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Nhc Healthcare, Athens

1204 Frye St, Athens, TN 37303 · For profit - Limited Liability company · 86 certified beds · (423) 745-0434 Medicare & Medicaid certified

Call the home — (423) 745-0434 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 8 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no harm-level citations in the current inspection record
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
719 Cook Dr · (423) 745-2344 · Call to confirm hours
Pharmacy
1001 W Madison Ave · (423) 746-2626 · Call to confirm hours
Grocery
Athens0.5 mi
917 Decatur Pike
Park
414 Cook Dr · (423) 744-2704 · Typically dawn to dusk
Place of worship
803 Clark St

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased32.3%14.0%15.4%worse
Long-stay residents who lose too much weight7.1%6.1%5.4%worse
Long-stay residents with a catheter left in their bladder1.2%0.7%0.9%worse
Long-stay residents with a urinary tract infection0.5%1.8%2.0%better
Long-stay residents with depressive symptoms13.2%13.8%6.5%typical for the state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.9%3.4%3.3%better
Long-stay residents whose ability to walk worsened28.5%17.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication37.3%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine96.6%94.5%95.3%typical
Long-stay residents with pressure ulcers2.3%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control18.2%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.2%16.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.6%1.7%1.4%worse
Short-stay residents given the seasonal flu vaccine90.5%79.8%79.4%better
Short-stay residents rehospitalized after admission16.2%22.6%22.6%better
Short-stay residents with an outpatient ER visit14.0%11.2%12.0%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 109 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.0%U.S. median 51.5%
Got home and stayed home
9.3%U.S. median 10.7%
Went back to hospital
80.0%U.S. median 56.6%
Met the expected recovery
0.73U.S. median 0.31
Therapy hours / resident / day
0.38hours / resident / day
Physical therapy
0.29hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 80.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 45 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.73 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.0%CMS range 53.1–66.451.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.3%CMS range 6.8–14.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge80.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge84.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge77.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting85.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.8%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 4.2–14.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.141.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.56
RN hours/ resident / day
1.28
LPN hours/ resident / day
2.23
Aide hours/ resident / day
4.07
Total nurse hours/ resident / day
0.32
RN hoursweekends
50.8%
Total nursing turnover
11.1%
RN turnover

How full it usually is: this home is certified for 86 beds and averages 67.0 residents a day — about 78% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.50 hrs/resident/day on weekends vs 4.30 on weekdays — 19% thinner on weekends. RN hours go from 0.66 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

1
deficiencies at the latest standard inspection (2026-06-10)
6
at the previous standard inspection (2023-08-24)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

