Deficiency Index

Riverview Post Acute

Ashland City, Tennessee · CCN 445316

10 surveys since 2009. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
88
Surveys
10
Harm or worse
5
Immediate jeopardy
4
The record, 2009–2026
’09’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
95
Ownership
For profit - Limited Liability company
Chain
Independent
County
Cheatham
Medicare-certified since
1993

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=8, floor 20).

Last survey on record

Jan 14, 2026

299 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.983.49
Registered-nurse hours per resident day0.28—
Annual nurse turnover53.2%52.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1184.6%E17.7%F17.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 88 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

In the surveyor’s words

From the most serious findings on record at Riverview Post Acute, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF887Jan 14, 2026

    Based on policy review, employee list review, and interview, the facility failed to offer COVID-19 vaccinations to employees after February 2025, which had the potential to affect 76 of 76 residents that were residing in the facility. The findings include: Review of the facility policy titled, Employee Immunization and Vaccination Status, dated January 2024, revealed .Employees are offered or provided with immunization/vaccinations per state or local agency policies/regulations. Review of the employee list dated 1/14/2026 revealed 45 employees were hired from 2/2025 to 1/14/2026. The facility was unable to provide documentation that employees hired from 2/2025 to 1/14/2026 were offered the COVID vaccine. […]

  • No harm, potential for more than minimal, patternF812Jun 16, 2021

    Based on policy review, observation and interview, 2 of 8 staff members (Certified Nursing Assistant (CNA) #1 and #2) failed to distribute and serve food in a sanitary manner during dining when they did not perform hand hygiene between serving residents and after touching contaminated surfaces. The findings include: Review of the facility's policy titled, Hand Hygiene Policy, revised 4/14/2020, revealed .Hand washing/hand hygiene is generally considered the most important single procedure for preventing healthcare-associated infections .If hands are not visibly soiled, use an alcohol-based hand rub . […]

  • No harm, potential for more than minimal, isolatedF582Jan 14, 2026

    Based on facility policy review, medical record review, and interview, the facility failed to provide Advance Beneficiary Notice of Medicare Non-Coverage for 3 of 3 (Resident #20, #82, and #83) sampled residents reviewed for Advanced Beneficiary Notice. The findings include: 1. Review of the facility policy titled, Medicare Advance Beneficiary and Medicare Non-Coverage Notices, dated 9/2024, revealed .A resident (who is a Medicare beneficiary) is informed in advance and in writing when Medicare payment denial or change in coverage is likely.Written notices of the likelihood of Medicare payment denial are provided to the resident/beneficiary.as soon as the facility makes the assessment that Medicare payment certainly or probably will not be made and before the item of service is… […]

  • No harm, potential for more than minimal, isolatedF759Jan 14, 2026

    Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 4 (Licensed Practical Nurse (LPN) B and LPN C) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 25 opportunities, resulting in a medication error rate of 8%. The findings include: 1. Review of facility policy titled, Medication Administration, .Residents shall receive medications according to safe standards of practice.Medications are prepared and administered according to the following: right medication, right dose, right time, right person, right route, right position, right texture and right documentation.Prior to administration, the medication and dosage schedule on the resident's MAR… […]

  • No harm, potential for more than minimal, isolatedF761Jan 14, 2026

    Based on facility policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 3 (Licensed Practical Nurse (LPN) B left a medication cart unsecured and unattended. The findings include: Review of the facility policy titled, Storage of Medications, dated 11/2020, revealed .The facility stores all drugs and biologicals in a safe, secure, and orderly manner.Drugs and biologicals used in the facility are stored in locked compartments.Only persons authorized to prepare and administer medications have access to locked medications.Compartment (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals are locked when not in use. […]

Read 21 findings in full →The most serious and the most recent: 21 of 88 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 14, 2026Standard4 findings
  • Jun 16, 2021Standard4 findings
  • May 21, 2019Standard5 findings
  • Aug 10, 2017Standard and complaint18 findings · 4 harm
  • Aug 17, 2016Standard and complaint9 findings
  • Jun 11, 2015Standard14 findings · 1 harm
  • Apr 1, 2014Standard14 findings
  • Apr 25, 2012—5 findings
Show the 2 earlier surveys
  • Feb 16, 2011—14 findings
  • Dec 8, 2009—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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