Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Life Care Center Of Blount County during CMS and state inspections, most recent first.
The facility failed to implement Enhanced Barrier Precautions (EBP) for 14 residents with medical conditions requiring such precautions, such as indwelling urinary catheters and PICC lines. Observations showed no EBP signage or PPE in residents' rooms, and staff were unaware of EBP requirements. Additionally, a resident self-administered medications without a care plan, as confirmed by the ADON.
The facility did not comply with its policy to record refrigerator and freezer temperatures twice daily, affecting three refrigerators and two freezers. Temperature logs for November 2024 showed missing entries for several dates, and the Certified Dietary Manager confirmed the logs were incomplete, potentially impacting 88 residents.
The facility failed to implement Enhanced Barrier Precautions (EBP) for residents with indwelling medical devices or wounds, as required by their policy. Observations revealed a lack of EBP signage and PPE in residents' rooms, and staff interviews indicated a lack of awareness about EBP requirements. The Director of Nursing confirmed the oversight, which affected residents with conditions like chronic kidney disease and infections.
A resident with Clostridium Difficile (C-diff) was placed in isolation upon admission, but the facility failed to document this on the MDS assessment. Despite the presence of contact precautions and PPE, the MDS did not reflect the resident's isolation status, as confirmed by staff and the resident. This oversight was acknowledged by the MDS RN during a record review.
A resident was found to have unsecured medications in their room, which they self-administered without an assessment or care plan for self-medication storage and administration. The resident, who was cognitively intact, had several medications, some partially used, indicating self-administration. The ADON confirmed the lack of assessment for medication storage and self-administration, leading to a deficiency in the facility's medication management.
A resident with dementia entered another resident's room, disrobed, and attempted to remove her brief, causing her distress and anxiety. The incident was observed by a hospitality aide who intervened immediately. The affected resident, who has dementia and anxiety, was found to be upset and tearful, leading to an increase in her antidepressant medication and administration of an antianxiety medication. The facility's failure to protect her from abuse resulted in actual harm.
The facility failed to accurately post daily nurse staffing information and maintain records for 18 months. Discrepancies were found between posted and actual staff present, with no designated person to update changes. The facility used a dry erase board for postings and did not keep records, violating policy.
A resident with severe cognitive impairment entered another resident's room, disrobed, and attempted to remove the resident's brief. Staff intervened, but the incident was not reported to the State Agency as required by facility policy. Both residents were placed on one-to-one supervision, and the resident responsible was transferred for evaluation. The Executive Director acknowledged the failure to report the incident, which constitutes a deficiency in compliance with federal regulations.
A facility failed to accurately complete a discharge MDS assessment for a resident at risk for falls. The resident, admitted with a fracture, muscle weakness, and lack of coordination, was found on the floor next to their bed. Despite this, the discharge MDS inaccurately reported no falls since admission. The MDS Coordinator RN and LPN confirmed the fall was not captured, resulting in an inaccurate assessment.
The facility failed to provide scheduled showers for three dependent residents, leading to a deficiency in care for ADLs. A resident with severe cognitive impairment received only 3 out of 13 scheduled showers in a month, while another resident, cognitively intact but requiring assistance, received fewer showers than scheduled over several months. When showers were missed, bed baths or sponge baths were provided. The DON confirmed the expectation of three showers per week, but records showed this was not consistently met.
Failure to Implement Enhanced Barrier Precautions and Medication Self-Administration Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for Enhanced Barrier Precautions (EBP) for 14 residents who required such precautions due to various medical conditions, including the presence of indwelling urinary catheters, PICC lines, and pressure ulcers. Observations revealed that there was no EBP signage posted or Personal Protective Equipment (PPE) available in or outside the rooms of these residents. Interviews with staff, including the Interim Unit Manager and Certified Nursing Assistants, indicated a lack of awareness regarding the need for EBP for these residents. Resident #12, for example, was admitted with diagnoses including Hemiplegia and an indwelling urinary catheter, yet the care plan was not developed or implemented for EBP. Similarly, Resident #18, who also had an indwelling urinary catheter, did not have EBP implemented despite physician orders indicating the need for such precautions. Observations confirmed the absence of EBP signage and PPE for these residents, and staff interviews revealed a lack of awareness about the EBP requirements. Additionally, the facility failed to develop a comprehensive care plan for the self-administration of medications for Resident #235. This resident was observed to have several medications in their room, which they self-administered without a care plan in place to assess or guide this practice. The Assistant Director of Nursing confirmed that the resident was not care planned for medication self-administration, highlighting a gap in the facility's care planning process.
