| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883844 | (X3) Date Survey Completed 04/01/2026 |
| Name of Provider or Supplier Wtpc, Llc | Street Address, City, State 541 West Park. Place, 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) |
| J0011 | COMPLIANCE WITH FED., STATE & LOCAL LAWS Standard-level Tag 491.4 Compliance with Federal, State and local laws The rural health clinic . . . and its staff are in compliance with applicable Federal, State and local laws and regulations. This STANDARD is not met as evidenced by: Based interview, the RHC failed to ensure 6 out of 12 (Advanced Practice Registered Nurse (APRN) #1, #2 and #4; Master Social Worker (MSW) #1 and #2; Medical Assistant (MA) #5) patient care personnel were not in compliance with applicable Federal, State and local laws and regulations. The findings included: During an interview on 4/1/2026 at 1:45 PM, the Practice Administrator stated there was no documentation available review showing updated cardiopulmonary resuscitation (CPR) certification for APRN #1, APRN #2, APRN #4, MSW #1, MSW #2, and MA #5. |