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: 6
Date: Jul 17, 2023
Visit Reason
The inspection was conducted as a survey of the assisted care living facility Brookdale Columbia, resulting in findings of regulatory violations related to resident safety, dietary services, and facility cleanliness.
Findings
The survey found that three residents had eloped at least once, menus were not properly reviewed or approved by a Registered Dietician, food was improperly stored, the kitchen was unclean, and multiple residents' needs were not safely or effectively met by the facility.
Deficiencies (6)
Three residents eloped at least once, and care plans were not updated to reflect repeated exit-seeking behavior and the need for redirection. Facility staff failed to know when residents exited and did not confirm resident presence during rounds.
Facility menus were not properly signed and dated by a Registered Dietician, multiple menus were altered without RD review, and no consultant dietician was assigned as of July 13, 2023.
The food management company's last documented nutritional consult was in 2021, indicating lack of current dietetic oversight.
Several refrigerated food items lacked labels or open dates, dry food items were improperly stored including cheese snacks on the floor, and the stove and oven were coated with a thick, black, hard substance.
Multiple open dry goods bins had scoops left inside with flies present, and grime or residue was found in kitchen appliances including an electric mixer, toaster, microwave, and vent hood.
The facility permitted the continued stay of multiple residents whose needs could not be safely and effectively met by the facility.
Report Facts
Civil Monetary Penalties: 14000
Residents eloped: 3
Exit door unlocks: 3
Civil Monetary Penalties: 3000
Civil Monetary Penalties: 1000
Civil Monetary Penalties: 1000
Civil Monetary Penalties: 1000
Civil Monetary Penalties: 1000
Civil Monetary Penalties: 2000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Massey | Executive Director | Signed as Authorized Representative of Brookdale Columbia. |
Inspection Report
Enforcement
Deficiencies: 2
Date: Sep 11, 2019
Visit Reason
The inspection was conducted following a health licensure survey by Tennessee Department of Health surveyors to investigate serious violations of state laws and regulations at Brookdale Columbia Assisted-Care Living Facility.
Findings
Surveyors observed serious violations resulting in endangerment to the health, safety, and welfare of residents, including failure to meet nutritional needs and lack of care plan revision for a resident with significant weight loss. The facility was found to have violated specific state rules related to dietary services and resident records.
Deficiencies (2)
Rule 1200-08-25-.07(c)(3)(ii): The facility failed to meet nutritional needs of residents in accordance with recognized dietary practices and orders of responsible practitioners.
Rule 1200-08-25-.12(5)(a): The facility did not develop or revise a plan of care for Resident #2 within required timeframes to address significant weight loss.
Report Facts
Civil monetary penalties: 1000
Weight loss percentage: 5.8
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