Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Enforcement
Deficiencies: 6
Date: May 11, 2023
Visit Reason
The document is a Consent Order issued by the Tennessee Health Facilities Commission regarding regulatory violations found at Deane Hill Place Assisted Care Living Facility following a survey conducted on May 11, 2023.
Findings
The survey found multiple deficiencies including failure to provide protective care for two residents, failure to maintain daily whereabouts for one resident, failure to serve food at appropriate temperatures, failure to maintain a clean kitchen, failure to maintain nursing notes, and failure to update plans of care for six residents. Additional incidents included resident altercations, elopement, and inadequate supervision.
Deficiencies (6)
Failure to provide protective care for two residents as required by regulations.
Failure to maintain daily whereabouts for one resident, resulting in unawareness of resident's location.
Failure to serve food at appropriate temperatures, including cold foods above 41°F and hot foods below 140°F.
Failure to maintain a clean and sanitary kitchen environment.
Failure to properly maintain nursing notes for residents.
Failure to properly update plans of care for six residents following incidents and hospital stays.
Report Facts
Civil Monetary Penalty: 1000
Civil Monetary Penalty: 1000
Civil Monetary Penalty: 500
Civil Monetary Penalty: 500
Civil Monetary Penalty: 500
Inspection Report
Enforcement
Deficiencies: 3
Date: Apr 7, 2021
Visit Reason
This document is a Consent Order issued by the Tennessee Board for Licensing Health Care Facilities concerning Deane Hill Place, following findings from an annual health licensure survey and complaint investigations.
Complaint Details
The enforcement action follows an investigation into three complaints related to resident care and behavior management at the facility.
Findings
The facility was found to have violated multiple provisions related to resident care, including failure to properly manage aggressive resident behaviors and failure to revise the Plan of Care accordingly. Civil monetary penalties totaling $2,000 were assessed.
Deficiencies (3)
Resident #1 exhibited aggressive behaviors placing others in danger, and the facility failed to discharge the resident or revise the Plan of Care to address these behaviors.
The facility violated rules prohibiting admission or continued stay of residents exhibiting verbal or physical aggressive behavior posing a threat to self or others.
The facility failed to develop and revise plans of care for residents as required, including input from legal representatives and health care professionals within five days of admission.
Report Facts
Civil monetary penalties: 2000
Days notice for hearing: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Jo Daugherty | Administrator | Signed the Consent Order on behalf of Deane Hill Place. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jun 11, 2018
Visit Reason
The Department conducted a complaint survey at Deane Hill Place from June 11, 2018 to June 13, 2018 following allegations of verbal abuse and failure to follow facility policies.
Complaint Details
The complaint investigation was triggered by an allegation that Resident Care Provider #1 verbally abused Resident #5 on or about March 22, 2018. The facility allowed the alleged abuser to finish their shift and did not immediately separate them from the resident. The investigation found failure to follow abuse policies and failure to meet hospice care requirements for Resident #3.
Findings
The facility failed to separate a resident from an alleged abuser after a verbal abuse incident, did not follow abuse and neglect policies, was unable to safely meet the needs of a resident requiring hospice care, and failed to obtain required physician certification for hospice care.
Deficiencies (4)
Rule 1200-08-25-.07(7)(a)(2): The facility failed to ensure safety by not separating Resident #5 from the alleged abuser after verbal abuse was reported.
Rule 1200-08-25-.07(7)(a)(4): The facility failed to provide personal services including the ability and readiness to intervene when crises arise for Resident #3.
Rule 1200-08-25-.08(1)(f): The facility admitted or permitted the continued stay of Resident #3 who had needs that could not be safely and effectively met in the facility.
Rule 1200-08-25-.08(5)(a): The facility failed to obtain physician certification that hospice care needs of Resident #3 could be appropriately met in the facility.
Report Facts
Civil monetary penalties: 2500
Dates of complaint survey: June 11, 2018 to June 13, 2018
Number of fire department calls: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Michael Potts | Administrator | Signed agreement to consent order. |
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