Based on policy review, daily staffing records, medical record review, observation, and interview, the facility failed to ensure a sufficient number of licensed staff was available to provide care and services to all residents based on physician orders when there was no nurse to provide readmission assessments and services for 1 of 3 sampled residents (Resident #1) readmitted to the Crown Ventilation Unit on 4/4/2024 and failed to administer significant and other medications for 20 of 21 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #20, #22, #23, and #24 ) sampled residents reviewed on the Crown Unit. …
F725 citations in Tennessee
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F725 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F725 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 review of the Facility Assessment, review of Resident Census and Conditions of Residents Form Center for Medicare and Medicaid Services (CMS)-672, review of Job Descriptions, medical record review, observations, interviews, and review of staffing schedules and time punches, the facility failed to ensure sufficient staffing levels to meet Activities of Daily Living (ADL) care needs of 33 residents (#9, #10, #13, #14, #20, #22, #26, #28, #31, #36, #37, #40, #41, #1, #2, #5, #12, #15, #16, #17, #18, #19, #21, #23, #24, #25, #27, #30, #32, #33, #34, #38, and #39) of 64 residents reviewed for bathing. …
Based on facility policy review, Certified Nursing Assistant (CNA) in-service review, and interview, the facility failed to ensure 4 of 11 CNA's (CNA A, B, C, and D) received at least 12 hours of required in-service training annually. The findings include: 1. Review of the facility policy titled, Nurse Aide Training Program, with a revision date of 4/1/2026 revealed . Each nurse aide shall be provided at least 12 hours of in-service training annually, based on his/her employment date, not calendar year.The Staff Development Coordinator shall maintain documentation of training in his/her office during the current training year, and shall forward to the HR [Human Resources] Director at the completion of the training year to be maintained in the employee's personnel file. 2. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 0.62× |
| 2024 | 0.73% | 0.91× |
| 2025 | 0.35% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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