Based on review of job description, interview, facility investigation documentation review, facility staffing documentation review and employee record review, the facility failed to ensure full-time employees working as Nurse Aides (a noncertified Nurse Aide (NA) is an employee performing direct resident care without completing the certification and competency evaluation) were either in a State approved training and competency evaluation program or had recently successfully completed such a program for 11 NA employees (#1, #2, #3, #4, #6, #7, #8, #9, #10, #11, #12) of 11 NA hired by the facility. …
F728 citations in Tennessee
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Tennessee cites F728 more often than its own record predicts
2.20 times the share F728 takes of citations nationally.
Of every deficiency written in Tennessee in 2023, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F728 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's Nurse Aide Training (NAT) program, review of work schedules and interview, the facility failed to ensure 1 of 4 Nurse Aides (NA) #1 was removed from the working schedule and not allowed to perform the duties of a Certified Nursing Assistant (CNA) after 120 days of taking the NAT program. The findings include: Review of the facility's working schedule for the months of 8/2023 and 9/2023 showed NA #1 had worked as a NA and performed direct resident care. During an interview on 9/12/2023 at 10:22 AM, NA #1 stated he had worked at the facility for 5 months, continued to provide direct resident care, and took the certification test on 9/12/2023. …
What else Tennessee surveyors cite →
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