Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
DYERSBURG HEALTH AND REHABILITATION CENTER
DYERSBURG, TN · 123 certified beds · Last Life Safety survey December 11, 2025
CMS Certification Number 445497 · first certified November 2009
Ownership
Operated by CHAMPION CARE · For profit - Limited Liability company
- Ownership changed June 1, 2022 (change of ownership)from TN DYER OP LLC
Position within TN
23 citations — more than 94% 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
The latest survey found 0 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was December 2025. 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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Emergency preparedness
10 of the 23 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
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 23 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 23 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 22, 2020 | 22 |
| June 30, 2021 | 1 |
| December 11, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2020-01-22 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2021-06-30 |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 1 | 2020-01-22 |
| 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 | 2020-01-22 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2020-01-22 |
| K-0281 | Install proper backup exit lighting. | 1 | 2020-01-22 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2020-01-22 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2020-01-22 |
What the citations cover
- Emergency Preparedness Deficiencies 10
- Smoke Deficiencies 4
- Miscellaneous Deficiencies 3
- Egress Deficiencies 3
- Other 3
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
| Smoke Deficiencies | 4 |
| Miscellaneous Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 30, 2021 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 13, 2021) |
January 22, 2020 — 22 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (February 14, 2020) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (February 14, 2020) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (January 13, 2020) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (January 13, 2020) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (February 6, 2020) |
| 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 (February 11, 2020) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (February 19, 2020) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 18, 2020) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (February 12, 2020) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 11, 2020) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (February 10, 2020) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (February 3, 2020) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (February 19, 2020) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 19, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.