Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
DONALSON CARE CENTER
FAYETTEVILLE, TN · 168 certified beds · Last Life Safety survey March 12, 2025
CMS Certification Number 445173 · first certified April 1985
Ownership
Operated by HUNTSVILLE HOSPITAL HEALTH SYSTEM · Non profit - Corporation
- Ownership changed July 1, 2022 (change of ownership)from LINCOLN CARE
Position within TN
14 citations — more than 77% 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 12 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: June 2026 to November 2028. This facility’s last Life Safety survey was March 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 14 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)
5 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 14 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
- 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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 | 14 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 15, 2019 | 2 |
| June 30, 2021 | 0 |
| March 12, 2025 | 12 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0030 | List the names and contact information of those in the facility. | 1 | 2025-03-12 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2025-03-12 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-03-12 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2025-03-12 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2025-03-12 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2025-03-12 |
| E-0031 | Provide emergency officials' contact information. | 1 | 2025-03-12 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2025-03-12 |
What the citations cover
- Emergency Preparedness Deficiencies 10
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Egress Deficiencies 1
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 12, 2025 — 12 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (April 26, 2025) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (April 26, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (April 26, 2025) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (April 26, 2025) |
July 15, 2019 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (July 8, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 28, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.