Based on American College of Physicians (ACP) article review, facility policy review, Quick Glance Skin Integrity and Wounds procedure form, medical record review, observation, and interview, the facility failed to ensure residents received the necessary treatment and services consistent with professional standards of practice to promote wound healing, prevent new wounds from developing, and complete wound assessments on residents determined to be at risk of skin breakdown for 4 of 5 (Residents #4, #47, #62 and #66) sampled residents reviewed for pressure wounds. Resident #4 was admitted to the facility on [DATE]. On 5/19/2026, a pressure wound was identified as a Stage 3 (pressure wounds are staged from 1 - 4 to measure tissue damage with 4 being the most tissue damage). …
F686 citations in Tennessee
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F686 less often than its own record predicts
0.82 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F686 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, hospital record review, observation, and interview, the facility failed to provide care and services to prevent the development of a pressure ulcer/injury for 1of 4 (Resident #4) sampled residents reviewed for pressure ulcers. On 8/20/2025, Resident #4, a resident with impaired mobility who was at risk for pressure ulcers, was readmitted to the facility with an immobilizer to her left lower leg. The facility failed to assess, monitor, and document Resident #4's skin integrity underneath the immobilizer daily from 8/21/2025 to 9/8/2025, resulting in a pressure injury and an infection to the left lateral (outside portion of leg) ankle which resulted in actual Harm to Resident #4. The findings include: 1. …
Based on facility policy review, medical record review, and interview, the facility failed to ensure the care and services for the use of a Negative Pressure Wound Therapy (NPWT) (a machine used on a wound to promote healing) machine and wound treatments were completed as ordered by the Physician for 3 of 7 (Resident #2, #55, and #147) sampled residents reviewed for pressure ulcers/wounds. The findings include: 1. Review of the facility policy titled, WoundCare (Wound Care), dated 10/7/2024, revealed .The purpose of this procedure is to provide guidelines for the care of wounds to promote healing.Verify that there is a physician's order for this procedure.The following information should be recorded in the resident's medical record.The type of wound care given.The date and time the wound… …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 1.32% | 0.64× |
| 2024 | 0.85% | 0.41× |
| 2025 | 1.61% | 0.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction