Inspection Reports for
Riverview Terrace

114 Highland Dr, McMinnville, TN 37110, United States, TN, 37110

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% better than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2025

Inspection Report

Enforcement
Deficiencies: 0 Date: Jan 22, 2025

Visit Reason
The document is an Order of Compliance issued by the Tennessee Health Facilities Commission regarding the skilled nursing facility license of Viviant Healthcare of Chattanooga. It addresses compliance with a prior Consent Order dated February 7, 2024, including probationary status, monetary penalties, and requirements to return to full compliance.

Findings
The petitioner demonstrated satisfaction of conditions from the prior Consent Order, resulting in lifting the probationary status and restoring the facility's license to active, unencumbered status. The Order includes payment of civil monetary penalties totaling $25,000 and compliance with federal and state regulations.

Report Facts
Civil monetary penalties: 25000 Probation period: 3

Inspection Report

Complaint Investigation
Deficiencies: 5 Date: Sep 5, 2023

Visit Reason
An onsite complaint survey was conducted between September 5, 2023, and October 2, 2023, at Viviant Healthcare of Chattanooga due to allegations of failure to manage financial resources and Resident Trust Accounts properly.

Complaint Details
The complaint investigation was substantiated with findings of financial mismanagement and failure to protect resident funds.
Findings
The facility was cited for failure to ensure effective management of financial resources, including improper handling of Resident Trust Accounts for nine residents, failure to protect personal funds, failure to maintain trust funds for four residents, and failure of the governing body to ensure timely payment of vendor services, resulting in disruption of essential services.

Deficiencies (5)
The facility failed to ensure effective management of financial resources to ensure invoices were paid timely and fiduciary responsibility for Resident Trust Accounts was not met for nine residents.
The facility failed to protect and manage personal funds and Resident Trust accounts for nine residents to prevent exceeding Medicaid limits affecting eligibility.
Negative balances were found in Resident #9 and #18's Trial Balance accounts due to duplicate debits by the Business Office Manager and corporate.
The facility failed to maintain Trust funds for four residents and did not ensure appropriate Care Cost deductions for two residents.
The governing body failed to timely pay vendor services and ensure effective financial management, causing disruption of essential services.
Report Facts
Residents with Resident Trust Accounts: 27 Residents with deficiencies in Resident Trust Accounts: 9 Residents with failed Trust fund maintenance: 4 Outstanding invoice amount: 237728.44 Judgment amount: 165682.86 Negative balance Resident #9: 3648.8 Negative balance Resident #18: 1778 Civil monetary penalties: 25000

Employees mentioned
NameTitleContext
Bill MillerManagement Company OperatorOperator of management company placed within the nursing facility during probation

Inspection Report

Enforcement
Deficiencies: 2 Date: May 2, 2023

Visit Reason
The inspection was conducted to review compliance with the facility's Resident Rights policy, Social Media Policy, and medication administration practices following an incident involving a resident's privacy violation and concerns about unlicensed staff administering medication.

Findings
The facility was found to have violated its Social Media Policy and failed to ensure that medication administration was performed by licensed or certified health care professionals. The violations resulted in disciplinary action and civil monetary penalties.

Deficiencies (2)
The facility's Social Media Policy was violated when a video depicting a resident in a compromising situation was shared by staff. This breach of resident privacy led to staff termination and mandatory policy training.
Unlicensed Personal Care Assistants administered medications to residents, contrary to regulations requiring licensed or certified health care professionals to perform medication administration according to the resident's plan of care.
Report Facts
Civil Monetary Penalty: 5000 Civil Monetary Penalty: 5000 Residents sampled: 9 Residents with medication administration violation: 5

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