Deficiency Index

West Tennessee Post Acute

Jackson, Tennessee · CCN 445187

11 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
32
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/11

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

The facility

Certified beds
75
Ownership
For profit - Corporation
Chain
LINKS HEALTHCARE GROUP
County
Madison
Medicare-certified since
1986

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Jun 17, 2026

145 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 day4.923.49
Registered-nurse hours per resident day0.83—
Annual nurse turnover51.9%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 minimalD1482.4%E317.6%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 32 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F7613×

    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.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

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

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF812May 7, 2025

    Based on facility policy review, observations, and interviews the facility failed to ensure personal resident food items were labeled and dated for 2 of 2 nutrition rooms reviewed for proper food storage. The findings include: 1. Review of the facility policy titled, Foods Brought by Family/Visitors, dated 3/2022, revealed .Containers are labeled with the resident's name and date . 2. Observation in the 200-hall nutrition room on 5/7/2025 at 10:40 AM, revealed a sign on the refrigerator stating, .Please make sure all items in refrigerator and freezer Have the name, Room number, and date . The following items were found in the nutrition refrigerator unlabeled and undated: a. 1 opened 8 ounce (oz) bag of cheddar shredded cheese. b. 1 opened 24 oz bottle of chocolate syrup. c. […]

  • No harm, potential for more than minimal, patternF812Jul 13, 2023

    Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by opened, unlabeled, and undated food in the kitchen on a metal shelf, in the walk-in refrigerator, in the walk-in freezer, and in the dry storage room and when 1 of 24 staff members (Certified Nurse Assistant (CNA) #1) failed to perform hand hygiene during dining. The facility had a census of 58, with 56 of those residents receiving a tray from the kitchen. The findings include: 1. Review of the facility's policy titled, .Dietary: Food Storage ., dated [DATE], revealed .Food shall be stored in accordance with professional standards for food safety .Fresh fruits and vegetables are refrigerated . […]

  • No harm, potential for more than minimal, patternF880Jul 13, 2023

    Based on policy review, observation, and interview the facility failed to ensure practices to prevent the potential spread of infection were maintained when 3 of 6 nurses (Licensed Practical Nurse (LPN#1) failed to clean reusable equipment before and after use and LPN #2 failed to maintain infection prevention and control procedures to prevent the spread of transmission of communicable diseases and infections when LPN #2 failed to ensure eye drops were not contaminated The findings include: 1. […]

  • No harm, potential for more than minimal, isolatedF550Jun 17, 2026

    Based on facility policy review, medical record review, observation, and interview, the facility failed to promote and ensure residents were treated with dignity and respect for 2 of 54 (Resident #25 and #33) sampled residents reviewed for resident rights. The findings include: 1. Review of the facility policy titled, Resident Rights, dated February 2021, revealed .Employees shall treat all residents with kindness, respect, and dignity .Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to .a dignified existence .be treated with respect, kindness, and dignity .privacy . 2. […]

  • No harm, potential for more than minimal, isolatedF684Jun 17, 2026

    Based on facility policy review, medical record review, and interview, the facility failed to follow physician's orders to meet professional standards of practice for 2 of 6 (Residents #18 and #53) sampled residents and the facility failed to revise the care plan for 1 of 6 (Resident #53) sampled residents reviewed for unnecessary medications. The findings include: 1. Review of the facility policy titled, Administering Medications, dated April 2019, revealed .Medications are administered in a safe and timely, manner and as prescribed .Staffing schedules are arranged to ensure that medications are administered without unnecessary interruptions .The following information is checked/verified .Vital signs, if necessary .The individual administering the medication initials the residents MAR… […]

Read 20 findings in full →The most serious and the most recent: 20 of 32 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 17, 2026Standard3 findings
  • May 7, 2025Standard7 findings
  • Jun 20, 2024Standard2 findings
  • Jul 13, 2023Standard5 findings
  • Jan 24, 2020Standard1 finding
  • Mar 13, 2019Standard3 findings
  • Nov 22, 2016Complaint1 finding
  • Jan 6, 2016Standard1 finding
Show the 3 earlier surveys
  • Dec 17, 2014Standard2 findings
  • Jul 18, 2013—5 findings
  • Jun 28, 2011—2 findings

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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