A $5,800 daily fine has been imposed against Bristol Nursing Home in Tennessee. New admissions were suspended for a couple of days but for some reason was reinstated. The state also imposed a one-time $3,000 fine. The federal fine of $5,800 was to be imposed until violations discovered in March have been corrected. The Tennessee Department of Health suspended admissions effective April 13 but it only lasted 4 days.
A complaint investigation and annual survey conducted at the licensed 120-bed facility between March 26 and March 31 revealed serious violations in the areas of, "administration, performance improvement, nursing services and resident rights."
At the center of the substantiated complaint is a mentally impaired and vulnerable male patient who fights with other men and has been accused of sexually assaulting female patients. The staff complained that it was difficult to supervise him because of inadequate staffing. He was admitted to the nursing home Aug. 9, 2011, and became violent and more focused on female patients after his ex-wife died sometime in November 2011. At times, he mistook several of the female patients as his ex-wife and complained that she was running around with some male patients.
The report cited:
Two violent men who have punched, pushed and kicked at patients;
Failure to draft a plan of intervention or increased supervision for the two violent patients;
A lack of incident reports, investigations or interventions related to incidents involving the most violent man;
Failure to notify a patient’s doctor of elevated blood sugar and need for psychiatric help
“The facility’s failure placed all the residents on the … unit in an environment which was detrimental to their health, safety, and welfare,” the report states.