Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beverly Park Place Health And Rehab during CMS and state inspections, most recent first.
Urinary Catheter Drainage Bag on Floor A resident with a urinary catheter was observed multiple times with the drainage bag clipped to the side of the bed while the bottom of the bag rested on the floor. The facility policy stated catheter tubing and the drainage bag should be kept off the floor, and the ADON confirmed the bag should not be touching the floor and that staff were expected to secure it off the floor or use a barrier.
A resident with cognitive impairments struck another resident in the face during a verbal argument over food, despite the facility's policy to prevent abuse. Witnesses confirmed the incident, and the Director of Nursing acknowledged the physical contact. The facility's response included separating the residents and assigning a 1:1 sitter, but the initial failure to prevent the abuse indicates a deficiency in maintaining resident safety.
Urinary Catheter Drainage Bag Resting on Floor
Penalty
Summary
The facility failed to maintain infection control practices for one resident with a urinary catheter. The facility policy titled, Catheter Care, dated 8/2022, stated that the purpose of the procedure is to prevent urinary catheter-associated complications, including urinary tract infections, and that catheter tubing and the drainage bag should be kept off the floor. Resident #204 was admitted with diagnoses including Schizophrenia, Anxiety Disorder, and Neuromuscular Dysfunction of Bladder, and the admission MDS assessment dated 5/15/2026 was in progress. During observations on 5/11/2026, 5/12/2026, and 5/13/2026, the resident was resting in bed with the bed in the lowest position, and the urinary drainage bag was clipped to the side of the bed with the bottom of the bag resting on the floor. During an interview on 5/13/2026, the ADON observed and confirmed that the bottom of the urinary catheter drainage bag was resting on the floor and stated that the drainage bag should not be touching the floor. The ADON stated the expectation was for staff to secure the drainage bag to the bed, keep it off the floor, or use a barrier to maintain proper infection control practices.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by another resident. The incident involved Resident #13, who was admitted with diagnoses including Dementia with Mood Disturbance and Cognitive Communication Disorder, and Resident #14, who had End Stage Renal Disease and Dementia without Mood Disturbance. Resident #13 had severe cognitive impairment, while Resident #14 had mild cognitive impairment and a history of altercations. On the day of the incident, a verbal argument over food escalated when Resident #14 struck Resident #13 in the face with the back of his hand. The facility's investigation revealed that the altercation occurred in the dining room, where Resident #14, after being provoked by Resident #13's repeated requests for food, verbally threatened and then physically struck Resident #13. Witnesses, including two other residents, corroborated the account of Resident #14 hitting Resident #13. Despite the physical contact, Resident #13 did not sustain visible injuries and refused medical treatment. The facility's policy on abuse prevention was not effectively implemented to prevent this incident. Interviews with staff and residents confirmed the occurrence of the physical abuse. The Director of Nursing acknowledged the incident, confirming that Resident #14 left his table and struck Resident #13. The facility's response included separating the residents and placing a 1:1 sitter with Resident #14, but the initial failure to prevent the abuse highlights a deficiency in maintaining a safe environment for residents.
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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 Knoxville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Creekview Health And Rehabilitation | 3.3 mi | ★★★★★ | 12 | 0 |
| Nhc Healthcare, Knoxville | 4.1 mi | ★★★★★ | 4 | 0 |
| Holston Health & Rehabilitation Center | 5.5 mi | ★★★★★ | 1 | 0 |
| Nhc Healthcare, Ft Sanders | 6.4 mi | ★★★★★ | 7 | 0 |
| Fort Sanders Tcu | 6.4 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.