A list of the most recent deficiencies for Accura Healthcare of Knoxville, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-25 | 2023-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-05-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-10 | 2023-02-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-10 | 2023-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-10 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-02-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-10 | 2023-02-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-10 | 2023-02-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-10 | 2023-02-09 | N |
| Keep all essential equipment working safely. | Health | 2023-01-10 | 2023-02-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-10 | 2023-02-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-10 | 2023-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-10 | 2023-02-09 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-01-10 | 2023-02-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-02-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-03 | 2023-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-03 | 2023-01-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-01-03 | 2023-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-03 | 2023-01-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-03 | 2023-01-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-03 | 2023-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-03 | 2023-01-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-03 | 2023-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-03 | 2023-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-03 | 2023-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-15 | 2022-09-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-15 | 2022-09-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-09-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-15 | 2022-09-29 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-09-02 | 2021-09-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-09-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-02 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-02 | 2021-09-02 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-09-02 | 2021-09-02 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-06-28 | 2021-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-28 | 2021-08-13 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-28 | 2021-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-28 | 2021-08-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-01 | 2021-07-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-01 | 2021-07-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-01 | 2021-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-01 | 2021-07-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-01 | 2021-07-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-01 | 2021-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-01 | 2021-07-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-01 | 2021-07-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-07-01 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-07-30 | N |
| Keep all essential equipment working safely. | Health | 2021-07-01 | 2021-07-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-01 | 2021-07-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-01 | 2021-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-07-30 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-07-01 | 2021-07-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-28 | 2021-07-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-28 | 2021-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-28 | 2021-07-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-06-28 | 2021-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-28 | 2021-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-28 | 2021-07-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-28 | 2021-06-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-28 | 2021-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-28 | 2021-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-11 | 2021-04-08 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-03-11 | 2021-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-11 | 2021-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-11 | 2021-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-11 | 2021-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-04-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-11 | 2021-04-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-11 | 2021-04-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-24 | 2019-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-22 | 2019-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-22 | 2019-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-05-24 | 2019-05-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-18 | Not Fixed | Y |
