Based on facility policy review, medical record review, facility incident report review, staffing agency timeslip review, Metropolitan Police Department Public Record Request Response review, and interviews, the facility failed to conduct a thorough investigation for allegations of sexual abuse for 1 of 4 (Resident #4) sampled residents reviewed for abuse. On 3/6/2024, Resident #4 reported she was sexually assaulted by a man fitting the description of an agency employee working in the facility. Resident #4 reported the male entered her room, pulled his penis out, turned her over and stuck his penis in her rectum. …
F610 citations in Tennessee
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F610 less often than its own record predicts
0.99 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F610 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 policy review, medical record review, and interview, the facility failed to thoroughly investigate an injury of unknown source/origin for 1 of 9 (Resident #10) residents reviewed for abuse. The facility failed to thoroughly investigate an injury of unknown origin when Resident #10, a severely cognitively impaired, bedridden resident sustained a comminuted (A broken bone that has shattered into 3 or more pieces. This type of fracture is usually caused by a serious trauma) humeral fracture. This resulted in Actual Harm for Resident #10. The findings include: 1. …
Based on facility policy review, medical record review, and interviews the facility failed to thoroughly investigate an allegation of sexual abuse for 1 resident (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 .Investigation of Alleged Abuse .An immediate investigation is warranted when suspicion of abuse .or reports of abuse .Written procedures for investigation include .Identifying and interviewing all involved person, including the alleged victim, alleged perpetrator, witnesses, and other who might have knowledge of the allegations .Focusing the investigation on determining if abuse .has occurred, the… …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 2.15% | 1.68× |
| 2024 | 2.80% | 1.96× |
| 2025 | 1.50% | 0.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction