Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Nhc Healthcare, Farragut during CMS and state inspections, most recent first.
Failure to obtain a physician order and self-administration assessment for a resident using an insulin pump. The resident had Diabetes, Heart Failure, and Lung Disease, was cognitively intact per BIMS, and stated he independently refilled his insulin pump with insulin supplied by the pharmacy. The chart included orders for insulin aspart and Dexcom use, but no order authorizing self-administration and no documented interdisciplinary assessment; the DON confirmed both were missing.
An LPN gave a resident 32 units of Humalog instead of the ordered 32 units of Lantus after failing to verify the insulin pen label against the physician’s order and not following the rights of medication administration. The resident, who had diabetes and was cognitively intact, remained asymptomatic initially, but glucose levels dropped and the resident was sent to the ER for evaluation. The Medical Director and DON confirmed the medication error.
Failure to Obtain Order and Assessment for Self-Administration of Insulin
Penalty
Summary
The facility failed to assess and obtain a physician's order for medication self-administration for Resident #128, who was reviewed for self-administration of medication. The facility policy titled, Self-Administration of Medications, dated 2/2025, stated that a physician order should be obtained and then an interdisciplinary team assessment should be completed of the resident's cognitive, physical, and visual ability to carry out the responsibility, with quarterly skill assessments and documentation in the medical record. Resident #128 was admitted with diagnoses including Diabetes, Heart Failure, and Lung Disease. A Social Services Progress Note dated 2/3/2026 documented a BIMS score of 15, indicating the resident was cognitively intact. The Physician Order Report dated 2/2/2026-2/11/2026 showed orders for insulin aspart for use in an insulin pump and that the resident may use Dexcom, but there was no physician's order for the resident to self-administer insulin by refilling the insulin pump with insulin from a vial sent by the pharmacy. The medical record also did not contain documentation of an assessment of the resident's ability to self-administer medication. During interview, the resident stated he cared for and refilled his insulin pump himself using insulin provided by the facility pharmacy, and the DON confirmed that neither an assessment nor a physician's order for self-administration had been obtained.
Insulin Medication Error Due to Failure to Verify Order and Label
Penalty
Summary
The facility failed to ensure the basic rights of medication administration were followed for one resident who was cognitively intact and had diagnoses including diabetes, chronic kidney disease, and diabetic neuropathy. The resident’s care plan directed staff to administer insulin as ordered, and the physician’s orders included Humalog 3 units subcutaneously before meals and Lantus 32 units subcutaneously at bedtime. Facility policy and the referenced nursing drug handbook both required staff to review the MAR/TAR, verify the medication label against the physician’s order, and follow the rights of medication administration before giving medications. On the night of the event, an LPN administered 32 units of Humalog instead of the ordered 32 units of Lantus. The LPN later stated she had retrieved the wrong insulin pen from the medication cart and realized the error only after returning to the cart. She confirmed she did not verify that the insulin pen label matched the physician’s order before administration and did not follow the eight rights of medication administration. The resident remained asymptomatic initially, and a telehealth consult documented an accidental administration of rapid-acting insulin in place of long-acting insulin, with glucose decreasing from 197 mg/dl to 146 mg/dl shortly after the error. After the medication error, the resident received glucose gel, ate crackers and drank soda, and was sent to the hospital for evaluation. The ER note documented that the resident had been given 32 units of Humalog versus Lantus and that the glucose was 70 mg/dl on arrival, while the resident remained asymptomatic and able to eat and drink. The Medical Director and DON both confirmed the medication error and stated the LPN failed to verify the insulin label against the order before administration.
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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) |
|---|---|---|---|---|
| Wellpark Health And Rehabilitation | 7.6 mi | ★★★★★ | 2 | 0 |
| Life Care Center Of Blount County | 7.6 mi | ★★★★★ | 0 | 0 |
| Legacy Park Health And Rehabilitation | 7.6 mi | ★★★★★ | 7 | 0 |
| Senator Ben Atchley State Veterans' Home | 8.1 mi | ★★★★★ | 2 | 0 |
| West Hills Health And Rehab | 8.3 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.