Andersonville TN Opco LLC

In the surveyor’s words

From the most serious findings on record at Andersonville TN Opco LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF802Apr 20, 2022

  Based on facility policy review, time punch review, review of staff statements, and interviews the facility failed to maintain a sufficient number of dietary staff to safely and effectively carry out the function of the food and nutrition service for dining during breakfast for 60 of 62 residents. The findings include: Review of the facility policy titled, Professional Staffing, dated 9/2017 revealed, .The Dining Services department will employ sufficient staff with .skill sets to carry out the functions of food and nutrition services . Review of the facility's Midnight Census Report dated 4/15/2022 revealed the facility had a total of 62 residents in the facility on 4/15/2022. […]

• No harm, potential for more than minimal, widespreadF812Apr 20, 2022

  Based on facility policy review, observation, and interview the facility failed to maintain a sanitary kitchen with undated, expired, open to air, and undated with use by date, in 1 of 2 refrigerators, and in 2 of 2 freezers and failed to maintain a sanitary kitchen with debris in 1 of 3 plastic storage bins, and unsanitary use of food temperature thermometers. The facility failed to maintain a sanitary kitchen with dietary staff not using appropriate hand hygiene, undated, unlabeled, undated with a use by date, and food items stored inappropriately under 1 of 1 steam tables and failed to maintain kitchen equipment in a sanitary manner. […]

• No harm, potential for more than minimal, isolatedF580Dec 3, 2025

  Based on facility policy review, medical record review, and interviews, the facility failed to notify a resident representative of a change in condition for 1 resident (Resident #16) of 6 residents reviewed. The findings include:Review of the facility policy titled, Notification of Changes, undated, revealed .This facility will notify the .resident/resident representative of changes in the resident's condition or status .A facility must immediately .notify .the resident representative(s) when there is .significant change in resident's physical condition .such as deterioration in health .Review of the facility policy titled, Nutrition Guidelines, undated, revealed .Monitoring/revision .interviewing the resident and/or representative to determine if their personal goals and preferences are… […]

• No harm, potential for more than minimal, isolatedF657Dec 3, 2025

  Based on facility policy review, medical record review, and interviews, the facility failed to revise a care plan to include a new fall intervention for 1 resident (Resident #16) of 3 care plans reviewed for falls. The findings include:Review of the facility policy titled, Comprehensive Care Plan, undated, revealed .facility will develop and implement a person-centered care plan for each resident, that includes measurable objectives and time frames to meet resident's medical, nursing, mental, and psychosocial needs .maintains a comprehensive care plan participate in the development of and reviewing and revising of the Comprehensive Care Plan .Review of the facility policy titled, Fall Prevention & Management Program guidelines, undated, revealed .when any resident experiences a fall, the… […]

• No harm, potential for more than minimal, isolatedF880Dec 3, 2025

  Based on facility policy review, observations, and interviews, the facility failed to follow infection control practices on 2 of 4 hallways observed. The findings include: Review of the facility policy titled, Infection Control: Hand Hygiene revised 6/2023, revealed, .All staff will perform proper hand hygiene procedures to prevent the spread of infection to .residents .This applies to all staff working in all locations within the facility .Hand Hygiene .is a general term for cleaning your hands by handwashing with soap and water or the use of an antiseptic hand rub, also known as alcohol-based hand rub .Staff will perform hand hygiene when indicated, using proper technique consistent with accepted standards of practice .Review of the facility policy titled, Isolation Precautions… […]