Based on facility policy review, medical record review, and interviews, the facility failed to ensure that 1 of 24 sampled residents (Resident #31) received trauma-informed care in accordance with professional standards of practice and accounting for a resident's experiences and preferences to eliminate or mitigate triggers that may cause re-traumatization of the resident. The findings include: 1. Review of the undated facility policy titled, Care Plan Completion, revealed, .After completing the MDS [Minimum Data Set] and CAA [Care Area Assessment] portions of the comprehensive assessment, the next step is to evaluate the information gained through both assessment processes to identify problems .patient's .problems, and needs . …
F699 citations in Tennessee
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F699 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F699 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 |
|---|---|---|
| 2023 | 0.33% | 1.46× |
| 2024 | 0.12% | 0.38× |
| 2025 | 0.12% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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