Inspection Reports for
Orchard View Post-Acute and Rehabilitation Center
2035 East Stonebrook Place, Kingsport, TN, 37660
Back to Facility ProfileCitations (last 5 years)
Citations (over 5 years)
0.2 citations/year
Citations are regulatory findings recorded during state inspections.
95% better than Tennessee average
Tennessee average: 4.4 citations/yearCitations per year
4
3
2
1
0
Inspection Report
Enforcement
Citations: 0
Date: Jan 6, 2025
Visit Reason
The inspection was conducted as an annual and complaint survey at Orchard View Post-Acute and Rehabilitation Center to investigate compliance with licensure statutes and regulations.
Findings
The survey revealed violations of licensure statutes and regulations impacting patient care, resulting in the imposition of Type B Civil Monetary Penalties for violations of resident rights standards.
Report Facts
Civil Monetary Penalty amount: 1500
Number of Type B Civil Monetary Penalties assessed: 1
Working days to pay penalty: 10
Inspection Report
Complaint Investigation
Citations: 0
Date: Jul 18, 2024
Visit Reason
The inspection was a complaint revisit survey conducted to investigate alleged violations at Orchard View Post-Acute and Rehabilitation Center in Kingsport.
Complaint Details
The visit was a complaint revisit survey. The Executive Director assessed a Type B Civil Monetary Penalty based on violations of resident rights standards.
Findings
The survey revealed violations of licensure statutes and regulations impacting patient care, resulting in the imposition of a Type B Civil Monetary Penalty for violations of resident rights standards.
Report Facts
Civil Monetary Penalty amount: 1000
Penalty payment timeframe: 5
Inspection Report
Complaint Investigation
Citations: 1
Date: May 6, 2024
Visit Reason
Commission surveyors conducted complaint investigations at the facility from May 6, 2024, through May 10, 2024, related to medication administration errors.
Complaint Details
The complaint investigation was substantiated, confirming medication administration errors involving Resident #1 and Resident #2, including failure to follow the 'Five Rights of Medication Administration'.
Findings
The investigation found that Resident #1 was administered medication prescribed for Resident #2, resulting in severe health complications and ICU admission. The facility failed to follow physician orders and medication administration protocols.
Citations (1)
Tenn. Comp. R. and Regs. 0720-18-.06(4)(m) [Basic Services] was violated due to failure to carry out physician orders as prescribed, resulting in medication errors.
Report Facts
Civil Monetary Penalty: 1500
Investigation dates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Admitted to administering medication prescribed for Resident #2 to Resident #1 in error. |
| Director of Nursing | Admitted that LPN A did not follow the 'Five Rights of Medication Administration', resulting in medication error. | |
| Registered Nurse B | Registered Nurse | Confirmed that LPN A administered the medication prescribed for Resident #2 to Resident #1 in error. |
Inspection Report
Complaint Investigation
Citations: 0
Date: Feb 9, 2023
Visit Reason
The Health Facilities Commission survey team conducted a complaint survey at Orchard View Post-Acute and Rehabilitation Center pursuant to Tennessee Code Ann. § 68-11-210, investigating alleged violations impacting patient care.
Complaint Details
The visit was complaint-related, conducted from January 9-19, 2023, and February 6-9, 2023, with the investigation completed on February 9, 2023. Specific substantiation status is not stated.
Findings
The survey revealed violations of licensure statutes and regulations that directly impact patient care. Based on the surveyors' findings, the Executive Director imposed two Type B Civil Monetary Penalties totaling $2,000 for violations of Basic Services.
Report Facts
Type B Civil Monetary Penalties: 2
Penalty amount: 2000
Penalty payment timeframe: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Logan Grant | Executive Director | Signed the order assessing civil penalty. |
Inspection Report
Complaint Investigation
Citations: 0
Date: Mar 21, 2018
Visit Reason
The visit was conducted as a complaint investigation and annual survey to assess deficient practices and conditions in the nursing home. A follow-up survey was conducted to verify correction of deficiencies and compliance with state licensing requirements.
Complaint Details
The complaint investigation found deficient practices and conditions likely detrimental to residents' health, safety, or welfare. The findings led to suspension of admissions and a civil penalty. The follow-up survey confirmed correction of these deficiencies and restoration of compliance.
Findings
Deficient practices and conditions detrimental to the health, safety, or welfare of residents were identified, resulting in suspension of new admissions and a Type A Civil Monetary Penalty. The follow-up survey found that these deficiencies were corrected and the facility returned to substantial compliance.
Inspection Report
Annual Inspection
Citations: 0
Date: Mar 21, 2018
Visit Reason
The Department of Health conducted an annual and complaint survey at Brookhaven Manor nursing home from March 5, 2018 through March 21, 2018 to investigate conditions related to health, safety, and welfare of residents.
Findings
The investigation found violations detrimental to residents' health, safety, and welfare in areas including Administration; Admissions, Discharges, and Transfers; Basic Services [Performance Improvement]; and Basic Services [Social Work Services]. As a result, the Commissioner suspended admissions and imposed four Type A Civil Monetary Penalties totaling $12,000.
Report Facts
Type A Civil Monetary Penalties: 4
Penalty amount: 12000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John J. Dreyzehner | Commissioner | Signed the order imposing suspension and penalties. |
Inspection Report
Enforcement
Citations: 0
Date: Dec 7, 2016
Visit Reason
The visit was conducted as an investigation complaint and annual survey at Brookhaven Manor nursing home from November 1 through December 7, 2016.
Complaint Details
The visit was complaint-related and included an investigation complaint and annual survey. The complaint was substantiated as violations detrimental to resident health, safety, or welfare were found.
Findings
The investigation and survey revealed violations detrimental to the health, safety, or welfare of residents, including deficiencies in Administration, Basic Services, Physician Services, Infection Control, Nursing Services, and Resident Rights. As a result, the Commissioner suspended admissions and imposed a Type A civil monetary penalty of $5001.00.
Report Facts
Civil monetary penalty amount: 5001
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