Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Enforcement
Deficiencies: 2
Date: Aug 10, 2023
Visit Reason
The inspection was conducted following a review of an Elopement Incident Report involving Resident #1 who was found missing from the facility with injuries. The visit was to investigate the circumstances and compliance with safety regulations.
Findings
The facility failed to maintain resident safety and daily awareness of the resident's whereabouts, resulting in one resident eloping and sustaining injuries. The facility was found in violation of Tennessee regulations regarding personal services and safety provisions for residents.
Deficiencies (2)
Tenn. Comp. R. and Reg. 0720-26-.07(7)(a)(2) Services Provided: The facility failed to provide safety when in the assisted care living facility, resulting in a resident eloping and sustaining injuries.
Tenn. Comp. R. and Reg. 0720-26-.07(7)(a)(3) Services Provided: The facility failed to provide daily awareness of the individual resident's whereabouts.
Report Facts
Civil Monetary Penalty: 3000
Civil Monetary Penalty: 3000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Etheridge | Administrator | Named as the authorized representative of the facility in the consent order. |
Inspection Report
Enforcement
Deficiencies: 5
Date: Feb 20, 2018
Visit Reason
The inspection was conducted as a licensure survey to investigate compliance with state laws and regulations for the assisted-care living facility Asbury Cove.
Findings
The survey found violations resulting in endangerment to the health, safety, and welfare of residents, including improper medication administration by an unlicensed patient care assistant, failure to notify a physician of elevated blood sugar, inadequate documentation, and unsanitary food storage and kitchen conditions.
Deficiencies (5)
Rule 1200-08-25-.07(5)(b) Services Provided: The facility failed to ensure all drugs were administered by a licensed professional according to the resident's plan of care.
The patient care assistant administered insulin and handed syringes to the resident without proper licensure or physician notification of elevated blood sugar.
The facility lacked documentation of nursing assessments for a resident's high blood sugar reading of 539.
The refrigerator and freezer temperature logs were incomplete and not monitored properly.
Food in refrigerators was not dated or labeled, with expired milk and leaking pork chops found, indicating failure to maintain a clean and sanitary kitchen.
Report Facts
Civil monetary penalties: 1500
Hours of food supply: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Etheridge | Administrator | Signed consent order as respondent administrator |
| Caroline R. Tippens | Assistant General Counsel | Signed consent order on behalf of Department of Health |
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