Based on policy review, medical record review, observation, and interview, the facility failed to ensure a resident who was unable to carry out activities of daily living (ADL) was provided nail care for 1 of 4 (Resident #105) sampled residents reviewed for activities of daily living. The facility's failure to ensure toenail care was provided resulted in Actual Harm when Resident #105's skin was adhered to a long toenail, causing the resident pain. The findings include: 1. Review of the facility policy titled, Activities of Daily Living (ADLs), dated 2/2024, revealed .Care and services will be provided for the following activities of daily living .grooming .A resident who is unable to carry out activities of daily living will receive the necessary services to maintain .grooming and… …
F677 citations in Tennessee
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F677 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F677 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 policy review, medical record review, observation, and interview, the facility failed to ensure nail care was provided for 1 of 1 (Resident #6) sampled residents reviewed for ADLs. The findings include: 1. Review of the facility's policy titled, Nail Care Policy and Procedure, dated 1/2026, revealed .All residents will have nails cleaned and trimmed as needed.care provided by staff must be specific to the individuals needs of each resident to achieve the most desirable results for the resident. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 1.32% | 0.47× |
| 2024 | 1.95% | 0.81× |
| 2025 | 1.38% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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