Based on review of facility policy, medical record review, facility documentation, observations, and interviews, the facility failed to provide a complete and accurate record of Resident #10's medication administration. The facility's medication nurses failed to ensure Resident #10 swallowed all medications when administered. This failure resulted in Resident #10's Medication Administration Record (MAR) documenting medications administered that were not taken by Resident #10 and subsequently hoarded by the resident. …
F842 citations in Tennessee
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F842 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F842 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 failed to document insulin as administered for 1 resident (Resident #11) of 3 residents reviewed for insulin administration documentation. The findings include:Review of the facility's undated policy Medication Administration Guidelines, revealed .Medications are administered by licensed nurses .as ordered by the physician and in accordance with professional standards of practice .Ensure that the six rights of medication administration are followed .Right documentation .Administer medication as ordered .Sign MAR [Medication Administration Record] after administered .Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including… …
Based on review of facility policies, medical record reviews, observations, and interviews, the facility failed to store medical record documents designated for destruction in secure containers to prevent unauthorized access or use, for 3 Residents, (Residents #1, #2 and #3) of 3 residents reviewed for privacy, on 2 of 2 units. The findings included: Review of the facility policy, Retention of Records, revised 2006, revealed .inactive records .will be destroyed Review of the facility policy Protected Health Information (PHI), Management and Protection, revised (MONTH) 2014, revealed .it is the responsibility of all personnel who have access to resident and facility information .to ensure .information is managed and protected .to prevent unauthorized .disclosure . …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 1.82% | 1.12× |
| 2024 | 2.31% | 1.23× |
| 2025 | 2.19% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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