Shannondale of Maryville Health Care Center

In the surveyor’s words

From the most serious findings on record at Shannondale of Maryville Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 7, 2022

  Based on facility policy review, observation, and interview the facility failed to maintain sanitary kitchen equipment in 1 of 1 kitchen observed. The findings include: Review of the facility policy titled, Cleaning & Sanitation dated 9/2/2020 showed, .The Director of Food and Nutrition Services will develop, implement, and monitor schedules for cleaning, sanitizing .To ensure the food service department is maintained .as well as a clean, sanitary, and safe environment .Food service employees are trained on how to properly use, clean and maintain all equipment .Cleaning schedules designate cleaning tasks for each position and are posted in an accessible area . […]

• No harm, potential for more than minimal, isolatedF585Sep 4, 2025

  Based on facility policy review, facility documentation review, and interview, the facility failed to maintain a grievance log for the required period of 3 years.The findings include: Review of the facility's policy titled, Grievances, dated 7/1/2009, revealed .Grievance Log will be kept for a period of three (3) years. The log shall contain evidence of the resolution and grievances . Review of the facility's Concern log revealed the facility had record of grievances from July 2024 - August 2025. There was no log available for grievances prior to July 2024. During an interview on 9/3/2025 at 11:44 AM, the Administrator confirmed no grievance log was available in the facility prior to July 2024. The facility changed administration and ownership in June 2024. […]

• No harm, potential for more than minimal, isolatedF609Sep 4, 2025

  Based on facility policy review, facility reported state intake information, medical record review, and interview, the facility failed to ensure allegations of abuse were reported to the appropriate authorities for 2 Residents (Residents #3 and #8) of 5 resident abuse investigations reviewed.The findings include: Review of the facility's undated policy titled, Abuse, Neglect, and Misappropriation of Residents Property, revealed .All alleged abuse and all substantiated incidents will be reported to the Bureau of Quality Assurance of Health Care Facilities and any other agencies as required . Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] with diagnoses including Diverticulitis of Large Intestine, Dysphagia, Repeated Falls, and Dementia. […]

• No harm, potential for more than minimal, isolatedF610Sep 4, 2025

  Based on facility policy review, medical record review, facility reported state intake information, the facility failed to maintain evidence that an allegation of abuse was thoroughly investigated for 2 residents (Residents #3 and #8) of 5 resident abuse investigations reviewed. The findings include: Review of the facility's undated policy titled, Abuse, Neglect, and Misappropriation of Residents Property, revealed .All unusual occurrences to residents are to be reported to the immediate supervisor and document on the accident/incident Report Record for follow-up, investigation and monitoring of events, occurrences and patterns which may constitute abuse or neglect .All alleged violations will be thoroughly investigated, and precautions will be taken to prevent further chance of abuse… […]

• No harm, potential for more than minimal, isolatedF661Jul 7, 2022

  Based on facility policy review, medical record review and interview the facility failed to complete a discharge summary for 1 resident (#30) of 3 residents reviewed for transfer/discharge requirements. The findings include: Review of the facility policy titled, Discharge Policy, undated showed .Residents will be discharged with a plan of care .When a Resident is discharged documentation will include a brief summary of significant findings, and events of the residents stay in the nursing home, his condition on discharge and the recommendation and arrangements for future care .Discharge Summary will be completed when discharged .Discharge Instruction Sheet will be completed .a copy of these instructions will be given to the Resident and or family/significant other/designated Resident… […]