Based on facility policy review, medical record reviews, and interviews the facility failed to refer 2 residents (Resident #15 and Resident #32) to the state designated Pre-Admission Screening and Resident Review (PASRR) agency after a new mental health diagnosis of 7 residents reviewed for PASRR. The findings include: Review of the facility's policy titled, Behavioral Health Services, undated, revealed .Behavioral health services are provided to residents as needed as part of the interdisciplinary, person-centered approach to care .Residents who do not display symptoms of, or have not been diagnosed with, mental, psychiatric, psychosocial adjustment, substance abuse, or post-traumatic disorder(s) will not develop behavioral disturbances .any assessment that reveals .mental health… …
F646 citations in Tennessee
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F646 more often than its own record predicts
1.76 times the share F646 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F646 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 | 0.12% | 2.60× |
| 2025 | 0.12% | 1.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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