Wexford House
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, medical record review, review of facility investigation and interview, the facility failed to report an allegation of abuse to the State Survey Agency for 1 resident (Resident #1) of 5 residents reviewed for abuse. The findings include: Review of the facility's undated policy titled Abuse, Neglect, and Exploitation revealed .it is the policy of this facility to provide .procedures that prohibit and prevent abuse .Abuse .includes .mental abuse including abuse facilitated or enabled through the use of technology .The facility will designate an Abuse Coordinator in the facility who is responsible for reporting allegations or suspected abuse .to the state survey agency .The facility Abuse Coordinator will be the Administrator .
Review of the medical record revealed Resident #1 was admitted to the facility on [DATE REDACTED] with diagnoses including Lumbar Spina Bifida, Neuromuscular Dysfunction of Bladder, and Artificial Opening of Urinary Tract, the resident discharged to a hospital on [DATE REDACTED]. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #1's Brief Interview of Mental Status (BIMS) score was 14 indicating the resident was cognitively intact. The resident required assistance of one or more persons with activities of daily living (ADL's).Review of the facility's investigation revealed several statements dated 10/23/2025 revealed Certified Nurse Assistants (CNA's) B, C, D, and License Practical Nurse (LPN) A stated CNA E had photos of Resident #1's back/wounds on her phone, and she sent the photos to the ombudsman. A statement signed by Resident #1 revealed the resident did not give permission to CNA E to take any photos of her. Another statement signed by the Director of Nursing (DON) revealed Resident #1 stated to her .she took pictures without me knowing . Another statement by the Administrator revealed CNA E denied she had photos of the resident and .stated she did not ever use her phone in the facility . None of
the statements revealed anyone saw any photos of the resident on CNA E's or any other employee's phone.During an interview on 11/12/2025 at 8:40 AM, the Administrator stated .normally I do report to the state but this one I did not . During an interview by phone on 11/13/2025 at 10:15 AM, the Ombudsman stated .I have not received any pictures, and I have not talked to CNA E or anybody else about [Resident #1] .
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
WEXFORD HOUSE in KINGSPORT, TN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KINGSPORT, TN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WEXFORD HOUSE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.