All citations for Holston Health & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Holston Health & Rehabilitation

Last standard health inspection on record

May 7, 2025

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    A waiver was granted (December 30, 2022).

  2. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    A waiver was granted (December 30, 2022).

  3. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2023).

  4. No harm, with potential for more than minimal harm

    Provide rooms that can be unlocked from inside without a key.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0221, Egress Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

  5. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

  6. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

  9. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

  10. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    A waiver was granted (December 30, 2022).

  11. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

  12. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

  13. No harm, with potential for more than minimal harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0839, Administration Deficiencies. Inspection of May 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2022).

  15. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2022).

  16. No harm, with potential for more than minimal harm

    Perform COVID19 testing on residents and staff.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0886, Infection Control Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2022).

  17. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.