  • Potential for harm · D2026-06-10 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to properly store medications and medical supplies in 1 of 2 medication carts observed for medication storage. The findings include: Review of the facility's policy titled, Medication Storage in the Facility, dated 2/25/2025, revealed .Medications and biologicals are stored safely, securely, and properly .Drugs dispensed in the manufacturer's original container will expire upon manufacturer's expiration date .All expired medications will be removed from the active supply . Review of the medical record revealed Resident #49 was admitted to the facility on [DATE] with diagnoses including Essential Hypertension, Gastro-Esophageal Reflux Disease, and Low Back Pain. Review of the Physician's Orders for Resident #49, revealed .Start Date .03/31/2025 .ondansetron [medication used to treat nausea] .4 mg [milligrams] .1 tab .for nausea/vomiting Every 6 Hours- PRN [as needed] .Review of the Medication Administration…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 1 resident (#24) of 24 residents reviewed for dignity. The findings include: Review of the facility's policy titled, PATIENTS RIGHTS, revised on 6/2006, showed .The resident has a right to a dignified existence .A facility must protect and promote the rights of each resident, including .Privacy and confidentiality .A center must promote the exercise of rights for each patient . Review of an undated document provided by the facility titled, Confidentiality Statement, showed .The care of a patient is always personal in nature, and therefore any protected health information about his/her condition, treatment or personal data is absolutely confidential .The information in a patient's medical record is confidential and cannot be disclosed without the patient's knowledge and consent .The confidentiality of patient protected health information .MUST be maintained .…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) timely after a new mental health diagnosis for 2 residents (Residents #1 and #54) of 5 residents reviewed for PASRR. The findings include: Record review revealed Resident #1 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder and Anxiety Disorder. Record review of the most recent PASARR Level 1 assessment dated [DATE], revealed Resident #1 had mental health diagnoses of Major Depression, Anxiety Disorder and Mood Disorder. Record review revealed Resident #1 received new diagnoses of Post-traumatic Stress Disorder (PTSD) on 1/4/2023 and Delusion Disorders on 1/24/2023. Record review revealed no new Level II PASARR had been submitted to include the new diagnoses of PTSD and Delusion Disorders with anti-psychotic medication use initiated on 2/21/2023. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #1 had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to revise the Comprehensive Care Plan to include hospice services for 1 resident (#18) of 3 residents reviewed for hospice. The findings include: Review of the facility's policy titled, PATIENT ASSESSMENT AND CARE PLANNING, revised on 11/1/2013, showed .The Federally mandated Minimum Data Set .is the basis for the assessment component of the Comprehensive Patient Care System .The assessment information is used to develop the patient's care plan . Resident #18 was admitted to the facility on [DATE] with diagnoses including Hypertensive heart and chronic kidney disease with heart failure, Adult Failure to Thrive, Anorexia, Paroxysmal Atrial Fibrillation, Dysarthria following cerebral infarction, and Dysphagia. Review of the facility's policy titled, PATIENT CARE POLICIES, dated 2023, showed .Patients are assessed initially and at regular intervals using a Federal/State specified, standardized, comprehensive resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility contract review, facility policy review, medical record review, and interview, the facility failed to ensure a coordinated plan of care with the hospice provider was available in the medical record for 1 resident (#18) of 3 residents reviewed for hospice. The findings include: Review of the facility's hospice contract with Resident #18's hospice provider dated 7/24/2008, showed .Plan of Care .the Skilled Nursing Facility shall provide services in accordance with the Hospice plan of care . Resident #18 was admitted to the facility on [DATE] with diagnoses including Hypertensive Heart and Chronic Kidney Disease with Heart Failure, Adult Failure to Thrive, Anorexia, Paroxysmal Atrial Fibrillation, Dysarthria following cerebral infarction, and Dysphagia. Review of the facility's policy titled, PATIENT CARE POLICIES, dated 2023, showed .HOSPICE SERVICES .Physicians may request consultation for hospice care services .When a patient elects hospice services, the hospice will guide the plan of care in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility documentation review and interview the facility failed to ensure that all required members attended the quality assessment and assurance committee (QAA) meetings on a quarterly basis. The findings include: Review of the facility policy titled, QAPI [quality assessment and performance improvement] PLAN undated, showed, .will strive to meet the following goals based on our purpose, guiding principles and scope for QAPI .will strive to meet or exceed the clinical outcome goals. Priority will be set for those goals that are considered high-risk, high-volume or problem-prone areas .Governance and Leadership .Accountability for QAPI .Ultimately the Administrator (ADM) and Director of Nursing (DON) are accountable for the success or failure of the program .The DON .will be the QAPI champion. This champion will be accountable for all nursing QAPI activities .Department Managers will be educated on the QAPI Plan and expectations . Review of QAPI meeting sign-in sheets from 7/27/2022 -7/26/2023, showed the DON was absent from 5 of the 13 meetings. Of the 5 QAPI meeting…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observation, and interview the facility failed to ensure appropriate personal protective equipment (PPE) was worn while providing care for a COVID-19 (an infectious disease caused by the SARS-CoV-2 virus) positive resident. The findings include: Review of the facility policy titled, Infection Control Manual Volume 1 dated 6/2023 showed, .Core Principles of COVID-19 Infection Prevention .Centers should provide guidance (e.g., posted signs at entrances about recommended actions .Hand hygiene .Face covering or mask .in accordance with CDC [Center for Disease Control] guidance .Post visual alerts in strategic places .alerts should include instructions about current .recommendations . when to use source control .Appropriate staff use of Personal Protective Equipment .Droplet Precautions .In addition to Standard precautions, use Droplet precautions for a patient known or suspected to be infected with microorganisms transmitted by droplets .PPE .Facemasks should be used upon entry into the patient room .Based upon pathogen or clinical syndrome, there is a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-11-20 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to ensure 1 resident (#11) received routine dental services of 18 residents sampled. The findings include: Review of the facility's policy Dental Services, undated, revealed .To ensure patients are receiving the care and services necessary for proper denture and dental health .Build accountability into each process to ensure effectiveness .Establish process for communication of dental needs .of patients .Ensure all partners are aware of process for communication of dental needs . Medical record review revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including Atrial Fibrillation, Muscle Weakness, Anxiety Disorder, and Anemia. Medical record review of the Quarterly Minimum Data Set, dated [DATE] revealed a Brief Interview for Mental Status score of 15, indicating the resident was cognitively intact. Medical record review of the care plan dated 9/3/19 revealed .risk of altered nutrition status…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NATIONAL HEALTHCARE CORPORATION — 69 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 54.0+1.0 vs chain
Health inspection 5 of 53.5+1.5 vs chain
Staffing 4 of 53.5+0.5 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 68 homes this chain runs (chain average 4.0★, per CMS)
1 of 5NHC Healthcare - MauldinGreenville, SC 2 of 5NHC Healthcare - CharlestonCharleston, SC 2 of 5NHC Healthcare, GlasgowGlasgow, KY 2 of 5Nhc Healthcare RossvilleRossville, GA 2 of 5Nhc Healthcare, AnnistonAnniston, AL 2 of 5Nhc Healthcare, FranklinFranklin, TN 2 of 5Nhc Healthcare, JoplinJoplin, MO 2 of 5Nhc Healthcare, SpringfieldSpringfield, TN 2 of 5Osage Beach Rehabilitation And Health Care CenterOsage Beach, MO 2 of 5White Oak Manor-ShelbyShelby, NC 3 of 5Adamsplace, LLCMurfreesboro, TN 3 of 5NHC Healthcare - GreenwoodGreenwood, SC 3 of 5Nhc Healthcare, Ft SandersKnoxville, TN 3 of 5Nhc Healthcare, HendersonvilleHendersonville, TN 3 of 5Nhc Healthcare, KnoxvilleKnoxville, TN 3 of 5Nhc Healthcare, LewisburgLewisburg, TN 3 of 5Nhc Healthcare, PulaskiPulaski, TN 3 of 5Nhc Healthcare, SmithvilleSmithville, TN 3 of 5Nhc Healthcare, SpartaSparta, TN 3 of 5Nhc Healthcare, TullahomaTullahoma, TN 3 of 5The Health Center At Richland PlaceNashville, TN 3 of 5The MeadowsNashville, TN 3 of 5White Oak Manor - YorkYork, SC 4 of 5NHC HealthCare - North AugustaNorth Augusta, SC 4 of 5NHC Healthcare - BlufftonOkatie, SC 4 of 5NHC Healthcare - Garden CityGarden City, SC 4 of 5NHC Healthcare - LexingtonWest Columbia, SC 4 of 5Nhc Healthcare, ChattanoogaChattanooga, TN 4 of 5Nhc Healthcare, ColumbiaColumbia, TN 4 of 5Nhc Healthcare, DeslogeDesloge, MO 4 of 5Nhc Healthcare, Maryland HeightsMaryland Heights, MO 4 of 5Nhc Healthcare, MilanMilan, TN 4 of 5Nhc Healthcare, Oak RidgeOak Ridge, TN 4 of 5Nhc Healthcare, OakwoodLewisburg, TN 4 of 5Nhc Healthcare, St CharlesSaint Charles, MO 4 of 5Nhc Place At Cool SpringsFranklin, TN 4 of 5White Oak Manor - CharlestonCharleston, SC 4 of 5White Oak Manor - SpartanburgSpartanburg, SC 5 of 5HeartlandNashville, TN 5 of 5Holston Health & Rehabilitation CenterKnoxville, TN

