River Grove Health and Rehabilitation: Respiratory Care Failure - TN
The inspection was a complaint visit, meaning someone had already raised a concern before inspectors walked through the door on August 11. What they documented under the respiratory care citation was classified as an isolated incident, no actual harm recorded, but with potential for more than minimal harm. In a nursing home, that phrase carries weight. Residents who depend on respiratory support, whether oxygen, a nebulizer, a ventilator, or careful airway management, often have no margin for error. A missed treatment, a malfunctioning device, an overlooked change in breathing, any of those can move fast.
The inspection report does not name the resident. It does not describe what kind of respiratory care was at issue, or how long the lapse continued before someone noticed. What the record shows is that inspectors found something wrong, wrote it up, and the facility acknowledged the finding.
River Grove reported a correction date of August 29, 18 days after inspectors cited the deficiency. Whether that correction addressed a broken piece of equipment, a gap in staff training, a missed treatment order, or something else entirely, the report does not say.
The respiratory citation was one of 11 deficiencies inspectors recorded during the visit. The report does not detail the other ten. What that number signals, in a complaint inspection, is that inspectors who came in looking at one concern found a facility with problems spread across multiple areas of care.
Eleven deficiencies in a single complaint inspection is not a minor administrative record. Complaint inspections are triggered by specific allegations, and inspectors who arrive for that purpose are not conducting a routine sweep. Finding 11 separate problems in that context means the facility's issues extended well past whatever originally prompted the complaint.
River Grove Health and Rehabilitation sits in Loudon, a small city in eastern Tennessee. The facility serves residents who, by the nature of long-term and rehabilitative care, often cannot advocate loudly for themselves when something goes wrong. Respiratory care failures are among the more serious gaps that can occur quietly, a resident struggling to breathe efficiently while staff attend to other demands, a treatment skipped during a busy shift, equipment that should have been checked and wasn't.
The regulatory tag cited, F0695, covers the obligation to provide safe and appropriate respiratory care when a resident needs it. That a facility serving people with respiratory needs would be cited under that tag during a complaint inspection, and that the inspection would surface ten additional deficiencies alongside it, raises questions the report alone cannot answer.
What family members of residents at River Grove should know is that a complaint was filed, inspectors came, and they found the facility falling short in more than a dozen ways. The respiratory care finding, even without documented harm, describes a gap in something a resident depended on.
The facility says it fixed the problem by August 29. Inspectors will determine whether that holds.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for River Grove Health and Rehabilitation from 2025-08-11 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.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 25, 2026 · Our methodology
RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN was cited for violations during a health inspection on August 11, 2025.
The inspection was a complaint visit, meaning someone had already raised a concern before inspectors walked through the door on August 11.
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.