Inspection Reports for
Millington Healthcare Center
5081 Easley Street, Millington, TN, 38053
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 0
Date: Aug 8, 2025
Visit Reason
A follow-up survey was conducted to determine if the deficient practices identified during a prior complaint investigation survey had been sufficiently corrected as stated in the facility’s approved Plan of Correction.
Complaint Details
The original complaint investigation survey was conducted from March 4, 2025, through March 27, 2025, due to deficient practices and conditions likely detrimental to residents. A Suspension of Admissions and a Type A Civil Monetary Penalty were issued. The follow-up survey confirmed correction of these deficiencies.
Findings
The follow-up survey found that the deficient practices detrimental to the health, safety, or welfare of the residents were sufficiently corrected, leading to the lifting of the Suspension of Admission of new residents.
Report Facts
Dates of complaint investigation survey: March 4, 2025 through March 27, 2025
Date Suspension of Admission effective: April 10, 2025
Date follow-up survey conducted: August 8, 2025
Date Suspension of Admission lifted: August 29, 2025
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Mar 27, 2025
Visit Reason
A complaint survey was conducted due to allegations of violations affecting the health, safety, and welfare of residents, including drug diversion and inadequate pain management.
Complaint Details
The complaint investigation substantiated multiple violations including drug diversion by a licensed practical nurse, inadequate pain management, unwitnessed falls causing severe injury, and failure to properly document and monitor controlled substances.
Findings
The investigation revealed drug diversion by a staff nurse over several years, failure to ensure competent nursing staff, inadequate pain management for residents, unwitnessed falls causing injury, and failure to document and monitor controlled substances properly.
Deficiencies (5)
Tenn. Comp. R. and Regs. 0720-18-.04(1) [Administration]: The administrator failed to provide appropriate fiscal resources and personnel to meet residents' needs.
Tenn. Comp. R. and Regs. 0720-18-.04(15) [Administration]: The facility failed to adopt safety policies to protect residents from accidents and injuries.
Tenn. Comp. R. and Regs. 0720-18-.06(4)(g) [Nursing Services]: Nursing care was not assigned according to residents' needs and staff competence.
Tenn. Comp. R. and Regs. 0720-18-.06(6)(d) [Nursing Services]: The facility failed to comply with state and federal regulations governing Schedule II drugs.
Tenn. Comp. R. and Regs. 0720-18-.12(1)(x) [Resident Rights]: The facility failed to provide appropriate assessment and management of pain for residents.
Report Facts
Type A Civil Monetary Penalties: 5
Civil Monetary Penalty Amount: 17500
Pills seized: 1929.5
Residents reviewed for drug diversion: 12
Residents with pain management issues: 2
Duration of drug diversion: 5
Duration resident missing: 10
Medication carts with documentation failures: 2
Nurses educated in October 2024: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Logan Grant | Executive Director | Signed the order assessing penalties and suspending admissions. |
| Caroline R. Tippens | Director of Licensure & Regulation | Mentioned as contact for hearings and administrative procedures. |
| LPN #1 | Licensed Practical Nurse | Identified by law enforcement as involved in drug diversion and arrested on drug charges. |
Inspection Report
Enforcement
Deficiencies: 1
Date: Dec 15, 2022
Visit Reason
The Tennessee Health Facilities Commission conducted a survey of Millington Healthcare Center to determine compliance with safety policies and regulations following concerns about resident safety.
Findings
The facility failed to follow safety policies, resulting in a resident eloping from the facility. This violation led to disciplinary action and a civil monetary penalty.
Deficiencies (1)
Tenn. Comp. R. and Reg.0720-18-.04(15) requires nursing homes to adopt safety policies for resident protection. The facility failed to follow these policies, leading to a resident eloping.
Report Facts
Civil Monetary Penalty: 1500
Days for Payment Submission: 30
Resident Elopement Duration: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Nicks Speaks | Administrator | Named as authorized representative of the facility |
| Vishan J. Ramcharan | Associate General Counsel | Signed the Consent Order on behalf of the Health Facilities Commission |
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