Inspection Reports for
Life Care Center of Old Hickory Village

1250 Robinson Road, Old Hickory, TN, 37138

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3 Reports

All state 2017–2023

Inspection Report — Sep 18, 2023

Complaint Investigation State
Date: Sep 18, 2023

Visit Reason
The inspection was conducted as a complaint survey at Life Care Center of Old Hickory Village pursuant to Tennessee Code Annotated, investigating alleged violations impacting patient care.

Complaint Details
The visit was complaint-related, and the investigation was completed on October 4, 2023. The Executive Director imposed a Type B Civil Monetary Penalty based on the surveyors' findings and recommendations.
Findings
The survey revealed violations of licensure statutes and regulations directly impacting patient care, resulting in the imposition of a Type B Civil Monetary Penalty.

Report Facts
Civil Monetary Penalty amount: 500

Employees mentioned
NameTitleContext
Logan GrantExecutive DirectorSigned the order assessing the civil penalty

Inspection Report — Sep 12, 2022

Complaint Investigation State
Date: Sep 12, 2022

Visit Reason
The Health Facilities Commission conducted a complaint survey at Life Care Center of Old Hickory Village to investigate alleged violations of licensure statutes and regulations impacting patient care.

Complaint Details
The survey was complaint-driven and completed between September 12 and September 29, 2022. Specific substantiation status is not stated.
Findings
The survey revealed violations related to Basic Services Infection Control, resulting in the imposition of two Type B Civil Monetary Penalties totaling one thousand dollars.

Citations (1)
Violations of Basic Services Infection Control were identified during the complaint survey.
Report Facts
Civil Monetary Penalties: 2 Penalty amount: 1000

Inspection Report — Dec 5, 2017

Annual Inspection State
Date: Dec 5, 2017

Visit Reason
The inspection was an annual licensure survey conducted by the Department surveyors on December 5, 2017, to assess compliance with state laws and regulations for the assisted-care living facility.

Findings
The survey found serious violations resulting in endangerment to the health, safety, and welfare of residents, including unlicensed medication technicians administering medications and failure to meet residents' nutritional needs according to physician orders.

Citations (3)
Rule 1200-08-25-.07(5)(b) was violated as unlicensed personnel administered resident medications, contrary to requirements that drugs be administered by licensed professionals within their scope of practice.
Rule 1200-08-25-.07(7)(c)(3)(ii) was violated as the facility failed to meet nutritional needs of residents in accordance with recognized dietary practices and physician orders.
Rule 1200-08-25-.07(7)(c)(3)(iii) was violated as the facility did not have a current therapeutic diet manual approved by a dietitian readily available to all personnel.
Report Facts
Civil monetary penalties: 1500

Employees mentioned
NameTitleContext
Michelle MotesAdministratorNamed as Respondent and signatory to the consent order.
Caroline R. TippensAssistant General CounselNamed as signatory to the consent order.

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