Based on facility policy review, medical record review, and interview, the facility failed to follow their discharge policies and procedures and failed to meet the requirements for an appropriate discharge for 1 resident (#11) of 13 residents reviewed for discharge requirements. The facility's failure resulted in Resident #11, a cognitively impaired resident with multiple medical and psychological conditions and limited family/social support being discharged to her unsupervised home and placed Resident #11 in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). …
F622 citations in Tennessee
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Tennessee cites F622 more often than its own record predicts
2.28 times the share F622 takes of citations nationally.
Of every deficiency written in Tennessee in 2024, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F622 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, medical record reviews, and interviews, the facility failed to ensure transfer/discharge information was documented in the medical record and communicated to the receiving provider for 6 of 6 residents (Resident #44, #43, #52, #53, #54 and #51) reviewed for transfer/discharge. The findings include: Review of the facility's policy titled, Transfer and Discharge revised 10/24/2022, revealed, . Emergency Transfers/Discharges-for medical reasons, or for the immediate safety and welfare of a resident .Obtain physicians ' orders for emergency transfer or discharge, stating the reason the transfer or discharge is necessary on an emergency basis .Complete and send with the resident a Transfer to Hospital Form which documents .Current diagnosis and reasons for… …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.65× |
| 2024 | 0.73% | 2.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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