Based on policy review, Maintenance Director Job Description review, https://weather.com review, National Library of Medicine website review, invoice review, medical record review, observation, and interview, the facility failed to ensure residents resided in a safe, clean, homelike, and comfortable environment with temperatures ranging from 71 degrees Fahrenheit (F) to 81 degrees F when resident room temperatures were measured ranging from 53 degrees F to 65 degrees F in 8 of 35 (Resident #11, #13, #14, #20, #27, #34, #40, #42, #45, #47, and #51) resident rooms observed during initial tour. …
F584 citations in Tennessee
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor 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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F584 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F584 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, observation, and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 3 of 85 (Resident #23, #40, #55) residents' rooms reviewed for environment. The facility had 55 occupied resident rooms.The findings include: 1.Review of the facility policy titled, Homelike Environment, dated 8/12/2022, revealed .Residents are provided with a safe, clean, comfortable and home like environment.The staff and management maximizes to the extent possible, the characteristics of the facility that reflect a personalized homelike setting. 2.Review of the medical record revealed Resident #23 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Dementia, and Depression. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 3.30% | 1.48× |
| 2024 | 3.05% | 1.43× |
| 2025 | 1.38% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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