| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883828 | (X3) Date Survey Completed 11/25/2025 |
| Name of Provider or Supplier Anew Family Medical Pllc | Street Address, City, State 111 Front Street, Henderson, 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) |
| J0125 | PROVISION OF SERVICES 491.9(b) Patient care policies. (3) The policies include: (iii) Rules for the storage, handling, and administration of drugs and biologicals. This STANDARD is not met as evidenced by: Based on observations and interview, the Rural Health Clinic (RHC) failed to maintain drugs according to standards set by the manufacturer, as a drug or biological is outdated after its expiration date. The findings included: 1. Observations on 9/23/2025 at 2:00 PM revealed the following medications were found in the unlocked emergency box: Nitro-spray (used for chest pain) - expired 6/20/2024; Nitrotab (used for chest pain)- expired 2024; Epi- pen (used for allergic reaction)- expired 2/2023; Glucose (treat low blood sugar)- expired 8/2025; Bayer aspirin (used to slow blood from clotting)- expired 4/2024; Diazepam (treats anxiety)- expired 1/2023. 2. During an interview on 9/23/2025 at 2:00PM, the Office Manager verified that the medications were expired and should be removed from the emergency box. |