MT Pleasant Healthcare: RN Coverage Failures - TN
The facility has four registered nurses on staff. Four, for a building whose census exceeded 60 residents on at least one of the days in question.
The first two gaps showed up on February 15 and February 22. Inspectors reviewed staffing clock-in and clock-out records for both dates and found the same result each time: no RN coverage for eight consecutive hours. No explanation appears in the inspection report for either day.
March 6 added a detail that sharpened the problem. The Director of Nursing worked 8.5 hours that day. The facility's census was 64. And the Daily Nurse Staffing Form for that date showed no RNs scheduled at all. Under the facility's own policy, the Director of Nursing can serve as a charge nurse only when average daily occupancy is 60 or fewer residents. At 64, that option was unavailable. The shift went uncovered anyway.
When inspectors sat down with the Director of Nursing on the afternoon of March 20, she confirmed what the records already showed. She confirmed that RN coverage is required for eight consecutive hours every day. She confirmed that she cannot serve as charge nurse when occupancy exceeds 60. She confirmed the rule had been broken.
That confirmation is notable for what it wasn't. It wasn't a dispute over the facts. It wasn't a claim that the records were wrong or that coverage had existed in some form the clock punches didn't capture. The Director of Nursing agreed with the inspectors' findings.
The inspection classified the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. That classification reflects the lower end of the federal harm scale, not an absence of risk. A registered nurse carries clinical responsibilities that licensed practical nurses and certified nursing assistants do not. RNs assess changes in condition, manage complex medication situations, and make judgment calls that other staff are not licensed to make. When no RN is present for a full shift, those responsibilities don't disappear.
MT Pleasant Healthcare sits on Hidden Acres Drive in a small city in Maury County, about an hour south of Nashville. The facility did not receive an Immediate Jeopardy citation for these findings. The staffing deficiency stands as a standard citation in the inspection record.
What the report doesn't answer is how the gaps happened across three separate dates spanning more than three weeks. Whether the facility attempted to find RN coverage and couldn't, whether scheduling failures went unnoticed until after the fact, whether anyone flagged the March 6 staffing form before the shift began — none of that appears in the findings. The inspection captured what the records showed and what the Director of Nursing said. It stopped there.
Four registered nurses is a thin bench for a facility of this size. A single call-out, a resignation, a family emergency — any of those can collapse coverage when the margin is that narrow. The inspection report doesn't say whether any of those factors applied on February 15, February 22, or March 6. It says only that on each of those days, the required coverage wasn't there.
The Director of Nursing was in the building on March 6. She worked more than eight hours. The staffing form showed no RNs scheduled. Those facts sit alongside each other in the record without resolution.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mt Pleasant Healthcare and Rehabilitation from 2025-03-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 2, 2026 · Our methodology
MT PLEASANT HEALTHCARE AND REHABILITATION in MOUNT PLEASANT, TN was cited for violations during a health inspection on March 20, 2025.
The facility has four registered nurses on staff.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.