Based on review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to complete Minimum Data Set (MDS) assessments timely for 2 residents (Residents #79 and #7) of 4 residents reviewed for timely MDS assessment completion.The findings include:Review of the RAI Version 3.0 Manual dated 10/2024, Chapter 2: Assessments for the RAI revealed, .Discharge Assessment-return not anticipated .Must be completed when the resident is discharged .and .Must be completed within 14 days after the discharge date . …
F636 citations in Tennessee
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F636 more often than its own record predicts
2.30 times the share F636 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F636 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.
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2024 | 0.24% | 0.83× |
| 2025 | 0.58% | 2.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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