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Complaint Investigation

Antioch Tn Opco, Llc

October 9, 2025 · Antioch, TN · 500 Hickory Hollow Terrace
Citations 3
CMS Rating 2/5
Beds 110
Provider ID 445170
Healthcare Facility
Antioch Tn Opco, Llc
Antioch, TN  ·  View full profile →
Inspection Summary

Antioch TN Opco, LLC in ANTIOCH, TN — inspection on October 9, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

(BOM), Medical Records, Rehabilitation Manager, and Nursing Scheduler.

This was also participated by the VP of Clinical Services, Chief of Operations and Regional Regulatory Compliance Officer.

The QAPI team discussed the reason Resident #2 was transferred to the hospital on 7/2/24 and the admission reports of foreign bodies found within her abdomen.

The leadership team also discussed the facility actions and systemic changes which were implemented to prevent the recurrence of similar incidents.

The facility actions as specified in the plans of removal which includes but are not limited to: a) Review of potential admissions (referrals) by the admission staff, DON or her designee prior to admissions b) Development of care plan upon admission to address any identified risk from review of documents, such as hospital records and other documents which provided information about the potential admissions medical and psychiatric history c) Care plan review of all current residents to ensure that any identified behaviors are addressed with person-centered interventions 2.

Huddle Meeting: The DON (director of nursing) conducted a huddle meeting on 9/29/25 with the nursing staff to identify any resident who may have similar behavior like Resident #2, a vulnerable, cognitively impaired resident with a behavioral history of eating non-food items including the ingestion of metal objects.

The DON will review the clinical huddle meeting records daily to identify any concern related to resident's behavior to ensure that the behaviors are care planned with person-centered interventions. 3.

Care Plan review: The clinical leadership team (DON, UM - Unit Manager, SDC - staff development coordinator, MDS - minimum data set Nurse), SSD (social service director, VPCS (Vice President of Clinical Services), and VPBM (Vice President of Behavior Management & Resident Quality of Life) reviewed all care plans of current residents to ensure that all behaviors are care planned with person-centered interventions.

This action item will be completed on or before 10/06/2

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Antioch TN Opco, LLC

500 Hickory Hollow Terrace Antioch, TN 37013

SUMMARY STATEMENT OF DEFICIENCIES

During QAPI meetings, the QAPI team will determine the need for additional interventions or corrective actions, based on the results of observation, and other monitoring activities.

Date Facility Asserts Likelihood for Serious Harm No Longer Exists: 10/06/25

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Antioch TN Opco, LLC

500 Hickory Hollow Terrace Antioch, TN 37013

SUMMARY STATEMENT OF DEFICIENCIES

Review of new admissions & re-admissions:? ? New admissions will be reviewed by the SSD/ DON/ Unit Manager, SDC (staff development coordinator) or MDS Nurse for elopement risk.

Any new admission/ re-admission who are identified as being at risk fo

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANTIOCH, TN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Antioch TN Opco, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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