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Complaint Investigation

Holston Rehabilitation And Care Center

Inspection Date: November 17, 2025
Total Violations 9
Facility ID 445295
Location KINGSPORT, TN
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Inspection Findings

F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0602 during a complaint investigation conducted on 2025-11-17.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0644

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-11-17.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-17.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-17.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-11-17.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0814

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-11-17.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HOLSTON REHABILITATION AND CARE CENTER in KINGSPORT, TN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-17.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of HOLSTON REHABILITATION AND CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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