Based on facility policy review, medical record review, and interview, the facility failed to submit a Pre-admission Screening and Resident Review (PASRR) timely after a new mental health diagnosis for 2 residents (Resident #4 and Resident #79) of 11 residents reviewed for PASRR.The findings include: Review of the facility's PASRR (Preadmission Screening and Resident Review) Policy, undated, revealed .The facility shall ensure .Timely identification of residents requiring Resident Review due to significant changes in status .Level I Screening .Initial screening performed prior to admission or when a significant change in status occurs . Review of a Level 1 PASRR dated 6/30/2025 (prior to admission), revealed Resident #4 had diagnoses of Anxiety Disorder and Mild or Situational Depression. …
F644 citations in Tennessee
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F644 more often than its own record predicts
2.53 times the share F644 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F644 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 | 2.64% | 3.70× |
| 2024 | 1.46% | 2.29× |
| 2025 | 1.61% | 2.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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