Based on review of facility contract, facility policy, medical record review, facility documentation and interviews, the facility failed to complete a thorough medication regimen review to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy received anticoagulation therapy for the diagnosis of Atrial Fibrillation and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to provide anticoagulation therapy resulting in Resident #5 not receiving anticoagulation therapy from 10/31/2023 - 12/5/2023. …
F756 citations in Tennessee
Drug regimen review · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F756 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F756.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F756 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, medical record review, and interviews, the facility's Pharmacy Consultant failed to conduct a thorough Medication Record Review (MRR) for 1 of 3 residents (Resident #2) reviewed. An anticoagulant medication was held, and was not resumed after a surgical procedure, which resulted in the resident suffering a Cerebrovascular Accident (CVA), causing irreversible Harm. The findings include: Review of the facility's policy titled, Resident Rights and Resident Responsibilities, revised 10/24/2022, revealed, .The resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility .The right to participate in the development and implementation of his or her person-centered… …
Based on interview and record review, the facility failed to update the medical record for 1 (Resident #2) of 5 sampled residents reviewed for medication regimen review after a nurse practitioner (NP) agreed with a pharmacy recommendation for a trial dose reduction. Findings included: An admission Record indicated the facility admitted Resident #2 on 10/20/2017. According to the admission Record, the resident had a medical history that included diagnoses of other recurrent depressive disorders, anxiety, and insomnia. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/23/2026, revealed Resident #2 had a Brief Interview for Mental Status (BIMS) score of 2, which indicated the resident had severe cognitive impairment. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 0.70× |
| 2024 | 0.61% | 0.75× |
| 2025 | 0.35% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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