Inspection Reports for
Cades Center Assisted Living

82 Will McKnight Dr, Jackson, TN 38301, Jackson, TN, 38301

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

89% better than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2023

Inspection Report

Enforcement
Deficiencies: 0 Date: Jun 6, 2023

Visit Reason
The document is an Order of Compliance issued after the Petitioner proved that the conditions of a prior Consent Order dated February 5, 2019, were met. The Order lifts the probation on the assisted care living facility license and restores it to active status.

Findings
The Board found that the Petitioner complied with the terms of the February 5, 2019 Consent Order, which included a six-month probation and a civil monetary penalty of $1,500. The license probation is lifted and the license is restored to active, unencumbered status.

Report Facts
Civil monetary penalty: 1500 Probation duration: 6

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 29, 2018

Visit Reason
Surveyors conducted a complaint survey at Cades Center on or about August 29, 2018, to investigate allegations related to medication administration by unlicensed personnel.

Complaint Details
The complaint survey was conducted due to observations of unlicensed medication technicians administering medications and failures in medication administration documentation and procedures. Specific issues included missed doses, incorrect insulin dosages, lack of physician notification for refusals, and administration by unlicensed personnel. The complaint was substantiated as evidenced by the findings.
Findings
The facility failed to ensure medications were administered by licensed personnel within their scope of practice. Multiple residents received incorrect or improperly documented medication administration, including insulin and hydrocodone, sometimes by unlicensed staff, resulting in hospitalizations and other adverse outcomes.

Deficiencies (1)
Rule 1200-08-25-.07(5)(a) SERVICES PROVIDED: The facility failed to ensure medication was self-administered in accordance with the resident's plan of care, including administration by licensed personnel only.
Report Facts
Missed medication doses: 5 Civil monetary penalties: 1500 Hospitalizations: 2

Employees mentioned
NameTitleContext
Linda K. BurtonAdministratorSigned as respondent administrator in the consent order.
Caroline R. TippensAssistant General CounselSigned the consent order on behalf of Tennessee Department of Health.

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