03-12Emergency Preparedness DeficienciesEstablish emergency prep training and testing.D – Moderate Harm Potential
2025-03-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-03-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential
2019-07-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2019-07-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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