State Audit Finds Numerous Problems With Nursing Homes and Assisted Living Facilities.

A state audit by the Tennessee Comptrollers office shows Tennessee failed to investigate thousands of complaints filed against nursing homes and assisted living facilities within the federally required timeline, leaving some complaints sitting for more than five years.

A state audit by the Tennessee Comptrollers office shows Tennessee failed to investigate thousands of complaints filed against nursing homes and assisted living facilities within the federally required timeline, leaving some complaints sitting for more than five years. The audit found the Tennessee Health Facilities Commission missed the federal deadline for 5,534 of the 13,096 — or 42% — of complaints filed against nursing homes and assisted living facilities between July 1, 2022 and April 17, 2025. Investigations were delayed anywhere from three days to more than five years. Representatives of the Health Facilities Commission told lawmakers the problem started “day one,” when the agency took over complaint investigation duties from the Tennessee Department of Health in 2022 and inherited the existing, massive backlog of complaints. The problem grew worse a few months later when the federal government began allowing the public to file complaints, creating a massive influx of filings.

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