Inspection Reports for
South High Senior Living

835 Tipton Avenue, Knoxville, TN, 37920

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Deficiencies (over last year)

Deficiencies (over last year) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% worse than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023

Inspection Report

Enforcement
Census: 51 Deficiencies: 3 Date: Mar 20, 2023

Visit Reason
The inspection was conducted due to violations found related to fire drill evacuation times, improper medication disposal, and failure to develop and maintain a plan of care for residents.

Findings
The facility failed to ensure that three of fifty-one residents evacuated within the required thirteen minutes during a fire drill. Staff improperly disposed of medications in violation of facility policy. Additionally, the facility failed to develop and maintain a plan of care for each resident.

Deficiencies (3)
Tenn. Comp. R. and Reg. 0720-26-.08(8) was violated as three of fifty-one residents failed to evacuate within thirteen minutes during a third shift fire drill on March 20, 2023.
Tenn. Comp. R. and Reg. 0720-26-.07(6)(c) was violated as staff failed to properly dispose of prescription medications according to the facility's medication disposal policy.
Tenn. Comp. R. and Reg. 0720-26-.12(5) was violated as the facility failed to develop and maintain a plan of care for each resident admitted to the facility.
Report Facts
Residents present during inspection: 51 Civil Monetary Penalty: 1000 Civil Monetary Penalty: 1500 Civil Monetary Penalty: 1000 Total Civil Monetary Penalties: 3500

Employees mentioned
NameTitleContext
Staff member #6Nurse and Care DirectorImproperly disposed of medications by placing them in a trash bag and regular trash can
Staff member #7Discovered the improper medication disposal and filed an incident report
Marshall McCauleyExecutive DirectorAcknowledged deficiencies during exit conference and signed the agreed order

Inspection Report

Enforcement
Deficiencies: 2 Date: Feb 2, 2023

Visit Reason
This document is a Consent Order issued by the Tennessee Board for Licensing Health Care Facilities regarding violations found at South High Senior Living Assisted Care Living Facility. The order addresses disciplinary action following findings of medication administration errors and regulatory violations.

Findings
The facility was found to have administered medications improperly, including double dosing a resident for 11 days and a cognitively impaired resident ingesting another resident's medication mixed in a drink. These violations constituted grounds for discipline and resulted in civil monetary penalties.

Deficiencies (2)
Tenn. Comp. R. & Regs. 0720-26-.07(5)(b) was violated by failing to ensure all drugs and biologicals were administered by licensed or certified health care professionals according to the resident's plan of care.
Tenn. Comp. R. & Regs. 0720-26-.07(5)(e) was violated by facility staff repackaging medication and administering medication from repackaging, which is prohibited.
Report Facts
Civil Monetary Penalty: 2000 Civil Monetary Penalty: 1000 Days of double dosing: 11

Employees mentioned
NameTitleContext
Megan BowmanExecutive DirectorAuthorized representative who signed the Consent Order

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