Showing 40 of 68; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Investor-owned

CMS ownership filings flag an owner of this facility as an investment firm. That’s a fact worth knowing about who ultimately profits from the home. Read the inspection and staffing record above on its own merits.

  • MORGAN STANLEY — investment firm · 5.40% share · 5% Or Greater Indirect Ownership Interest
  • VANGUARD GROUP INC — investment firm · 9.09% share · 5% Or Greater Indirect Ownership Interest

Source: CMS SNF ownership filings (PECOS). These flags are self-reported and undercount — federal auditors (GAO) and researchers find CMS captures only a fraction of true private-equity and REIT ties, so the absence of a flag on other homes is not proof they lack investor owners. How investor ownership affects care →

Owner / managerTypeRoleSince
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/08/2024
NHC/DELAWARE INCOrganizationINDIRECT OWNERSHIP INTERESTsince 07/01/2000
NASON JR., HOWARDIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 04/18/2016
NATIONAL HEALTHCARE CORPORATIONOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2000
NHC-OP LPOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 07/01/2000
BUTLER, ADDISONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/27/2022
DODSON, VICKIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2019
GLEATON, SHANNONIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/30/2015
KIDD, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2017
SMITH, BERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025
USSERY, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/01/2000
BLACKROCK INCOrganizationADP OF THE SNFsince 01/20/2010
CONSOLIDATED STAFFING, INC.OrganizationADP OF THE SNFsince 10/27/2021
NATIONAL HEALTH CORPORATIONOrganizationADP OF THE SNFsince 07/07/2025
NATIONAL HEALTH INVESTORS, INC.OrganizationADP OF THE SNFsince 10/17/1991
VANGUARD GROUP INCOrganizationADP OF THE SNFsince 11/30/2006

CMS files one row per role, so the 23 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$8.6M
Net patient revenuemost recent cost report
-8.4%
Operating marginrevenue minus expenses
$763K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 50%Medicare 12%Other / private 37%

This home reported $763K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$377per resident / day
operating cost
$11,454per month
≈ monthly operating cost
$348per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Tennessee Medicaid page.

Typical monthly cost in Tennessee
$9,429/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,845/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445099. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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