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SOUTHERN TENN MEDICAL CENTER SNF Inspection Report, Violations & Safety Grade (WINCHESTER, Tennessee)

629 HOSPITAL ROAD, WINCHESTER, Tennessee 37398

Phone: 9319678249

CMS Overall:1/5

Overview & Bed Count

Certified Beds
46
Avg Residents/Day
11.6
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Franklin
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.680.60+0.08
Total Nurse Hours per Resident per Day3.353.82-0.47
CMS Staffing Rating1/52.5/5-
Nursing Staff TurnoverN/A48.6%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2025-09-04Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.F – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.F – Moderate Harm Potential
2025-09-04Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.E – Moderate Harm Potential
2025-09-04Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2025-09-04Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2025-09-04Quality 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
2022-07-13Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-07-13Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2022-07-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-07-13Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2019-05-08Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-04Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-09-04Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2025-09-04Emergency Preparedness DeficienciesProvide family notifications of emergency plan.D – Moderate Harm Potential
2025-09-04Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2025-09-04Emergency Preparedness DeficienciesMeet the requirements of an integrated health system.D – Moderate Harm Potential
2025-09-04Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2025-09-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-09-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-07-13Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2019-05-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.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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