Based on policy review, medical record review, hospital record review, observation, and interview, the facility failed to provide appropriate pain management consistent with professional standards of practice for 2 of 6 (Resident # 9 and #17) residents reviewed for pain management. The facility's failure to appropriately manage pain resulted in Immediate Jeopardy (IJ) on [DATE], when Resident #17 was readmitted to the facility following a right below the knee amputation on [DATE]. Resident #17 was severely cognitively impaired and dependent upon staff for assistance with all aspects of care. Resident #17's pain level was assessed as a 5 (on a scale of 1 - 10 with 10 being the most severe) on admission. …
F697 citations in Tennessee
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F697 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F697 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 American Nurses Association article review, policy review, Director of Nursing (DON) job description review, Licensed Practical Nurse (LPN) job description review, medical record review, Emergency Medical Services (EMS) record review, hospital record review, observation, and interview, the facility failed to provide pain management consistent with professional standards of practice for 1 of 2 (Resident #2) residents reviewed for pain management. Resident #2, a moderately cognitively impaired resident who required assistance of staff with activities of daily living (ADLs), sustained an unwitnessed fall that resulted in bilateral (right and left) femur (the thigh bone between the hip and knee) fractures on 11/1/2025 between 6:30 PM and 6:59 PM. …
Based on interview, record review, and facility policy review, the facility failed to ensure staff administered as needed pain medication when requested for 1 (Resident #123) of 3 observed for medication administration. Findings included: A facility policy titled, Pain Assessment and Management, revised 11/11/2025, revealed, Based on the comprehensive assessment of a resident, this facility must ensure that residents receive the treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the resident's choices related to pain management. An admission Record revealed the facility admitted Resident #123 on 04/22/2026. According to the admission Record, the resident had a medical history that included diagnoses of lung cancer and breast cancer. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.23× |
| 2024 | 0.49% | 0.66× |
| 2025 | 0.23% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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