Based on interview, record review, and review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to transmit Minimum Data Sets (MDSs) for 2 (Resident #35 and Resident #86) of 6 residents reviewed for resident assessments. Specifically, at the time of survey, both Resident #35 and Resident #86 had discharge MDS assessments that were not transmitted to the Centers for Medicare and Medicaid Services (CMS) within the required timeframes. Findings included: During an interview on 07/31/2026 at 11:47 AM, the [NAME] President of Operations stated the facility used the Resident Assessment Instrument (RAI) and did not maintain a separate MDS policy. …
F640 citations in Tennessee
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F640 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F640 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 review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview the facility failed to submit a discharge Minimum Data Set (MDS) discharge assessment timely for one resident (#2) of 1 resident reviewed for discharge MDS assessments of 21 sampled residents. The findings include: Review of the RAI Version 3.0 Manual Chapter 2: Assessments for the RAI revealed .Discharge assessment .Must be submitted .within 14 days after the MDS completion date . Medical record review revealed Resident #2 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Continued review revealed Resident #2 was discharged home on[DATE]. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 0.85× |
| 2024 | 0.24% | 0.75× |
| 2025 | 0.23% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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