Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Enforcement
Deficiencies: 2
Date: Sep 23, 2021
Visit Reason
The document is a Consent Order issued by the Tennessee Board for Licensing Health Care Facilities regarding violations found at Creekside At Three Rivers Assisted Care Living Facility. It addresses disciplinary action following findings of noncompliance with regulations.
Findings
The facility was found to have violated regulations by failing to complete a plan of care within five days of a resident's admission and not providing required personal services. Civil Monetary Penalties were assessed for these deficiencies.
Deficiencies (2)
Tenn. Comp. R. & Regs. 0720-26-.12(5)(a): The facility failed to develop a plan of care for Resident #1 within five days of admission.
Tenn. Comp. R. & Regs. 0720-26-.07(7)(a)(1): The facility failed to provide required personal services including protective care to Resident #1.
Report Facts
Civil Monetary Penalty: 500
Civil Monetary Penalty: 500
Civil Monetary Penalty Total: 1000
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 6, 2019
Visit Reason
The Department conducted a complaint survey at Creekside at Three Rivers on or about March 6, 2019, following concerns related to medication administration and resident care.
Complaint Details
The complaint survey was conducted on March 6, 2019. The findings related to medication administration failures for Residents #4 and #12 were substantiated as grounds for discipline.
Findings
The facility failed to ensure medication was administered according to residents' plans of care, specifically for Resident #4 and Resident #12. The Board found sufficient grounds for discipline based on violations of medication administration rules.
Deficiencies (2)
Rule 1200-08-25-.07(a)[Services Provided]: The facility failed to ensure medication was administered per Resident #4's plan of care, as Resident #4 was given Ativan but tested negative for it in a drug screen.
The facility failed to ensure Resident #12's medications were administered per her plan of care, including lack of physician orders to discontinue medications after October 23, 2018.
Report Facts
Civil monetary penalty: 500
License number: 308
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brent Wesley Brewer | Administrator | Signed agreement to the Consent Order. |
| Caroline R. Tippens | Assistant General Counsel | Signed the Consent Order on behalf of the Tennessee Department of Health. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 4, 2016
Visit Reason
A complaint survey was conducted at Milan Health Care Center from September 26 through November 4, 2016, to investigate alleged violations detrimental to the health, safety, or welfare of residents.
Complaint Details
The complaint survey was substantiated, revealing violations detrimental to resident health, safety, or welfare. The Commissioner suspended admissions effective December 2, 2016, and imposed a $4,000 Type A civil monetary penalty.
Findings
The investigation found serious violations in Administration, Basic Services (Performance Improvement), Nursing Services, Social Work Services, and Resident Rights that were detrimental to residents' health, safety, or welfare. As a result, the Commissioner imposed a suspension of admissions and a Type A civil monetary penalty.
Report Facts
Civil monetary penalty amount: 4000
Penalty effective date and time: Suspension of admissions effective December 2, 2016 at 5:00 p.m.
Survey period: Survey conducted from September 26 through November 4, 2016
Viewing
Loading inspection reports...
