River Grove Health And Rehabilitation
Inspection Findings
F-Tag F0583
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, observations, and interviews the facility failed to maintain a safe, clean, homelike environment for 1 resident (Residents #28) on 1 of 5 hallways observed. The findings include: Review of the facility's policy titled, Safe and Homelike Environment, revised 5/2025, revealed .In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment . Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) the residents' rooms . A homelike environment is one that de-emphasizes the institutional character of the building .allows the resident to use personal belongings that support a homelike environment .determination of homelike should include the resident's opinion of the living environment .Housekeeping and maintenance services will be provided as necessary to maintain and sanitary, orderly and comfortable environment . Medical record review revealed Resident #28 was admitted to the facility on [DATE REDACTED] with diagnoses including Unspecified Focal Traumatic Brain Injury, Hemiplegia, Dysarthria (slurred slowed or distorted speech), Anarthira (inability to articulate speech despite cognitive abilities), Epilepsy, Mood Disorder with Depressive Features, and Anxiety. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED], revealed Resident #28 scored a 10 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident had moderate cognitive impairment. During an
observation and interview in Resident #28's room on 7/28/2025 at 11:00 AM, revealed one missing tile pulled from the floor lying to the right side of the resident's bed and one loose tile under the resident's bed.
Resident #28 shook his head no when asked if he recalled how long the floor tiles had been damaged.
Resident #28 shook his head yes when asked if he like to have them repaired. During an observation in Resident #28's room on 7/29/2025 at 1:00 PM, revealed one missing tile pulled from the floor lying to the right side of the resident's bed and one loose tile under the resident's bed. During an observation and
interview in Resident #28's room on 7/29/2025 at 3:00 PM, with the Administrator and Maintenance Director revealed one missing tile pulled from the floor lying to the right side of the resident's bed and one loose tile under the resident's bed. The Administrator and Maintenance Director confirmed Resident #28's room was not maintained in a safe, clean, homelike environment.
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:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
River Grove Health and Rehabilitation
1520 Grove St Box 190 Loudon, TN 37774
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0641
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0657
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0657 during a complaint investigation conducted on 2025-08-11.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0684
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-11.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0692
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-08-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0695
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-11.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0801
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0812
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, 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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0814
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0880
Federal health inspectors cited RIVER GROVE HEALTH AND REHABILITATION in LOUDON, TN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-11.
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 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 11 deficiencies cited during this inspection of RIVER GROVE HEALTH AND REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
RIVER GROVE HEALTH AND REHABILITATION in LOUDON, 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 LOUDON, 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 RIVER GROVE HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.