Asbury Place at Maryville

In the surveyor’s words

From the most serious findings on record at Asbury Place at Maryville, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Mar 2, 2022

  Based on review of Center for Disease Control and Prevention (CDC) guidelines, facility policy review, review of facility documentation, interview, and observation, the facility Administration failed to implement and monitor effective interventions once aware of employees not reporting symptoms of COVID-19 during the facility screening process and failed to ensure staff compliance with Personal Protective Equipment (PPE) usage to provide a safe and sanitary environment to prevent the development and transmission of infections. The facility had 38 residents and 48 staff test positive for COVID-19. […]

• Immediate jeopardy, widespreadF865Mar 2, 2022

  Based on review of facility policy, review of the Facility Assessment, review of facility documentation, interview, and observation, the Quality Assurance Performance Improvement (QAPI) committee failed to ensure an effective QAPI program to identify issues related to infection control and prevention and develop plans of action for breaches in infection control and failed to ensure systems and processes were in place and consistently followed by staff to address quality concerns. […]

• Immediate jeopardy, widespreadF880Mar 2, 2022

  Based on review of Centers for Disease Control (CDC) Guidelines, review of the facility's Nursing Policies/Procedures Manual for Managing COVID-19, facility documentation review, interview, medical record review, and observation, the facility failed to prevent COVID-19 symptomatic staff from providing direct care to residents and failed to ensure staff followed Personal Protective Equipment (PPE) requirements for the mitigation and control of COVID-19 in the facility. The facility had 38 residents, including Residents #2, #5, #8, #13 and #26, and 48 staff members test positive for COVID-19 from 1/2/2022 through 2/14/2022. […]

• Actual harm, isolatedF600Jan 14, 2026

  Based on facility policy review, medical record review and interview, the facility failed to administer comfort medications to 1 resident (Resident #118) of 4 residents sampled for hospice service. The facility failure resulted when the facility failed to transcribe the hospice physician's orders timely into the medical record and Licensed Practical Nurse (LPN) T failed to administer the medications as prescribed on the morning of [DATE] when Resident #118 was actively dying. The facility neglected to provide goods and services necessary to avoid physical harm, pain, mental anguish, or emotional distress when they failed to administer medications as ordered by the hospice physician which resulted in actual HARM to Resident #118. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on facility policy review, observations, and interviews, the facility failed to maintain safe food storage in the dietary department and failed to maintain fully operational equipment which had the potential to affect 115 residents. The findings include: Review of the facility policy titled, Sanitation and Food Safety, Labeling and Dating undated, revealed .Leftovers and open foods shall be clearly labeled .With date food item is to be discarded .Food items to be labeled and dated include items prepared in house and food items that are opened and stored for later use .7 day shelf life including date of preparation .label includes .Name of food item .discard date (to be discarded at end of 7th day .30 day shelf life, usually applies to items that are shelf stable until opened .label… […]