Based on facility policy review, medical record review, facility video footage review, and interview the facility failed to ensure 1 resident (Resident #2) of 3 residents reviewed was treated with respect, dignity, and quality of life when restrained with a gait belt to his wheelchair. The findings include: Review of the facility policy, Abuse, Neglect and Exploitation of Residents, undated, revealed .It is the policy of the facility that the acts of abuse directed against residents are absolutely prohibited .unlawful restraint is intentionally or knowingly using a physical or chemical restraint . Resident #2 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. …
F550 citations in Tennessee
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F550 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F550 findings written in Tennessee, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on facility policy review, medical record review, interview, and observation, the facility failed to promote care that maintained residents' dignity by not providing timely assistance with toileting needs for 8 dependent residents (#1, #2, #3, #4, #5, #6, #7, and #8) of 10 dependent residents reviewed. The facility's failure resulted in psychosocial harm for Residents #1, #2, #3, #4, and #6. The facility was cited F-550 at a scope and severity of H, which constitutes Substandard Quality of Care. …
Based on facility policy review, observation, and interview, the facility failed to provide dignity during mealtime for 1 resident (Resident #3) of 8 residents reviewed during meals. The findings include: Review of the facility's policy titled, Dignity, dated 5/6/2019, revealed .The resident has a right to be treated with respect and dignity .promoting resident independence and dignity while dining, such as avoiding .staff standing over residents while assisting them to eat . Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] with diagnoses including Cerebral Infarction Affecting Left Non-Dominant Side, Dementia, and Generalized Anxiety Disorder. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 3.63% | 1.76× |
| 2024 | 2.80% | 1.28× |
| 2025 | 1.84% | 0.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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