Based on medical record review and interview, the facility failed to ensure laboratory (lab) tests were obtained for 1 resident (Resident #20) of 5 residents reviewed for laboratory services. The findings include: Resident #33 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes Mellitus, Vitamin D Deficiency, and Hypothyroidism. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #20 had a Brief Interview for Mental Status (BIMS) score of 12 which indicated the resident had moderate cognitive impairment and had an active diagnosis of Diabetes Mellitus. Review of the comprehensive care plan revised 10/4/2023, showed Resident #20 had problems of Hypothyroidism and Diabetes with interventions to monitor lab work as ordered. …
F770 citations in Tennessee
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Tennessee cites F770 more often than its own record predicts
2.25 times the share F770 takes of citations nationally.
Of every deficiency written in Tennessee in 2023, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F770 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.
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