F-tags by state · Tennessee

Most common nursing home citations in Tennessee

4,535 health citations were recorded at 299 of 298 rated nursing homes in Tennessee over the last three inspection cycles, about 15.2 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations4,53515.2 per rated facility
Facilities cited299of 298 rated
Actual harm (G–I)1714% of citations
Immediate jeopardy (J–L)2876% of citations

Top 25 F-tags in Tennessee

"State share" is the percentage of rated Tennessee nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F880Provide and implement an infection prevention and control program.Infection control37078%81%
2F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary32872%76%
3F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care27358%69%
4F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy services20248%59%
5F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning18949%58%
6F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning17848%42%
7F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights14142%43%
8F641Ensure each resident receives an accurate assessment.Assessment & care planning13940%37%
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation13939%40%
10F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation13233%35%
11F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care12536%46%
12F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning10229%35%
13F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights8225%39%
14F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation8225%28%
15F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care7923%44%
16F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care7021%39%
17F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Assessment & care planning6319%15%
18F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of life & care5817%33%
19F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Quality of life & care5819%17%
20F692Provide enough food/fluids to maintain a resident's health.Quality of life & care5616%29%
21F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration5315%11%
22F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services5216%34%
23F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights5216%25%
24F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident rights5114%30%
25F760Ensure that residents are free from significant medication errors.Pharmacy services4815%25%

Citations by category

Quality of life & care1,029
Assessment & care planning864
Resident rights536
Pharmacy services437
Nutrition & dietary435
Abuse, neglect & exploitation422
Infection control404
Administration166
Nursing & physician services162
Environment & safety80

Citations by survey year

201710
2018402
2019669
2020187
2021276
2022617
2023731
2024821
2025822

Partial years reflect the rolling three-cycle window.

Check a specific Tennessee nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 298 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Tennessee. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Tennessee?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in Tennessee, with 370 citations at 231 facilities, or 78% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in Tennessee?
4,535 health citations across 299 of 298 rated nursing homes in the last three inspection cycles, about 15.2 per facility. 171 involved actual harm and 287 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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