Failure to Document Refrigerator and Freezer Temperatures
Penalty
Summary
The facility failed to adhere to its policy regarding the monitoring and documentation of refrigerator and freezer temperatures in the kitchen. According to the facility's policy titled 'Food Safety,' temperatures for cold food storage should be recorded at least twice daily on the Refrigerator/Freezer Temperature Log. However, a review of the temperature logs for the month of November 2024 revealed that temperatures were not obtained or documented for the evening or PM shifts on several dates, specifically 11/17, 11/23, and 11/25. Additionally, on 11/30, temperatures were not recorded for either the morning or AM shift. This lapse in documentation affected three refrigerators and two freezers in the kitchen. During an interview, the Certified Dietary Manager (CDM) confirmed that it was her expectation for the temperature logs to be completed daily for each shift, both AM and PM. The CDM acknowledged that the kitchen's refrigerator and freezer temperatures were not obtained twice daily, resulting in incomplete temperature logs that did not comply with the facility's policy. This failure had the potential to affect 88 of the 93 residents in the facility, as it could lead to improper food storage conditions.
Failure to Implement Enhanced Barrier Precautions for Residents
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for 14 residents who required them due to the presence of indwelling medical devices or wounds. The facility's policy on EBP, which was reviewed on June 3, 2024, mandates the use of EBP for residents with wounds or indwelling medical devices, even if they are not known to be infected. However, observations and interviews revealed that there was no EBP signage or personal protective equipment (PPE) available in or outside the rooms of these residents. Several residents, including those with indwelling urinary catheters, PICC lines, and feeding tubes, were not placed under EBP as required. For instance, Resident #12 had an indwelling urinary catheter, but there was no EBP signage or PPE available in or outside the resident's room. Interim Unit Manager A was unaware of the need for EBP for this resident until December 2, 2024. Similar deficiencies were observed for other residents, such as Resident #18 and Resident #36, who also had indwelling urinary catheters but lacked the necessary EBP measures. Interviews with staff, including Interim Unit Manager A, Hospitality Aide E, CNA F, and LPN G, revealed a lack of awareness regarding the EBP requirements for residents with specific medical devices. The Director of Nursing confirmed the facility's failure to ensure that residents were placed in EBP until after the survey team arrived. This oversight affected residents with various medical conditions, including chronic kidney disease, diabetes, and infections, who required additional precautions to prevent the spread of infections.
Failure to Document Isolation Precautions on MDS
Penalty
Summary
The facility failed to accurately document the isolation treatment for a resident diagnosed with Clostridium Difficile (C-diff) on the Minimum Data Set (MDS) assessment. The resident, who was admitted with diagnoses including C-diff, Chronic Obstructive Pulmonary Disease (COPD), and Rheumatoid Arthritis, was placed into isolation precautions upon admission due to the active C-diff infection. Despite the implementation of contact precautions, the MDS assessment did not capture the resident's isolation status, which is a requirement according to the MDS 3.0 Resident Assessment Instrument (RAI) Manual. Observations and interviews confirmed that the resident was under isolation precautions, with signage and Personal Protective Equipment (PPE) present outside the resident's room. The Unit Manager LPN and the resident both confirmed the isolation status due to the C-diff infection. However, during a review of the resident's MDS, the MDS Registered Nurse acknowledged that the isolation was not documented on the 5-day MDS assessment, indicating a lapse in accurately coding the resident's treatment and care needs.
Failure to Secure Medications for Resident
Penalty
Summary
The facility failed to secure medications for a resident, leading to a deficiency in medication storage and administration. The resident, who was admitted with diagnoses including muscle weakness, cancer, hearing loss, and cognitive impairment, was not assessed or care planned for self-medication storage and self-administration. Despite being cognitively intact as per the Brief Interview for Mental Status (BIMS) assessment, the resident's comprehensive care plan did not address self-medication. The resident had several medications, including Triamcinolone Acetonide Cream, Lidocaine External Cream, Ophthalmic Solution, and hydrocortisone cream, which were found in the resident's room, some of which were partially used, indicating self-administration. The Assistant Director of Nursing (ADON) confirmed that the medications were available for self-administration and that the resident had not been assessed for medication storage and self-administration. Observations revealed that the resident did not have a roommate, and there were no residents with wandering behaviors on the unit. The facility's policy required an interdisciplinary team assessment to determine if a resident could safely self-administer medications, but this was not completed for the resident in question, leading to the deficiency.
Failure to Protect Resident from Psychosocial Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from psychosocial abuse when another resident entered her room, pulled the covers off her, attempted to remove her brief, and exposed himself. This incident involved Resident #14, who was admitted with diagnoses including Dementia with Anxiety, Depression, and Chronic Kidney Disease, and Resident #15, who had severe cognitive impairment due to Dementia. The event occurred when a hospitality aide observed Resident #15 disrobing and pulling at Resident #14's covers, prompting immediate intervention. Resident #14 was found to be upset and tearful following the incident, as documented in medical records and interviews with healthcare professionals. She was described as anxious and somewhat withdrawn, with her antidepressant medication dosage increased and an antianxiety medication administered following the event. The incident was reported to have caused actual harm to Resident #14, as she exhibited signs of distress and anxiety beyond her baseline condition. Resident #15, who had a care plan indicating a risk for inappropriate behaviors related to dementia, was removed from the room and placed under one-to-one supervision until transferred for a behavioral evaluation. The facility's investigation revealed that staff acted promptly to remove Resident #15 from the situation, but the incident highlighted a failure to protect Resident #14 from abuse, resulting in her experiencing mental anguish.
Inaccurate Staffing Data and Record-Keeping Deficiency
Penalty
Summary
The facility failed to post accurate daily nurse staffing information and maintain records of the staffing data for a minimum of 18 months, as required by their policy. On two of the four days reviewed, discrepancies were noted between the posted staffing data and the actual staff present. For instance, on the night shift of July 9, 2024, the posted data indicated 8.5 Certified Nursing Assistants (CNAs) were scheduled, but only 7.5 CNAs were present due to a call-in and an early departure. The Director of Nursing (DON) confirmed that the staffing data posted in the facility entryway was based on the scheduled plan and was not updated to reflect real-time changes, as there was no designated person responsible for making such updates. Additionally, the facility did not maintain a record of the daily staffing data for the required 18 months. Observations revealed that the staffing data was posted on a dry erase board, and no copies were kept. The DON acknowledged that the posted data was inaccurate and that the facility did not retain records of the staffing data, which is a violation of the facility's policy. This lack of accurate posting and record-keeping was confirmed through interviews and observations conducted during the survey period.
Failure to Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an allegation of abuse to the State Agency when a resident exposed himself to another resident. The facility's policy requires that all alleged violations involving abuse be reported immediately, but not later than two hours after the allegation is made. In this case, the incident involved a resident with severe cognitive impairment who entered another resident's room, disrobed, and attempted to remove the resident's brief. The staff intervened and removed the resident from the room, but the incident was not reported to the State Agency as required by the facility's policy. The incident involved Resident #14, who was admitted with diagnoses including Dementia with Anxiety, Depression, Anemia, and Chronic Kidney Disease, and had severe cognitive impairment. The resident was found upset and tearful after the incident, although physically unharmed. Resident #15, who also had severe cognitive impairment, was admitted with diagnoses including Encounter for Surgical Aftercare Following Surgery on the Digestive System and Dementia without Behavioral Disturbance. The resident had not exhibited behaviors prior to this incident. The facility conducted an internal investigation and both residents were placed on one-to-one supervision until Resident #15 was transferred for evaluation. Despite recognizing the potential for abuse, the Executive Director admitted that the incident should have been reported to the State Agency, acknowledging a failure to comply with federal regulations. The facility's inaction in reporting the incident constitutes a deficiency in adhering to mandated reporting requirements.
Inaccurate MDS Assessment for Resident Fall
Penalty
Summary
The facility failed to accurately complete a discharge Minimum Data Set (MDS) assessment for a resident who was reviewed for falls. The review of the Resident Assessment Instrument (RAI) Manual 3.0 and the medical record revealed that the MDS is a critical tool used to assess residents in Medicare or Medicaid certified facilities. It includes various sections that capture clinical data items, such as the number of falls since admission. The medical record indicated that the resident was admitted with diagnoses including a fracture of the right leg, muscle weakness, and lack of coordination, and was identified as being at risk for falls. On a specific date, the resident was found on the floor next to their bed, which was documented in the nurse's notes and the facility's fall investigation. Despite this incident, the discharge MDS assessment inaccurately reported that there were no falls since admission. During an interview, the MDS Coordinator RN and LPN confirmed the fall had occurred and was not captured in the discharge MDS assessment, leading to an inaccurate assessment.
Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to provide scheduled showers for three dependent residents, resulting in a deficiency in the care provided for activities of daily living (ADLs). Resident #12, who has severe cognitive impairment and requires assistance from 1-2 staff for bathing, received only 3 out of 13 scheduled showers in September 2023. Similarly, Resident #8, who is cognitively intact but requires moderate assistance with ADLs, received only 3 out of 15 scheduled showers in January 2024, 6 out of 12 in February 2024, and 4 out of 13 in March 2024. Resident #22, who is cognitively intact but dependent on assistance for bathing, received only 2 out of 13 scheduled showers in September 2023 and 1 out of 5 in October 2023. Interviews with staff and residents revealed that when scheduled showers were missed, residents were provided with bed baths or sponge baths instead. The Director of Nursing confirmed that the expectation was for residents to receive three scheduled showers per week, but the records showed that this was not consistently achieved for the residents in question. Despite the lack of documented grievances regarding bathing for Resident #22, the deficiency was identified through a review of ADL documentation and staff interviews.
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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 Louisville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lyonsview Health And Rehabilitation Center | 5.7 mi | ★★★★★ | 0 | 0 |
| Asbury Place At Maryville | 6.6 mi | ★★★★★ | 27 | 0 |
| Fairpark Health And Rehabilitation | 6.7 mi | ★★★★★ | 0 | 0 |
| Ocoee Transitional Care Center Llc | 6.8 mi | ★★★★★ | 4 | 0 |
| West Hills Health And Rehab | 7.2 mi | ★★★★★ | 0 | 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.