Based on review of staff job descriptions, review of facility policy, medical record review, review of facility documentation, review of staffing schedules, review of staff time punches, and interview, the facility failed to employ a Registered Nurse (RN) acting as the Director of Nursing (DON) for 18 of 52 weeks and failed to provide RN coverage for 8 consecutive hours, 7 days per week in the facility for 4 of 30 days. The failure of the facility to provide an RN as a DON from 9/1/2021-2/18/2022 resulted in a failure to identify and implement interventions to prevent a severe weight loss for Resident #30, who experienced a significant weight loss of 11.4% in 90 days on 12/2/2021, and then went on to have a severe weight loss of 41.3 lbs. (20.6%) in 5 months. …
F727 citations in Tennessee
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F727 more often than its own record predicts
1.88 times the share F727 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F727 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 facility policy review, facility working schedule review, facility time punches and interview, the facility failed to ensure there was Registered Nurse (RN) coverage for 8 consecutive hours, 7 days a week, for 15 days out of 54 days ranging from 6/1/2026 through 7/24/2026. The census was 32. The findings include: Review of the facility policy revised 2025, Nursing Services-Registered Nurse (RN), revealed It is the intent of the facility to comply with Registered Nurse staffing requirements.The facility will utilize the services of a Registered Nurse for at least 8 consecutive hours per day.The facility will designate a Registered Nurse to serve as a Director of Nursing on a full-time basis. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 0.97× |
| 2024 | 0.49% | 0.91× |
| 2025 | 0.81% | 1.88× |
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