Based on observation and interview, the facility failed to maintain a safe environment when the handrails in the hallway were loose and not secured to the wall for 1 of 5 hallways (Rehabilitation Hallway). The findings include: Observation on the Rehabilitation Hallway on 12/6/2021 at 10:37 AM and on 12/7/2021 at 10:23 AM and 2:31 PM, revealed the handrail between Room #14 and 15 had plastic pieces protruding from the wall with sharp edges and the handrail between Room #11 and 12 was hanging off the wall with the screws and sheet rock visible. During an interview on 12/7/2021 at 3:00 PM, the Director of Nursing (DON) confirmed the handrails should not be hanging loose from the wall and should not have sharp plastic pieces coming from the wall. …
F924 citations in Tennessee
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F924 citations were recorded in Tennessee for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Tennessee surveyors wrote
F924 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.
D · No harm, potential for more than minimal, isolatedDecember 9, 2021
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