The Centers for Medicare and Medicaid Services has yanked 181-bed Heritage Manor of Columbia (Tenn.) from eligibility for government healthcare programs because of care deficiencies that put residents in "immediate jeopardy" of harm, the Tennessee Department of Health said. The home is owned by Southern Healthcare Systems, Baton Rouge, La., a not-for-profit that owns six nursing homes in Kentucky, Tennessee and Texas, said Katy Gammon, the health department's director of healthcare facilities. Southern filed for bankruptcy June 11 in U.S. Bankruptcy Court in Baton Rouge. State inspectors completed a review of the nursing home Sept. 5 and found that it had not corrected problems detailed by the CMS in an Aug. 21 letter to the facility, the health department said.
Inspectors reported that residents suffered from abuse and from pressure sores as a result of poor care. The inspectors also cited the nursing home for inadequate nursing care and poor management of residents' psychotropic prescriptions. Reimbursement for the 148 patients whose bills are paid by Medicare or Medicaid will cease Oct. 6, Gammon said. The facility is appealing the CMS' ruling. Winning the appeal would be the only way the home could remain open or reopen after all patients have been moved, Gammon said. In June and July of 2001, inspectors cited Heritage Manor for failing to protect all residents from abuse and for other administrative failures, CMS records show. In both cases, the inspectors labeled the problems as "isolated" but said they did or could lead to "immediate jeopardy to resident health or safety," records show. -- by Vince Galloro