Inspection Reports for
Tri State Health and Rehabilitation Center

600 Shawanee Road, Harrogate, TN, 37752

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Deficiencies (over last year)

Deficiencies (over last year) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

77% better than Tennessee average
Tennessee average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019

Inspection Report

Enforcement
Deficiencies: 1 Date: Jan 10, 2019

Visit Reason
A complaint survey was conducted on January 10, 2019, following reports of a bed bug infestation at the Crown Cypress Assisted-Care Living Facility.

Complaint Details
The complaint survey was substantiated with findings of live bed bugs and failure to control infestation.
Findings
Surveyors observed live bed bugs in the facility and found that the facility failed to prohibit an infestation of bed bugs. The facility was assessed a civil monetary penalty for violating the rule requiring a safe, clean, and sanitary environment free of insects and vermin.

Deficiencies (1)
Rule 1200-08-25-.10(10)(a) requires an ACLF to maintain a safe, clean, and sanitary environment by prohibiting conditions conducive to harboring insects or vermin. The facility failed to prohibit an infestation of bed bugs.
Report Facts
Civil monetary penalty: 500

Employees mentioned
NameTitleContext
Norma Kay AdkinsAdministratorNamed as Respondent and signatory to the Consent Order
Caroline R. TippensAssistant General CounselSigned Consent Order on behalf of Department of Health

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