Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Asbury Place Kingsport during CMS and state inspections, most recent first.
A facility failed to obtain a timely signature on the required NOMNC for a resident with subarachnoid hemorrhage, muscle weakness, metabolic encephalopathy, and emphysema. The record showed the notice was signed only one day before Medicare-covered services ended, while the Social Services Director and Administrator confirmed the notice was not documented as being presented two days before coverage ended.
Expired sterile water vials, IV catheters, a syringe, hemorrhoidal suppositories, and blood collection tubes were found in medication storage, along with open sterile wound therapy foam kit packages available for resident use. An Insulin Lispro KwikPen was also stored in an unlabeled bag without the resident's name. An LPN and the DON confirmed the items were expired or not properly labeled.
A resident with severe cognitive impairment and multiple chronic conditions had a physician’s order for Nitrofurantoin Macrocrystals 100 mg once daily for prophylaxis, documented on the MAR as given over an extended period. However, pharmacy delivery records showed only 50 mg capsules were supplied in quantities insufficient to provide the ordered 100 mg dose for all scheduled days, meaning the resident could not have consistently received the full prescribed dose. The pharmacist reported sending 50 mg capsules with directions to give two per dose, and the DON acknowledged that staff are required to verify medication and dose against the MAR during administration. The NP noted that 50 mg is commonly used for prophylaxis, that the 100 mg order was continued, and that subsequent urine cultures were resistant to Nitrofurantoin, but stated the lower dose did not negatively impact the resident.
A resident with Alzheimer’s disease, diabetes mellitus, hypertensive heart disease, and severe cognitive impairment had multiple months of incomplete MAR documentation, where scheduled medications on numerous days were left blank without nurse initials or explanations for omission or holding. Facility policy required verification of medications against the MAR and immediate signing after administration, but the DON acknowledged that nurses did not accurately complete the MAR at the time of medication administration, and the Administrator confirmed the presence of multiple undocumented medication entries with no recorded rationale.
A resident with severe cognitive impairment experienced multiple falls, including one resulting in a Subarachnoid Hematoma. The facility failed to submit a required 5-day follow-up report to the State Survey agency, as the report was filled out but not finalized.
Late NOMNC Signature for Medicare Coverage Termination
Penalty
Summary
The facility failed to obtain a timely signature on the required Notice of Medicare Non-Coverage (NOMNC) for Resident #56, one of three residents reviewed for beneficiary notification. The facility policy stated the NOMNC must be delivered at least two calendar days before Medicare covered services end and that the beneficiary or representative must sign and date the notice to show receipt and understanding that the termination decision can be disputed. Resident #56 was admitted with diagnoses including nontraumatic subarachnoid hemorrhage, muscle weakness, metabolic encephalopathy, and emphysema. A social service note stated the resident received the NOMNC with an LCD of 2/12/26 and did not wish to appeal, and the NOMNC itself showed services would end on 02/12/2026 with the resident's signature dated 2/11/2026. A discharge summary progress note dated 2/13/2026 documented discharge instructions were reviewed and the patient was assisted to the car. During interview, the Social Services Director stated there was no documentation confirming the NOMNC had been presented timely, and the Administrator confirmed the expectation that NOMNCs be presented to and signed by the resident two days prior to the end of coverage.
Expired and Unlabeled Medications and Open Sterile Supplies Found in Storage Areas
Penalty
Summary
The facility failed to ensure drugs, biologicals, and related supplies were stored and labeled in accordance with accepted professional principles. During observation of the Willow/Dogwood medication cart, expired sterile water single-dose vials, expired shielded IV catheters, and an expired syringe were found available for resident use. An Insulin Lispro KwikPen was also observed stored in an unlabeled bag and was not labeled with the resident's name. LPN B stated the sterile water vials, IV catheters, and syringe were expired and should have been discarded, and also stated the insulin pen was not labeled with the resident's name. The DON confirmed these items were expired or not properly labeled. During observation of the Willow/Dogwood medication room, an expired box of hemorrhoidal suppositories and expired blue-top blood collection tubes were found available for resident use. In addition, three sterile wound therapy foam kit packages were observed open to air and available for resident use. LPN B stated the suppositories and blood collection tubes were expired, and that the opened wound therapy foam kit packages should have been discarded if not used. The DON confirmed the opened sterile wound therapy foam kit packages, expired medications, and expired supplies should have been discarded.
