Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
JEFFERSON PARK AT WHITE PINE
WHITE PINE, TN · 30 certified beds · Last Life Safety survey May 28, 2026
CMS Certification Number 445542 · first certified October 2023
Ownership
Independently operated (no chain recorded by CMS) · Government - County
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within TN
5 citations — more than 27% 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
When is the next survey likely?
The window opens August 2027 — about 11 months from now. This facility’s last Life Safety survey was May 2026. 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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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 | 5 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 24, 2023 | 0 |
| May 28, 2026 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2026-05-28 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2026-05-28 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2026-05-28 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2026-05-28 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2026-05-28 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 2
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 28, 2026 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (June 30, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 30, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 30, 2026) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (June 30, 2026) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (June 30, 2026) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.