Deficiencies (over last year)
Deficiencies (over last year)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
59% worse than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Enforcement
Deficiencies: 7
Date: Sep 6, 2024
Visit Reason
The inspection was conducted as a survey of the Assisted Care Living Facility resulting in deficiencies cited for failure to provide safety, appropriate meals, maintain food supply, maintain a clean kitchen, and maintain medical records. A revisit survey was also conducted to verify corrections.
Findings
The facility was found deficient in multiple areas including resident safety, food service, kitchen sanitation, and medical record maintenance. Several deficiencies were re-cited during the revisit survey, and monetary penalties were assessed.
Deficiencies (7)
Failure to provide safety to residents, including seventeen falls with injuries and lack of appropriate interventions to prevent harm.
Failure to provide appropriate meals to residents, including not maintaining and properly storing a forty-eight hour food supply at all times.
Failure to maintain a clean and sanitary kitchen, including kitchen staff not wearing hairnets and food items stored uncovered or without proper labeling or dates.
Failure to maintain complete medical records, including missing updated diagnoses, physician orders, discharge dates, and unsigned service plans.
Facility's high temperature dishwasher and refrigerator were not operating at acceptable temperatures.
Three residents using medically necessary oxygen lacked required signage on their room doors.
Walk-in cooler and ice cream freezer lacked thermometers and temperature logs.
Report Facts
Falls sustained by Resident #1: 17
Residents using medically necessary oxygen without required signage: 3
Civil Monetary Penalty amount: 7750
Days to comply with contingencies: 30
Probation period: 6
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