Based on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, medical record review, and interview, the facility failed to complete discharge and death in facility assessments using the centers for Medicare & Medicaid services specified RAI process for 9 of 33 (Resident #3, #12, #15, #18, #31, 59, #60, #61 and #224) sampled residents reviewed. The findings include: 1. Review of the MDS 3.0 RAI manual v 1.19.1 revised October 2024, pages 2-38 through 2-39, revealed .Discharge Assessment .Must be completed when the resident is discharged from the facility . Must be completed .within 14 days after the discharge date . 2. …
F642 citations in Tennessee
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F642 more often than its own record predicts
20.79 times the share F642 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F642 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 |
|---|---|---|
| 2023 | 0.17% | 4.96× |
| 2025 | 0.12% | 20.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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