Based on observation and interview the facility failed to properly store medical supplies in 1 of 2 medication rooms observed for proper storage. The findings include: During an observation on [DATE] at 1:25 PM, in the main nurse's station medication storage room revealed approximately 80 of the 1 milliliter (ml) needleless syringes (a medical device designed to measure and deliver or withdraw liquids) with an expiration date of [DATE]. During an interview on [DATE] at 1:29 PM, the Director of Nursing (DON) confirmed the 1 mL syringes were expired and available for resident use.
F761 citations in Tennessee
Drug labeling and storage · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F761 more often than its own record predicts
1.86 times the share F761 takes of citations nationally.
Of every deficiency written in Tennessee in 2025, this is the portion that was F761.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F761 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 | 2.97% | 0.94× |
| 2024 | 3.90% | 1.27× |
| 2025 | 5.98% | 1.86× |
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