Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in Tennessee. Pick another state for the same tag.
Against expectation — 2024
Tennessee cites F837 more often than its own record predicts
Versus expected share6.68×
6.68 times the share F837 takes of citations nationally.
Share of Tennessee citations0.61%
Of every deficiency written in Tennessee in 2024, this is the portion that was F837.
Tennessee0.61%
National0.09%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F837 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.
L · Immediate jeopardy, widespreadNovember 18, 2024
Based on facility policy review, review of the Centers for Disease Control and Prevention (CDC) recommendations and guidance, job description review, facility assessment review, and interviews, the Governing Body failed to provide oversight to Administration to ensure current CDC guidelines were utilized to prevent and control the spread of COVID-19 to the residents and employees. The Governing Body failed to provide oversight to Administration to ensure the staff were competent and knowledgeable on Enhanced Barrier Precautions (EBP) and COVID-19 isolation practices which included use of appropriate Personal Protective Equipment (PPE) for potentially contagious residents. …
D · No harm, potential for more than minimal, isolatedJanuary 20, 2026
Based on facility policy review, Board of Examiners of Nursing Home Administrators (BENHA) review, Governing Board/Body Meeting minutes review, Certified Public Accounting (CPA) Firm documentation review, and facility email review, the Governing Board/Body failed to provide oversight and implement appropriate checks and balances to prevent financial mismanagement of the payroll system and the facility bank account into which payments, including Medicare, Medicaid, insurance, and private payments from residents were deposited. The Governing Board/Body failed to appoint an Administrator who was held accountable to responsibly manage the facility and the payroll system and communicate all aspects of the facility's financial operations to the Governing Board/Body. …
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