F609 in Tennessee. Pick another state for the same tag.
Against expectation — 2025
Tennessee cites F609 more often than its own record predicts
Versus expected share1.51×
1.51 times the share F609 takes of citations nationally.
Share of Tennessee citations3.68%
Of every deficiency written in Tennessee in 2025, this is the portion that was F609.
Tennessee3.68%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F609 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.
K · Immediate jeopardy, patternNovember 7, 2024
Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to timely report allegations of abuse and neglect for 5 of 21 (Resident #2, #3, #19, #4, and #5) sampled residents reviewed for abuse. The facility failed to report an allegation of sexual abuse to the State Survey Agency within 2 hours when Resident #2 reported/alleged to staff on 5/8/2024 at approximately 11:00 PM that Resident #3 assaulted her through anal penetration. The facility failed to report Resident #19 ' s cocaine overdose in the facility on 11/8/2023 at approximately 8:30 PM, within 2 hours to the State Survey Agency. …
Based on facility policy review, medical record review, facility investigation review, and interview the facility failed to timely report allegations of abuse to the State Survey Agency for 3 residents (Resident #2, Resident #3, and Resident #9) of 9 residents reviewed for abuse when a Licensed Practical Nurse (LPN) #1 yelled at and threatened Resident #2, and a Certified Nursing Assistant (CNA) #4 refused to provide needed care to Resident #3 and Resident #9. This resulted in Resident #2 and Resident #3 sustaining psychosocial Harm. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on facility policy review, medical record review, facility documentation review, and interviews the facility failed to report an allegation of sexual abuse for 2 residents (Resident #2 and Resident #1) of 5 residents reviewed for abuse.The findings include: Review of the facility's undated policy titled, Abuse, Neglect, and Exploitation, revealed .Sexual Abuse is non-consensual sexual contact of any type with a resident .Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies as is required .within specified timeframes .Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse . …
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