Antioch Tn Opco, Llc
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.
Inspection Findings
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: