Inspection Reports for
Stone Creek Memory Care
162 Indian Lake Blvd, Hendersonville, TN 37075, United States, TN, 37075
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Enforcement
Deficiencies: 0
Date: Apr 23, 2025
Visit Reason
This document is an Order of Compliance related to the enforcement action against Stone Creek Memory Care, formerly Hickory Hills Alzheimer's Special Care Center, regarding the probation and civil monetary penalties imposed on the facility's Assisted Care Living Facility license.
Findings
The Commission found that the conditions of the June 5, 2024 Consent Order have been met. The probation on the facility's license is lifted, and the license is restored to active, unencumbered status.
Report Facts
Civil monetary penalties: 7000
Probation duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Courtney Lilly | Disciplinary Coordinator | Certified compliance with the Consent Order |
| Vishan J. Ramcharan | Associate General Counsel | Certified service of the document |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Mar 22, 2023
Visit Reason
A complaint survey was conducted on or about March 22, 2023, due to allegations of medication administration errors, failure to provide protective care, and lack of required Physician Orders or Advance Directives for residents.
Complaint Details
The complaint investigation substantiated that the facility failed to properly administer medication, provide protective care, and maintain required Physician Orders or Advance Directives, leading to resident harm and emergency hospitalization.
Findings
The facility was found to have failed in ensuring proper medication administration, protective care for residents, and maintaining necessary Physician Orders for Scope of Treatment or Advance Directives, resulting in resident harm and emergency interventions.
Deficiencies (3)
Tenn. Comp. R. and Reg. 0720-26-.07(5)(a) was violated as the facility failed to ensure medication was self-administered according to the resident's plan of care.
Tenn. Comp. R. and Reg. 0720-26-.07(7)(a)1 was violated as the facility failed to provide protective care to residents.
Tenn. Comp. R. and Reg. 0720-26-.07(7)(a)4 was violated as the facility failed to provide readiness and ability to intervene if crises arise.
Report Facts
Civil Monetary Penalty: 1000
Civil Monetary Penalty: 3000
Civil Monetary Penalty: 3000
Inspection Report
Enforcement
Deficiencies: 3
Date: Oct 11, 2021
Visit Reason
The document is a Consent Order related to enforcement actions following annual licensure surveys and investigations of Hickory Hills Alzheimer's Special Care Center, an assisted care living facility, regarding violations of regulations.
Findings
The facility admitted residents who could not transfer independently without proper assessments and plans of care completed timely. Multiple violations of Tennessee regulations were found related to admission assessments, plans of care, and resident placement.
Deficiencies (3)
Tenn. Comp. R. and Reg. 0720-26-.05(5) was violated by admitting residents who could not transfer independently without proper documentation. Each resident admitted without appropriate transfer ability constitutes a separate violation.
Tenn. Comp. R. and Reg. 0720-26-.12(4) was violated by failing to complete written assessments of residents within seventy-two hours of admission.
Tenn. Comp. R. and Reg. 0720-26-.12(5)(a) was violated by not developing plans of care for residents within five days of admission or failing to complete them timely.
Report Facts
Civil Monetary Penalties: 6000
Civil Monetary Penalty: 1500
Civil Monetary Penalty: 1500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carl F. Cottrill | Administrator | Signed as Authorized Representative of the facility. |
| Vishan J. Ramcharan | Associate General Counsel | Signed as legal counsel for the Health Facilities Commission. |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 4
Date: Sep 23, 2019
Visit Reason
The Department conducted complaint surveys at Hickory Hills Alzheimer's Special Care Center from September 23-25, 2019, following allegations related to resident care and safety.
Complaint Details
Complaint surveys were conducted due to allegations of Resident #2's aggressive and abusive behavior toward other residents and staff. The complaint was substantiated based on documented incidents and interviews.
Findings
The investigation found that Resident #2 exhibited aggressive and sexually inappropriate behaviors, including physical abuse toward other residents and staff. The facility failed to protect other residents from Resident #2's physical abuse and did not meet Resident #2's needs safely and effectively.
Deficiencies (4)
Rule 1200-08-25-.07(a)(1) requires personal services including protective care. The facility failed to provide adequate protective care to residents.
Rule 1200-08-25-.08(1)(d) prohibits admitting residents exhibiting aggressive behavior posing physical threat. Resident #2 exhibited such behavior but was admitted and remained in the facility.
Rule 1200-08-25-.08(1)(f) requires meeting residents' needs safely and effectively. Resident #2's needs were not safely or effectively met.
Rule 1200-08-25-.14(1)(b) mandates residents be free from mental and physical abuse. The facility failed to ensure other residents were free from Resident #2's physical abuse.
Report Facts
Residents affected: 33
Civil monetary penalties: 7500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Craig Conley | Attorney for Respondent | Counsel representing Hickory Hills Alzheimer's Special Care Center in the agreed order |
| Kyonte Hughes-Toombs | Deputy General Counsel | Signed the agreed order on behalf of Tennessee Department of Health |
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