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JEFFERSON PARK AT WHITE PINE Inspection Report, Violations & Safety Grade (WHITE PINE, Tennessee)

407 LAURA LEE DR, WHITE PINE, Tennessee 37890

Phone: 8653274100

CMS Overall:4/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
29.1
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Jefferson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.470.60-0.13
Total Nurse Hours per Resident per Day5.663.82+1.84
CMS Staffing Rating4/52.5/5-
Nursing Staff Turnover41.5%48.6%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2026-05-28Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2026-05-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-05-28Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.C – Minimal Harm Potential
2026-05-28Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.B – Minimal Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-28Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2026-05-28Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-05-28Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-05-28Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2026-05-28Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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