Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Enforcement
Deficiencies: 1
Date: Dec 6, 2022
Visit Reason
The inspection was an unannounced visit conducted by a state surveyor to review compliance with medication administration and resident safety regulations at J.B. Knowles Home Assisted Living.
Findings
The surveyor found multiple medication errors involving three residents, including missed medications, incorrect documentation, and medication given in excess of the plan of care. The facility was assessed civil monetary penalties for these deficiencies.
Deficiencies (1)
Three violations were found related to resident medication, including failure to administer medications as ordered and improper documentation. One violation was related to failure to provide safety for residents at the facility.
Report Facts
Civil Monetary Penalty: 3000
Civil Monetary Penalty: 3000
Total Civil Monetary Penalties: 12000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Neal | Administrator | Named as the authorized representative of the facility. |
| Jeremy Gourley | Senior Associate General Counsel | Signed the document as legal counsel for the Health Facilities Commission. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Mar 30, 2021
Visit Reason
The visit was conducted as a follow-up survey to determine if deficient practices identified during a prior complaint survey had been corrected as stated in the facility's approved plan of correction.
Complaint Details
The initial survey on March 2 and 3, 2021 was a complaint survey. The complaint findings led to a suspension of admissions. The follow-up survey on March 30, 2021 found the deficiencies corrected and the suspension was lifted on April 8, 2021.
Findings
The follow-up survey determined that the deficient practices detrimental to the health, safety, or welfare of the residents had been corrected and the facility returned to substantial compliance for state licensing purposes.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 3, 2021
Visit Reason
A complaint survey was conducted at J.B. Knowles Home Assisted Living on March 3, 2021, to investigate alleged deficient practices and conditions that could be detrimental to residents' health, safety, or welfare.
Complaint Details
The visit was complaint-related, triggered by allegations of deficient practices and conditions detrimental to residents. The Commissioner found the complaint substantiated and imposed a Suspension of Admissions effective March 13, 2021, along with a $10,000 civil monetary penalty.
Findings
The investigation found serious violations related to Services Provided, specifically Daily Awareness of the Individual’s Whereabouts and Safety While in the Assisted Living Facility. Due to these findings, a Suspension of Admissions was imposed and a civil monetary penalty of $10,000 was assessed.
Deficiencies (1)
Services Provided [Daily Awareness of the Individual’s Whereabouts] was violated, indicating deficient practices in monitoring residents' locations. Services Provided [Safety While in the ACLF] was also violated, showing safety concerns within the facility.
Report Facts
Civil Monetary Penalty: 10000
Monitor hours per week: 20
Inspection Report
Enforcement
Deficiencies: 0
Date: Oct 2, 2019
Visit Reason
The document is an Order of Compliance hearing held on October 2, 2019, regarding the probation status of J.B. Knowles Home Assisted Living's license following a prior Consent Order from June 7, 2017.
Findings
The Board found that the Petitioner satisfactorily complied with the requirements of the June 2017 Consent Order and probation of the facility's license was lifted, returning the license to unencumbered status.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline R. Tippens | Senior Associate General Counsel | Prepared the Order of Compliance document and Certificate of Service. |
| Melvin Corlew | Administrator | Named as Administrator of J.B. Knowles Home Assisted Living in Certificate of Service. |
Inspection Report
Enforcement
Deficiencies: 7
Date: Jun 7, 2017
Visit Reason
This document is a Consent Order following findings from life safety surveys conducted on May 10, 2016, with revisits on September 16, 2016, and November 22, 2016, at Autumn Hills Assisted Living. The purpose is to address violations and impose disciplinary action to ensure compliance with fire and life safety regulations.
Findings
Life safety surveys found multiple deficiencies including a damaged wall near the smoking room, lack of self-closure devices on maintenance and housekeeping doors, improper pipe penetration above corridor doors, missing documentation for semi-annual smoke detector testing, hood suppression inspections for 2015 and 2016, and four-year fire damper inspections. Fire doors were also found not to latch properly in several locations. An acceptable plan of correction had not been submitted.
Deficiencies (7)
Life safety survey found a damaged wall above the men's sitting area near the smoking room that was not repaired.
Maintenance office and housekeeping closet doors lack self-closure devices.
Improper pipe penetration was found above the 200 hall cross-corridor doors.
Facility failed to provide documentation of semi-annual smoke detector testing.
Facility failed to provide documentation of semi-annual hood suppression inspections for 2015 and 2016.
Facility failed to provide documentation of the four-year fire damper inspection.
Fire doors near room 402, 600 hall, and near room 301 do not latch properly.
Report Facts
Probation period: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melvin Corlew | Administrator | Administrator of Autumn Hills Assisted Living, signatory to the Consent Order. |
| Caroline R. Tippens | Assistant General Counsel | Assistant General Counsel for Department of Health, signatory to the Consent Order. |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Sep 27, 2016
Visit Reason
The Department surveyors conducted a complaint survey on or about September 27, 2016, to investigate allegations of violations at Autumn Hills Assisted Living.
Complaint Details
The complaint survey conducted on September 27, 2016, found serious violations that endangered resident health, safety, and welfare.
Findings
Surveyors observed serious violations of state laws and regulations resulting in endangerment to the health, safety, and welfare of residents. Deficiencies included failure to maintain resident menus, failure to ensure menu changes were approved by a dietitian, failure to serve quality and appropriate food, failure to monitor refrigerator temperatures, failure to maintain a clean kitchen and nutrition room, failure to document nursing home preferences for residents, and failure to have completed Physician Orders for Scope of Treatment (POST) forms.
Deficiencies (5)
Rule 1200-08-25-.07(c)(3)(iv) requires menus to be planned one week in advance. The Respondent failed to maintain resident menus for one week and ensure menu changes were approved by the dietitian.
Rule 1200-08-25-.07(c)(4)(i) requires serving at least three meals per day of good quality, variety, and adapted to residents' physical needs. The Respondent failed to serve food meeting these standards.
Rule 1200-08-25-.07(c)(5) requires maintaining a clean and sanitary kitchen. The Respondent failed to monitor refrigerator temperatures and maintain cleanliness in the kitchen and nutrition room.
Rule 1200-08-25-.12(2)(c) requires documentation of resident nursing home preferences. The Respondent failed to document preferences for two residents in eight files reviewed.
Rule 1200-08-25-.12(2)(g) requires a completed Physician Orders for Scope of Treatment (POST) form. The Respondent failed to have a completed POST form for one resident of eight files reviewed.
Report Facts
Civil monetary penalties: 5
Penalty amount per violation: 500
Total penalty amount: 2500
Resident files reviewed: 8
Residents with undocumented nursing home preferences: 2
Residents missing POST form: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melvin Corlew | Administrator | Signed consent order as Respondent representative |
| Caroline R. Tippens | Assistant General Counsel | Signed consent order on behalf of Department of Health |
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