Deficiencies (last 2 years)
Deficiencies (over 2 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
66% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Enforcement
Deficiencies: 1
Date: May 17, 2024
Visit Reason
Commission surveyors conducted an investigation survey from May 1, 2024, through May 17, 2024, to determine compliance with regulations related to restraints and safety devices at Erwin Health Care Center.
Findings
The facility failed to follow its policy on restraints and safety devices, did not use the least restrictive methods, and failed to follow physician orders for restraint usage on several residents. The Director of Rehabilitation and Director of Nursing admitted to these failures, leading to disciplinary action.
Deficiencies (1)
The facility failed to follow its undated policy on restraints and safety devices by not attempting lesser restrictive devices or eliminating restraints for residents #13, #18, #21, and #9. The facility did not discontinue restraints for Resident #13 as required by physician orders and failed to follow physician orders for Resident #9 regarding restraint usage.
Report Facts
Civil Monetary Penalty: 750
Days of restraint allowed per physician order: 30
Inspection period: 17
Payment timeframe: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Bennett | CEO/Administrator | Authorized representative of the facility signing the consent order |
| Jeremy Gourley | Senior Associate General Counsel | Legal counsel for the Health Facilities Commission involved in the consent order |
Inspection Report
Enforcement
Deficiencies: 2
Date: Jun 6, 2023
Visit Reason
This document is a Consent Order related to enforcement action against The Rutherford Memory Care Assisted Care Living Facility following a complaint investigation and compliance survey.
Complaint Details
The complaint investigation on November 8, 2022, was substantiated, finding failure to provide safety to a resident and failure to update a care plan properly.
Findings
A complaint investigation conducted on November 8, 2022, found the facility failed to provide safety to at least one resident and failed to properly update another resident's care plan. A compliance survey on January 20, 2023, determined the facility corrected all identified deficiencies.
Deficiencies (2)
Tenn. Comp. R. and Reg.0720-26-.07(7)(a)2 requires each ACLF to provide safety to residents. The facility failed to provide safety to at least one resident.
Tenn. Comp. R. and Reg.0720-26-.12(5)(a) requires development of a plan of care within five days of admission and timely updates. The facility failed to properly update the care plan of a resident after an incident.
Report Facts
Civil Monetary Penalty: 3000
Civil Monetary Penalty: 1500
Days for payment submission: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Sims | Administrator | Named as the authorized representative of the facility signing the Consent Order. |
| Vishan J. Ramcharan | Associate General Counsel | Signed the Consent Order on behalf of the Health Facilities Commission. |
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