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KNOLLWOOD MANOR Inspection Report, Violations & Safety Grade (LAFAYETTE, Tennessee)

405 TIMES AVE, LAFAYETTE, Tennessee 37083

Phone: 6156663170

CMS Overall:1/5

Overview & Bed Count

Certified Beds
49
Avg Residents/Day
39.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Macon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.460.60-0.14
Total Nurse Hours per Resident per Day3.403.82-0.42
CMS Staffing Rating4/52.5/5-
Nursing Staff Turnover31.3%48.6%-

Health Citation History

18 health citations on record

DateCategoryDescriptionSeverity
2025-11-21Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2025-11-21Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2025-11-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-11-21Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-11-21Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2022-07-14Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.J – Immediate Jeopardy
2022-07-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2022-07-14Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.J – Immediate Jeopardy
2022-07-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G – Actual Harm
2022-07-14Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E – Moderate Harm Potential
2022-07-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2022-07-14Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.D – Moderate Harm Potential
2022-07-14Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2022-07-14Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2022-07-14Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2022-07-14Infection Control DeficienciesEnsure staff are vaccinated for COVID-19D – Moderate Harm Potential
2019-08-27Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D – Moderate Harm Potential
2019-08-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2019-08-27Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2019-08-27Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2019-08-27Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2019-08-27Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2019-08-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential
2018-11-15Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2018-11-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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