| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883835 | (X3) Date Survey Completed 03/31/2026 |
| Name of Provider or Supplier Premier Family Care, Inc | Street Address, City, State 9458 Highway 100, Scotts Hill, 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) |
| J0160 | PROGRAM EVALUATION ยง491.11 Program evaluation. This CONDITION is not met as evidenced by: Based on review of Rural Health Clinic's (RHC) policy and interview, the RHC failed to perform a program evaluation, at least biennially. The findings included: 1.The Rural Health Clinic failed to complete or arrange for a biennial evaluation of the total program that included a review of policies and procedures and a sample review of active and closed clinical records. Refer to J-0161 2. The Rural Health Clinic failed to provide documentation of any action taken based on a completed biennial evaluation. Refer to J-0162 |