Failure to Administer Prophylactic Antibiotic as Ordered
Penalty
Summary
The facility failed to ensure medications were administered in accordance with professional standards and the physician’s order for a resident receiving prophylactic antibiotic therapy. Facility policy required staff to verify that the name and dose of each medication were correct, compare each medication against the MAR, and sign the MAR immediately after administration. Resident #8, who had Alzheimer’s disease with severe cognitive impairment, diabetes mellitus, and hypertensive heart disease, had a physician’s order dated 9/8/2025 for Nitrofurantoin Macrocrystals 100 mg orally once daily for prophylaxis. The MAR from 9/8/2025 to 1/23/2026 showed Nitrofurantoin 100 mg daily scheduled for 119 days, accounting for days the resident was hospitalized and days the medication was held for other antibiotic use, and documented that the 100 mg dose was administered on those days. Pharmacy delivery records for the same period showed that only Nitrofurantoin 50 mg capsules were supplied, with a total of 144 capsules delivered over nine deliveries, rather than the 238 capsules needed to provide 119 doses of 100 mg as ordered. The pharmacist stated that Nitrofurantoin 100 mg macrocrystals was only available as 50 mg capsules and that the pharmacy sent 50 mg capsules with directions to administer two capsules per dose. The administrator confirmed that, based on the number of 50 mg capsules delivered and the number of days the medication was scheduled, the resident could not have received the full 100 mg daily dose as ordered. The DON confirmed that during medication administration, the medication should be compared to the order on the MAR to ensure the correct medicine and dose are administered. The NP noted that 50 mg is often used for prophylaxis and that the provider had continued the 100 mg dose, and further reported that urine cultures obtained during and after hospitalization were resistant to Nitrofurantoin, but stated that the 50 mg dose instead of 100 mg did not have a negative impact on the resident.
Failure to Maintain Accurate MAR Documentation for Cognitively Impaired Resident
Penalty
Summary
The facility failed to maintain an accurate and complete medical record for one resident by not ensuring proper documentation of medication administration on the Medication Administration Record (MAR). Facility policy on Medication Administration Guidelines required nurses to verify the name and dose of medications, verify each medication against the MAR, and sign the MAR immediately after administering medications. Review of the resident’s MAR from September 2025 through January 2026 showed multiple blank entries where medications were scheduled, with no initials or notations by nursing staff to indicate whether medications were administered, omitted, or held. The affected resident was admitted with diagnoses including Alzheimer’s disease, diabetes mellitus, and hypertensive heart disease, and had a quarterly MDS assessment indicating severe cognitive impairment with a BIMS score of 0. The MAR review revealed numerous days across five consecutive months where multiple medications lacked documentation of administration. During interviews, the DON stated that the MAR should have been initialed by the licensed nurse when medications were administered and acknowledged that nurses failed to accurately complete the MAR at the time of administration. The Administrator confirmed that the MAR contained multiple blanks over this period, that the documentation was incomplete, and that there was no rationale documented to indicate if medications had been omitted or held.
Failure to Submit 5-Day Follow-Up Report for Resident Incident
Penalty
Summary
The facility failed to submit a 5-day follow-up report of an investigation to the State Survey agency regarding an incident involving a resident. The resident, who had severe cognitive impairment and required assistance with activities of daily living, experienced multiple falls. On the day of the incident, the resident was placed in a recliner by a CNA at the request of the resident's spouse. Later that evening, the resident was found on the floor with a hematoma on the forehead and was subsequently diagnosed with a Subarachnoid Hematoma at the hospital. The facility's policy required that all alleged violations be reported to the state agency responsible for surveying and licensing the facility. However, the policy did not include a procedure for submitting a 5-day follow-up investigation. Although the initial incident was reported, the follow-up was not finalized and therefore not submitted. This oversight was confirmed during an interview with the Administrator, who acknowledged that the 5-day follow-up was filled out but never finalized, resulting in non-compliance with reporting requirements.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kingsport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Orchardview Post-acute And Rehabilitation Center | 4.1 mi | ★★★★★ | 0 | 0 |
| Nova Health And Rehab | 5.2 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Kingsport | 5.8 mi | ★★★★★ | 2 | 0 |
| Wexford House | 6.1 mi | ★★★★★ | 1 | 0 |
| Holston Rehabilitation And Care Center | 6.4 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.