F867 citations in Tennessee

Based on facility policy review, job description review, facility assessment review, Quality Assurance and Performance Improvement (QAPI) Plan review, QAPI Meeting Minutes review, facility documentation review, medical record review, observations, and interviews, the facility's QAPI program failed to ensure an effective, data-driven QAPI program that identified quality deficiencies, implement performance improvement activities to address quality concerns, and perform a root cause analysis related to infection control practices. …

Church Hill Post-Acute and Rehabilitation Center

Based on the review of the facility policy, review of facility documentation, and interview, the facility failed to take action aimed at performance improvement, to measure the success of the intervention, and track performance to ensure improvements after identifying insufficient staffing needs in the facility. The facility failed to identify care needs had not been provided including showers and baths, incontinence care, and cleanliness for 33 dependent residents (#9, #10, #13, #14, #20, #22, #26, #28, #31, #36, #37, #40, #41, #1, #2, #5, #12, #15, #16, #17, #18, #19, #21, #23, #24, #25, #27, #30, #32, #33, #34, #38, and #39) of 64 residents reviewed for care needs. …

Orchardview Post-Acute and Rehabilitation Center

Based on facility policy review, Plan of Correction (POC) review, and interview, the facility failed to monitor the availability of medical records to residents' medical records for 5 of 5 (Resident #55, #74, #75, #76, and #77) sampled residents reviewed for medical records prior to 6/18/2024, per the facility's POC, and failed to ensure ongoing compliance following the abbreviated survey conducted by the State Survey Agency (SSA) on 10/13/2025 through 10/15/2025, and the revisit conducted on 11/24/2025. The findings include: 1. …

Waynesboro Post Acute & Rehabilitation