Based on policy review, American Heart Association (AHA) Adult Basic Life Support Algorithm for Healthcare Professionals dated 2025, Rules of the Tennessee Board of Nursing review, Tennessee Code Annotated (TCA) rules review, medical record review, 911 audio recording review, facility video footage review, facility investigation, Employee file review, Emergency Medical Services (EMS) record report review, County Emergency Communication and interviews, the facility failed to provide continuous Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) for 1 of 3 (Resident #1) sampled residents reviewed for CPR. Resident #1 was a vulnerable resident who was found on [DATE] at 6:07 AM, in the bathroom, on his knees slumped over the commode unresponsive. …
F678 citations in Tennessee
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F678 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F678 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 record review, interview, review of facility policy, and review of the American Heart Association Adult Basic Life Support Algorithm, the facility failed to have documented evidence that Emergency Medical Services (EMS or 911) was contacted or that an Automated External Defibrillator (AED) was utilized when cardiopulmonary resuscitation (CPR) was provided for 1 resident (Resident #78) of 2 residents reviewed for CPR, who had a physician's order for a full code (a medical directive indicating that if a person's heart stops or they stop breathing, healthcare providers will use all available life saving measures to revive them). …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.88× |
| 2024 | 0.37% | 1.74× |
| 2025 | 0.12% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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