Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

RAINBOW REHAB AND HEALTHCARE

BARTLETT, TN · 115 certified beds · Last Life Safety survey June 30, 2022

CMS Certification Number 445283 · first certified April 1992

Ownership

Operated by PRESTIGE ADMINISTRATIVE SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TN

8 citations — more than 50% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (September 2023 to March 2026). Most TN facilities have been surveyed by May 2027. This facility’s last Life Safety survey was June 2022. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	8
Median facility in TN	8
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 31, 2018	1
September 26, 2019	4
June 30, 2022	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2022-06-30
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2019-09-26
K-0923	Have proper medical gas storage and administration areas.	1	2022-06-30
K-0351	Install an approved automatic sprinkler system.	1	2019-09-26
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2022-06-30
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	1	2019-09-26

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 30, 2022 — 3 citations

Citations issued on June 30, 2022
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 22, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 22, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (July 22, 2022)

September 26, 2019 — 4 citations

Citations issued on September 26, 2019
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 8, 2019)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (November 8, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 8, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 8, 2019)

October 31, 2018 — 1 citation

Citations issued on October 31, 2018
Tag	What the surveyor checks	Status
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 27, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.