| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883826 | (X3) Date Survey Completed 03/03/2026 |
| Name of Provider or Supplier Decaturville Family Practice | Street Address, City, State 187 West Main Street, Decaturville, TN | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| E0000 | An unannounced Emergency Preparedness Survey was initiated at the facility in conjunction with a recertification survey on 03/03/2026 at 9:10 AM. An Entrance Conference was held with the Administrator/Owner on 03/03/2026 at 9:20 AM. The purpose of the survey was explained. Requests were made. An opportunity to ask questions/provide comments was provided. An Exit Conference was held with the Administrator/Owner at the facility on 03/03/2026 at 2:00 PM. The Administrator/Owner was notified of preliminary findings of deficiency under E0001 - Emergency Prepardness. |