Deficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Life Safety
Deficiencies: 1
Date: Dec 16, 2024
Visit Reason
The inspection was a Life Safety survey conducted by Commission surveyors at Walking Horse Meadows Assisted Care Living Facility on or about December 16, 2024.
Findings
A violation was found involving the presence of a portable space heater in one resident room, which is prohibited under the Life Safety rules. The facility was assessed a civil monetary penalty for this violation.
Deficiencies (1)
Tenn. Comp. R. & Regs. 0720-26-.10 (2)(h) [Life Safety] requires assisted-care living facilities to prohibit open flame and portable space heaters. A portable space heater was observed in one resident room on December 16, 2024.
Report Facts
Civil Monetary Penalty: 1000
Number of residents with observed violation: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Smith | Executive Director | Administrator who confirmed the presence of the portable space heater. |
Inspection Report
Life Safety
Deficiencies: 7
Date: Sep 5, 2024
Visit Reason
Commission surveyors conducted a Life Safety survey at AHC Cumberland Skilled Nursing Facility from September 5, 2024, through November 7, 2024.
Findings
The facility was found to have multiple violations including failure to provide appropriate fiscal resources and personnel, inadequate treatment and monitoring of residents, failure to report abuse and neglect timely, and failure to maintain proper documentation for transfers and care. Several deficiencies related to resident care, safety policies, and abuse reporting were cited.
Deficiencies (7)
Respondent failed to provide oversight of clinical staff, intervene in observed abuse, and timely report allegations of abuse for multiple residents.
Respondent failed to ensure family representative notification of resident transfers and lacked documentation of transfer orders in medical records.
Respondent failed to provide nursing care consistent with professional standards to prevent pressure ulcers for identified residents.
Respondent failed to assist vulnerable residents with meals and fluid intake, resulting in significant weight loss for multiple residents.
Respondent failed to timely report incidents of abuse and neglect to the State as required by regulation.
Respondent failed to establish and implement policies protecting residents' rights, dignity, and safety, resulting in multiple incidents of resident harm.
Facility failed to adopt safety policies for the protection of residents from accident and injury, resulting in an unreported resident fall with injuries.
Report Facts
Civil Monetary Penalty: 6400
Percentage weight loss: 9
Percentage weight loss: 9
Percentage weight loss: 12
Percentage weight loss: 5
Effective date: February 1, 2025 is the effective date of the Conditional Change of Ownership Order.
Probation period: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Thomas | Administrator | Named as c/o Administrator in Certificate of Service. |
| Vishan J. Ramcharan | Associate General Counsel | Signed the document as legal counsel for the Health Facilities Commission. |
| John Mitchell | Authorized Representative | Signed as Authorized Representative for the Respondent. |
Inspection Report
Enforcement
Deficiencies: 0
Date: Nov 23, 2021
Visit Reason
A complaint survey was conducted at AHC Cumberland on November 23, 2021, to investigate alleged violations impacting patient care in the nursing home.
Complaint Details
The visit was complaint-related and substantiated, leading to enforcement action for infection control violations.
Findings
The survey revealed violations of licensure statutes and regulations related to infection control, resulting in the imposition of a Type B Civil Monetary Penalty of $500.
Report Facts
Civil Monetary Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Piercey | Commissioner | Signed the order assessing the civil penalty. |
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