Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495349

Holston Health And Rehabilitation

68 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $111,911.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
68
Total citations
47
Last 3 years
2
Actual harm+
1
Federal penalties
$111,911
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care17 Care Planning13 Resident Rights11 Medication & Pharmacy11 Administration6

Most common F-tags at this facility

F5803 F6573 F6953 F8423 F8803

Citation history

68 on record
SurveyF-TagViolationSeveritySource
May 7, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
May 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint
May 7, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
May 7, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
May 7, 2025F880Provide and implement an infection prevention and control program.DStandard
May 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 7, 2025F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DStandard
May 7, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
May 7, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
May 7, 2025F761Ensure 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.DStandard
May 7, 2025F760Ensure that residents are free from significant medication errors.DStandard
May 7, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 7, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard
May 7, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
May 7, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
May 7, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
May 7, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 7, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
May 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 7, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 7, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
May 7, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 7, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
May 7, 2025F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
May 7, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 7, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 7, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
May 7, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
May 7, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Feb 2, 2024F908Keep all essential equipment working safely.DComplaint
Feb 2, 2024F880Provide and implement an infection prevention and control program.DComplaint
Feb 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 2, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Feb 2, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Feb 2, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.FComplaint
Feb 2, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Feb 2, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Feb 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 2, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 2, 2024F637Assess the resident when there is a significant change in conditionDComplaint
Feb 2, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 12, 2022F886Perform COVID19 testing on residents and staff.DStandard
May 12, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 12, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 7, 2019F880Provide and implement an infection prevention and control program.DStandard
Jun 7, 2019F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jun 7, 2019F761Ensure 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.EStandard
Jun 7, 2019F760Ensure that residents are free from significant medication errors.DStandard
Jun 7, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 7, 2019F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jun 7, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 7, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 7, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 7, 2019F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jun 7, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 7, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 7, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 7, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 7, 2019F641Ensure each resident receives an accurate assessment.DStandard
Jun 7, 2019F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Jun 7, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 7, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $111,911 .

DateTypeFinePayment denial
May 7, 2025Fine$111,911—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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