Inspection Reports for
River Oaks Place Loudon

1101 Grove St, Loudon, TN 37774, USA, TN, 37774

Back to Facility Profile

Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

82% better than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2019
2024
2025

Inspection Report

Enforcement
Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The document is an Order of Compliance issued after the Petitioner proved that the conditions of the June 5, 2024 Consent Order were met, leading to termination of probation and lifting of restrictions on the Skilled Nursing Facility license.

Findings
The Commission found that the Petitioner met the conditions of the prior Consent Order, including payment of civil monetary penalties totaling $1,500, and determined that the probation on the facility's license should be lifted and the license restored to active status.

Report Facts
Civil monetary penalties: 1500 Probation duration: 12

Inspection Report

Enforcement
Deficiencies: 1 Date: Feb 6, 2024

Visit Reason
The report concerns disciplinary action following a review and investigation of Green Hills Center for Rehabilitation and Healing, LLC, related to violations of resident rights and abuse allegations.

Findings
The facility failed to protect residents from neglect and verbal abuse by a Certified Nursing Assistant. The investigation found substantiated verbal abuse against two residents and failure to document monitoring after a resident's fall, resulting in disciplinary action.

Deficiencies (1)
The facility failed to protect Resident #319 from neglect and failed to ensure Residents #56 and #81 were free from verbal abuse by CNA #11. The facility did not document monitoring or assessment after Resident #319's fall as required.
Report Facts
Residents reviewed for abuse: 22 Residents with verbal abuse: 2 Civil Monetary Penalty: 1500 Probation period: 12

Employees mentioned
NameTitleContext
Betty EdwardsAdministratorAdministrator admitted substantiation of verbal abuse and signed consent order
Jeremy GourleySenior Associate General CounselLegal counsel for the Health Facilities Commission involved in the consent order

Inspection Report

Enforcement
Deficiencies: 3 Date: Jan 8, 2019

Visit Reason
The inspection was conducted from January 8 through January 9, 2019, as a complaint investigation and annual licensure survey at River Oaks Place - Loudon, an assisted-care living facility.

Complaint Details
The investigation was complaint-driven, focusing on Resident #2 who exhibited behavioral disturbances and aggressive behavior. The complaint was substantiated based on findings of inadequate monitoring, failure to revise care plans, and failure to discharge the resident appropriately.
Findings
The facility was found to have multiple violations related to resident care, including failure to appropriately monitor and discharge a resident with aggressive behaviors, failure to revise care plans, and failure to provide required documentation for residents in the secured dementia unit. These violations led to disciplinary action and civil monetary penalties.

Deficiencies (3)
Rule 1200-08-25-.08(1)(d) [ADMISSIONS, DISCHARGES, AND TRANSFERS]: The facility admitted or permitted continued stay of a resident exhibiting verbal or physical aggressive behavior posing an imminent physical threat to self or others.
Rule 1200-08-25-.08(9)(b) [ADMISSIONS, DISCHARGES, AND TRANSFERS]: The facility failed to provide survey staff with twelve months of performance information specific to the secured unit and its residents, including quarterly interdisciplinary team reviews.
Rule 1200-08-25-.12(5)(a) [RESIDENT RECORDS]: The facility failed to develop and review a plan of care for each resident with input from appropriate individuals within five days of admission and at least semi-annually thereafter.
Report Facts
Civil monetary penalties: 1500 Inspection dates: 2

Inspection Report

Follow-Up
Deficiencies: 0 Date: Jan 18, 2018

Visit Reason
A follow-up survey was conducted on January 18, 2018, to determine if deficient practices and conditions identified during a complaint investigation from October 23-31, 2017, had been corrected.

Complaint Details
The original complaint investigation was conducted from October 23 through October 31, 2017, due to deficient practices and conditions likely detrimental to resident health, safety, or welfare. The suspension of admissions and a civil monetary penalty were issued based on these findings.
Findings
The follow-up survey found that the deficient practices and conditions detrimental to resident health, safety, or welfare had been corrected and the facility had returned to substantial compliance. Consequently, the suspension of admission of new residents was lifted on February 1, 2018.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 23, 2017

Visit Reason
A complaint investigation survey was conducted at Green Hills Health and Rehabilitation from October 23 through October 31, 2017, due to allegations of deficient practices and conditions likely detrimental to resident health, safety, or welfare.

Complaint Details
The complaint investigation was substantiated, resulting in findings of violations detrimental to resident health, safety, or welfare. The facility was notified of the suspension of admissions and the imposition of a civil monetary penalty.
Findings
The investigation revealed violations of licensure statutes and regulations related to Basic Services, including Performance Improvement, Physician Services, and Records and Reports, which were considered detrimental to residents. As a result, the Commissioner suspended admissions and imposed a Type A Civil Monetary Penalty of $5,001.00.

Report Facts
Civil Monetary Penalty amount: 5001

Viewing

Loading inspection reports...