State surveyors inspected 243 of Tennessee's 303 nursing homes in the 12 months from August 2025 through July 2026 and cited 742 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 93 of those buildings (38%). 25 of the citations were immediate jeopardy, the most serious level CMS has.
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Tennessee, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F880Provide and implement an infection prevention and control program | 94 | 93 (38%) |
| 2 | F761Ensure 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 | 55 | 55 (23%) |
| 3 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 39 | 39 (16%) |
| 4 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 39 | 39 (16%) |
| 5 | F641Ensure each resident receives an accurate assessment | 29 | 29 (12%) |
| 6 | F695Provide safe and appropriate respiratory care for a resident when needed | 28 | 28 (12%) |
| 7 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 28 | 27 (11%) |
| 8 | F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals | 23 | 23 (9%) |
| 9 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 21 | 21 (9%) |
| 10 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 20 | 20 (8%) |
| 11 | F610Respond appropriately to all alleged violations | 17 | 17 (7%) |
| 12 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 16 | 16 (7%) |
| 13 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 14 | 14 (6%) |
| 14 | F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death | 14 | 13 (5%) |
| 15 | F584Honor 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 | 13 | 13 (5%) |
| 16 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 13 | 13 (5%) |
| 17 | F692Provide enough food/fluids to maintain a resident's health | 12 | 12 (5%) |
| 18 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 12 | 12 (5%) |
| 19 | F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed | 11 | 11 (5%) |
| 20 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 11 | 11 (5%) |
| 21 | F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered | 9 | 9 (4%) |
| 22 | F583Keep residents' personal and medical records private and confidential | 9 | 9 (4%) |
| 23 | F658Ensure services provided by the nursing facility meet professional standards of quality | 9 | 9 (4%) |
| 24 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 8 | 8 (3%) |
| 25 | F835Administer the facility in a manner that enables it to use its resources effectively and efficiently | 8 | 8 (3%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F677Provide care and assistance to perform activities of daily living for any resident who is unable | 7 | 7 (3%) |
| 27 | F693Ensure 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 | 7 | 7 (3%) |
| 28 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 7 | 7 (3%) |
| 29 | F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public | 7 | 7 (3%) |
| 30 | F759Ensure medication error rates are not 5 percent or greater | 6 | 6 (2%) |
| 31 | F813Have a policy regarding use and storage of foods brought to residents by family and other visitors | 6 | 6 (2%) |
| 32 | F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data | 6 | 6 (2%) |
| 33 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 5 | 5 (2%) |
| 34 | F554Allow residents to self-administer drugs if determined clinically appropriate | 5 | 5 (2%) |
| 35 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 5 | 5 (2%) |
| 36 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 5 | 5 (2%) |
| 37 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 5 | 5 (2%) |
| 38 | F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home | 5 | 5 (2%) |
| 39 | F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions | 4 | 4 (2%) |
| 40 | F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment | 4 | 4 (2%) |
| 41 | F687Provide appropriate foot care | 4 | 4 (2%) |
| 42 | F727Have 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 | 4 | 4 (2%) |
| 43 | F732Post nurse staffing information every day | 4 | 4 (2%) |
| 44 | F757Ensure each resident’s drug regimen must be free from unnecessary drugs | 4 | 4 (2%) |
| 45 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 4 | 4 (2%) |
| 46 | F814Dispose of garbage and refuse properly | 4 | 4 (2%) |
| 47 | F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action | 4 | 4 (2%) |
| 48 | F558Reasonably accommodate the needs and preferences of each resident | 3 | 3 (1%) |
| 49 | F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances | 3 | 3 (1%) |
| 50 | F602Protect each resident from the wrongful use of the resident's belongings or money | 3 | 3 (1%) |
| 51 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 3 | 3 (1%) |
| 52 | F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift | 3 | 3 (1%) |
| 53 | F760Ensure that residents are free from significant medication errors | 3 | 3 (1%) |
| 54 | F791Provide or obtain dental services for each resident | 3 | 3 (1%) |
| 55 | F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident | 3 | 3 (1%) |
| 56 | F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status | 3 | 3 (1%) |
| 57 | F908Keep all essential equipment working safely | 3 | 3 (1%) |
| 58 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 3 | 3 (1%) |
| 59 | F553Allow resident to participate in the development and implementation of his or her person-centered plan of care | 2 | 2 (1%) |
| 60 | F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice | 2 | 2 (1%) |
| 61 | F567Honor the resident's right to manage his or her financial affairs | 2 | 2 (1%) |
| 62 | F578Honor 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 | 2 | 2 (1%) |
| 63 | F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge | 2 | 2 (1%) |
| 64 | F638Assure that each resident’s assessment is updated at least once every 3 months | 2 | 2 (1%) |
| 65 | F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives | 2 | 2 (1%) |
| 66 | F679Provide activities to meet all resident's needs | 2 | 2 (1%) |
| 67 | F694Provide for the safe, appropriate administration of IV fluids for a resident when needed | 2 | 2 (1%) |
| 68 | F697Provide safe, appropriate pain management for a resident who requires such services | 2 | 2 (1%) |
| 69 | F881Implement a program that monitors antibiotic use | 2 | 2 (1%) |
| 70 | F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home | 1 | 1 (0%) |
| 71 | F576Ensure residents have reasonable access to and privacy in their use of communication methods | 1 | 1 (0%) |
| 72 | F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room) | 1 | 1 (0%) |
| 73 | F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft | 1 | 1 (0%) |
| 74 | F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months | 1 | 1 (0%) |
| 75 | F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment | 1 | 1 (0%) |
| 76 | F645PASARR screening for Mental disorders or Intellectual Disabilities | 1 | 1 (0%) |
| 77 | F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason | 1 | 1 (0%) |
| 78 | F685Assist a resident in gaining access to vision and hearing services | 1 | 1 (0%) |
| 79 | F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services | 1 | 1 (0%) |
| 80 | F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia | 1 | 1 (0%) |
| 81 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 1 | 1 (0%) |
| 82 | F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service | 1 | 1 (0%) |
| 83 | F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature | 1 | 1 (0%) |
| 84 | F810Provide special eating equipment and utensils for residents who need them and appropriate assistance | 1 | 1 (0%) |
| 85 | F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | 1 | 1 (0%) |
| 86 | F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services | 1 | 1 (0%) |
| 87 | F850Hire a qualified full-time social worker in a facility with more than 120 beds | 1 | 1 (0%) |
| 88 | F865Have a plan that describes the process for conducting QAPI and QAA activities | 1 | 1 (0%) |
| 89 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 1 | 1 (0%) |
| 90 | F922Have enough backup water supply for essential areas of the nursing home | 1 | 1 (0%) |
| 91 | F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention | 1 | 1 (0%) |
| 92 | F949Provide behavior health training consistent with the requirements and as determined by a facility assessment | 1 | 1 (0%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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