Inspection Reports for
Brookdale Goodlettsville

TN, 37072

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% better than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2022
2023
2024

Inspection Report

Enforcement
Deficiencies: 2 Date: Mar 12, 2024

Visit Reason
The inspection was conducted following a survey of the facility on March 12, 2024, which found failures in providing protective care to several residents and incomplete plan of care documentation for one resident upon admission.

Findings
The facility failed to provide protective care to several residents and did not complete the plan of care for one resident within five days of admission. Additionally, on December 25, 2023, the facility lacked a nurse on duty for several hours, resulting in 31 residents missing nursing care and medication administration.

Deficiencies (2)
Tenn. Comp. R. and Regs. 0720-26-.07(7)(a)(1) was violated as the facility failed to provide protective care to several residents.
Tenn. Comp. R. and Regs. 0720-26-.12(5)(a) was violated as the facility did not complete a plan of care for a resident within five days of admission.
Report Facts
Residents without nursing care: 31 Civil Monetary Penalty: 1500 Civil Monetary Penalty: 3000 Total Civil Monetary Penalty: 4500

Inspection Report

Enforcement
Deficiencies: 2 Date: Jun 21, 2023

Visit Reason
The document is a Consent Order issued by the Tennessee Board for Licensing Health Care Facilities regarding violations found during a survey of the assisted care living facility Brookdale Goodlettsville.

Findings
The facility inappropriately admitted one resident and failed to properly update the plan of care for one resident. Additionally, the facility did not update the plan of care for a resident following incidents involving confrontations with another resident.

Deficiencies (2)
Admission or retention of an inappropriately placed resident occurred when the facility admitted one resident improperly.
The facility failed to develop or update the plan of care for residents as required, including failure to update the plan after incidents involving resident confrontations.
Report Facts
Civil Monetary Penalty: 3000 Civil Monetary Penalty: 1000 License Expiration Date: May 11, 2024

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 8, 2022

Visit Reason
The Department of Health conducted an annual survey at NHC Healthcare, Oakwood to assess compliance with licensure statutes and regulations.

Findings
The survey revealed violations impacting patient care related to Basic Services, specifically Food and Dietetic Services. A Type B Civil Monetary Penalty of $500 was imposed based on these violations.

Report Facts
Civil Monetary Penalty amount: 500

Employees mentioned
NameTitleContext
Lisa PierceyCommissionerSigned the order assessing the civil penalty

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Apr 11, 2018

Visit Reason
The Department conducted a complaint and health licensure survey at Brookdale Goodlettsville on or about April 11, 2018.

Complaint Details
The complaint investigation included incidents of resident elopement with injury and resident assault by a care assistant. Resident Care Aide #1 admitted to the actions and was suspended pending further investigation.
Findings
The facility failed to update a hospice care plan for emergency evacuation and failed to include emergency evacuation plans for a resident. There was an incident where a resident eloped and was found outside with injuries, and another resident was assaulted by a care assistant resulting in injuries.

Deficiencies (4)
Rule 1200-08-25-.07(7)(a)(2): The facility failed to ensure safety when in the Assisted-Care Living Facility (ACLF).
Rule 1200-08-25-.08(7): The facility failed to have documented plans and procedures to show evacuation of all residents.
Rule 1200-08-25-.12(5)(a): The facility failed to update the hospice care plan for emergency evacuation for a resident.
Rule 1200-08-25-.14(1)(b): The facility failed to ensure residents' rights to be free from mental and physical abuse and failed to notify appropriate authorities.
Report Facts
Civil monetary penalties: 4 Penalty amount per violation: 500 Total penalty amount: 2000

Employees mentioned
NameTitleContext
Caroline R. TippensAssistant General CounselSigned the consent order
Kimbria EdmundsAdministratorSigned the consent order

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