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: Dec 11, 2024
Visit Reason
The inspection was conducted following a survey on December 11, 2024, which identified deficiencies related to resident safety and failure to properly review and revise resident plans of care.
Findings
The facility was found to have violated regulations by failing to provide safety to residents, specifically Resident #2 who suffered multiple falls, and by not maintaining adequate plans of care addressing recurring falls and interventions.
Deficiencies (2)
Tenn. Comp. R. & Regs. 0720-26-.07(7)(a)(2): The facility failed to provide safety to residents, evidenced by Resident #2 suffering fifteen falls, two requiring hospitalization.
Tenn. Comp. R. & Regs. 0720-26-.12(5)(a): The facility failed to develop and properly review or revise plans of care for residents, lacking documentation of interventions to prevent recurring falls.
Report Facts
Civil Monetary Penalty: 4000
Falls: 15
Hospitalizations: 2
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 16, 2019
Visit Reason
The Department conducted an annual health licensure survey and complaint investigation at Dominion Senior Living of Sevierville from July 16, 2019 through July 17, 2019.
Complaint Details
The complaint investigation was substantiated based on the findings related to Resident #1's elopement and the facility's failure to maintain awareness of the resident's whereabouts.
Findings
Resident #1 eloped from the facility due to lack of preventative measures despite a known history of wandering. Staff failed to recognize the egress alarm, resulting in Resident #1 being missing for approximately five hours and sustaining skin tears and abrasions.
Deficiencies (1)
Rule 1200-08-25-.07(7)(a)(3) requires daily awareness of each resident's whereabouts. The facility failed to implement preventative measures to prevent Resident #1's elopement and did not respond appropriately to the egress alarm.
Report Facts
Civil monetary penalty: 500
Days resident missing: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Stephens | Administrator | Signed the consent order agreeing to the terms. |
| Caroline R. Tippens | Assistant General Counsel | Signed the consent order on behalf of the Tennessee Department of Health. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jun 19, 2018
Visit Reason
The Department conducted a complaint and annual licensure survey at Dominion Senior Living of Sevierville from June 19, 2018 through June 20, 2018.
Complaint Details
The complaint involved Resident #1 exhibiting aggressive behavior including yelling, attempting to elope, and physically assaulting Resident #2, resulting in physical injury and a contusion diagnosed at the Emergency Room. Resident #1 also engaged in verbal altercations and physical aggression toward staff and other residents.
Findings
The facility was found to have violated rules related to admissions and transfers by allowing a resident exhibiting verbally and physically aggressive behavior that posed an imminent physical threat to remain. A civil monetary penalty of $3,000 was assessed for actual harm to a resident.
Deficiencies (1)
Rule 1200-08-25-.08(1)(d) prohibits admitting or permitting the continued stay of any resident exhibiting verbal or physical aggressive behavior posing an imminent physical threat to self or others based on behavior, not diagnosis. The facility allowed Resident #1 with such behavior to remain.
Report Facts
Civil monetary penalty: 3000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Stephens | Administrator | Signed consent order as facility representative |
| Caroline R. Tippens | Assistant General Counsel | Signed consent order on behalf of Tennessee Department of Health |
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