Deficiencies (over last year)
Deficiencies (over last year)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Enforcement
Deficiencies: 2
Date: May 23, 2023
Visit Reason
The inspection was conducted to review compliance with safety and care standards at Azalea Court Assisted Care Living Facility following allegations of resident safety failures and plan of care deficiencies.
Complaint Details
The visit was complaint-related, triggered by allegations of resident safety failures including a resident drinking a cleaner and another eloping and sustaining injuries. The allegations were substantiated based on interviews and record reviews.
Findings
The surveyor found that the facility failed to provide safety for two residents who accessed hazardous materials and eloped, and failed to revise the Plan of Care with fall interventions for five residents after falls occurred. The facility admitted to these failures during interviews.
Deficiencies (2)
Tenn. Comp. R. and Reg. 0720-26-.07(7)(a)(2) Services Provided: The facility failed to provide personal services ensuring safety when in the ACLF, including securing hazardous materials and preventing resident elopement.
Tenn. Comp. R. and Reg. 0720-26-.12(5)(a) Resident Records: The facility failed to develop and revise the Plan of Care for residents after falls, with no documentation or updates following multiple fall incidents.
Report Facts
Residents reviewed: 8
Residents with safety failures: 2
Residents with fall interventions not revised: 5
Civil Monetary Penalty: 3000
Civil Monetary Penalty: 1500
Days for payment submission: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Gourley | Senior Associate General Counsel | Signed the consent order on behalf of the Health Facilities Commission |
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