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

WHITES CREEK WELLNESS AND REHABILITATION CENTER

WHITES CREEK, TN · 127 certified beds · Last Life Safety survey March 11, 2026

CMS Certification Number 445281 · first certified May 1992

Ownership

Operated by AHAVA HEALTHCARE · For profit - Corporation

  • Ownership changed June 1, 2019 (change of ownership)from WHITES CREEK HEALTHCARE, LLC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within TN

12 citations — more than 69% 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 June 2027 — about 8 months from now. This facility’s last Life Safety survey was March 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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Which alerts

Emergency preparedness

3 of the 12 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)

3 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 12 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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.

This facility12TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
122019-0302021-0702026-03
Citations at each Life Safety survey
Survey dateCitations
March 20, 201912
July 14, 20210
March 11, 20260

Most-cited tags

Most-cited tags at this facility
K-03451E-00411K-03211E-00391K-07411K-05111K-09231E-00311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12019-03-20
E-0041Implement emergency and standby power systems.12019-03-20
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12019-03-20
E-0039Conduct testing and exercise requirements.12019-03-20
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-03-20
K-0511Have properly installed electrical wiring and gas equipment.12019-03-20
K-0923Have proper medical gas storage and administration areas.12019-03-20
E-0031Provide emergency officials' contact information.12019-03-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1

Every citation on file

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

March 20, 2019 — 12 citations

Citations issued on March 20, 2019
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (April 27, 2019)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 27, 2019)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 27, 2019)
K-0321Ensure 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 (April 27, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 27, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 27, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 27, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 27, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 27, 2019)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 27, 2019)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 27, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 27, 2019)

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