Based on medical record review, observations, and interview, the facility failed to maintain resident dignity when urinary drainage bags were uncovered for 2 residents (Residents #14 and #2) of 6 residents reviewed with indwelling urinary catheters.The findings include: Review of the medical record revealed Resident #14 was admitted to the facility on [DATE] with diagnoses including Wedge Compression Fracture of Spine, Respiratory Failure, and Heart Failure. Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #14 scored a 14 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. …
F557 citations in Tennessee
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F557 more often than its own record predicts
1.96 times the share F557 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F557 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.
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 1.30× |
| 2024 | 0.12% | 0.46× |
| 2025 | 0.46% | 1.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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