F580 in Tennessee. Pick another state for the same tag.
Against expectation — 2025
Tennessee cites F580 less often than its own record predicts
Versus expected share0.23×
0.23 times the national share — cited less often here than elsewhere.
Share of Tennessee citations0.35%
Of every deficiency written in Tennessee in 2025, this is the portion that was F580.
Tennessee0.35%
National1.48%
Share of all citations that were F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F580 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.
J · Immediate jeopardy, isolatedApril 11, 2024
Based on policy review, medical record review, and interview, the facility failed to notify and consult the Physician/Nurse Practitioner (NP) of a change in condition related to falls 1 of 6 (Resident #7) sampled residents reviewed for change in condition. On [DATE], Resident #7 had an unwitnessed fall and was found on the floor with his head under the bed. Resident #7 hit his head while being placed back in bed by staff. The Physician/NP was not notified of Resident #7's unwitnessed fall on [DATE], and on [DATE], Resident #7 experienced a change in mental status. …
Based on review of a facility policy, medical record review, and interview, the facility failed to notify the resident's representative and the physician of a fall on 1/14/2023 for 1 resident (#1) of 3 residents reviewed. The facility's failure resulted in the delay of treatment for surgical repair of an acute right hip fracture causing actual harm to Resident #1.
The findings included:
Review of a facility policy Notification of change dated 1/13/2020 showed .the purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician, and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification .the facility must inform the resident, consult with the residents' physician and/or… …
D · No harm, potential for more than minimal, isolatedJuly 22, 2026
Based on policy review, medical record review, and interview, the facility failed to notify the Doctor of Nursing Practitioner (DNP) and the resident's legal representative of a change of condition that was identified on 7/10/2026 at approximately 10:56 AM for 1 of 6 (Resident #1) sampled resident reviewed for notification of change. Based on policy review, medical record review, and interview, the facility failed to notify the Doctor of Nursing Practitioner (DNP) and the resident's legal representative of a change of condition that was identified on 7/10/2026 at approximately 10:56 AM for 1 of 6 (Resident #1) sampled residents reviewed for notification of change. The findings include: 1. …
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