| 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) |
| J0000 | An unannounced recertification survey was initiated at the facility 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 and requests made. An opportunity for questions/comments was provided. An Exit Conference was held at the facility with the Administrator/Owner on 03/03/2026 at 2:00 PM. The Administrator/Owner was notified of preliminary findings of no deficiencies cited under FED - J -10.1. |