Good Samaritan Health: Immediate Jeopardy Citation - TN
The October 9 complaint investigation revealed deficiencies in the facility's elopement prevention system. Inspectors determined that few residents were affected, but the violations posed immediate danger to resident health and safety.
The facility's corrective action plan reveals the scope of the problem. Staff must now conduct daily reviews of multiple documentation systems to identify residents showing "exit seeking behaviors" and ensure proper interventions are in place.
Under the new protocols, the Director of Nursing, Staff Development Coordinator, Unit Manager, and Administrator will review nurses' notes from the previous 24 hours specifically looking for "new or worsening exit seeking behaviors." They must verify that care plans address these behaviors and that interventions are actually implemented.
The facility also committed to updating "elopement books" and conducting visual observations during unit rounds. Weekend supervision falls to nurse supervisors and managers on duty, who must complete the same documentation reviews and behavioral observations.
New admissions now require specific elopement risk assessments. The Staff Development Coordinator, Director of Nursing, Unit Manager, or MDS Nurse must evaluate each incoming resident for wandering tendencies and implement appropriate safeguards.
Any identified concerns trigger immediate intervention. The Director of Nursing and Administrator must be notified of problems, with additional safety measures implemented as needed.
The immediate jeopardy finding indicates inspectors determined residents faced serious injury or harm from the facility's inability to prevent unauthorized departures. Such citations are reserved for the most severe violations that require immediate correction to protect resident safety.
The facility's extensive corrective measures suggest systemic failures in tracking and managing residents prone to wandering, a critical safety function in nursing home care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Antioch Tn Opco, LLC from 2025-10-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
Antioch TN Opco, LLC in ANTIOCH, TN was cited for immediate jeopardy violations during a health inspection on October 9, 2025.
The October 9 complaint investigation revealed deficiencies in the facility's elopement prevention system.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.