Antioch TN Opco, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Oct 9, 2025

  Based on facility policy review, behavioral hospital record review, medical record review, hospital record review, and interview, the facility failed to protect the resident's right to be free from neglect for 1 of 4 (Resident #2) sampled residents reviewed. The facility failed to provide the necessary structure and processes to meet the care needs of Resident #2 when staff failed to effectively supervise and monitor for potential accident hazards, and provide a safe environment, which resulted in bodily injury. Resident #2 was admitted to the facility on [DATE] from a Behavioral Health Hospital where she had exhibited behaviors of eating non-food items which included items large enough to pose suffocation hazards. […]

• Immediate jeopardy, isolatedF610Oct 9, 2025

  Based on facility policy review, medical record review, facility incident report review, staffing agency timeslip review, Metropolitan Police Department Public Record Request Response review, and interviews, the facility failed to conduct a thorough investigation for allegations of sexual abuse for 1 of 4 (Resident #4) sampled residents reviewed for abuse. On 3/6/2024, Resident #4 reported she was sexually assaulted by a man fitting the description of an agency employee working in the facility. Resident #4 reported the male entered her room, pulled his penis out, turned her over and stuck his penis in her rectum. […]

• Immediate jeopardy, isolatedF689Oct 9, 2025

  Based on facility policy review, employee file review, National Weather Service statistics review, Grievance Log review, Hospital documentation review, medical record review, police report review, and interview, the facility failed to ensure a safe environment and provide adequate supervision to prevent elopement for 1 of 5 (Resident #3) sampled residents reviewed. Resident #3, a severely cognitively impaired resident with known exit seeking behaviors, who was incontinent and dependent for toileting hygiene and supervision for eating, left the facility through a window in his room. The facility was unaware Resident #3 was missing, alone and unattended from the facility for an undetermined length of time. […]

• Immediate jeopardy, isolatedF689Aug 2, 2023

  Based on facility policy review, medical record review, facility investigation review, facility camera footage review, weather website review, observation, and interview, the facility failed to provide adequate supervision and ensure a safe and secure environment to prevent an incident of elopement for 2 of 5 sampled residents (Resident #9 and Resident #174). Resident #9 had three elopments on 6/16/2023: one elopement at 5:01 AM when she exited the dining room door to the smoking patio and was brought back by Certified Nursing Assistant (CNA) #10, a second elopement at approximately 5:30 AM when she was found in the facility parking lot by Maintenance Personnel #1 who escorted her back inside the facility, and a third elopement at 5:56 AM when she was found outside the front gate of the… […]

• Immediate jeopardy, isolatedF865Aug 2, 2023

  Based on facility policy review, facility document review, medical rcord review, observation, and interview, the facility Quality Assurance and Performance Improvement (QAPI) committee failed to reassess and monitor ongoing concerns and develop an effective QAPI program that recognized concerns related to exit seeking behavior, and failed to ensure systems and processes were in place and consistently followed by staff to prevent an elopement. Failure of the QAPI Committee to identify the root cause of an elopement, develop and implement new interventions to prevent further elopements, and ensure a safe environment for residents placed 2 of 5 sampled residents (Resident #9 and Resident #174) in Immediate Jeopardy (IJ). […]