Deficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% 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: 6
Date: Feb 20, 2018
Visit Reason
The inspection was conducted as a licensure survey to investigate violations of state laws and regulations at Asbury Cove Assisted-Care Living Facility.
Findings
Surveyors found violations resulting in endangerment to residents' health, safety, and welfare, including improper medication administration by an unlicensed assistant, failure to notify a physician of elevated blood sugar, inadequate documentation, and unsanitary food storage conditions.
Deficiencies (6)
Rule 1200-08-25-.07(5)(b) requires all drugs to be administered by a licensed professional. The patient care assistant who administered insulin and handed the syringe to Resident #7 was unlicensed.
The facility failed to notify Resident #7's physician about elevated blood sugar levels despite readings over 500.
The facility lacked nursing assessment documentation for Resident #7's blood sugar reading of 539.
Refrigerator and freezer temperature logs were incomplete or missing, with no monitoring documentation for the café refrigerator/freezer.
Food in refrigerators was not dated or labeled properly; expired milk and leaking pork chop liquids were found, indicating unsanitary kitchen conditions.
The facility failed to maintain a clean and sanitary kitchen as required for dietary services.
Report Facts
Civil monetary penalties: 1500
Date of inspection: Feb 20, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Etheridge | Administrator | Signed consent order as respondent representative |
| Caroline R. Tippens | Assistant General Counsel | Signed consent order on behalf of Department of Health |
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