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Pickett Care And Rehabilitation Center

129 Hillcrest Drive, Byrdstown, TN 38549 · For profit - Limited Liability company · 69 certified beds · (931) 277-0023 Medicare & Medicaid certified

Call the home — (931) 277-0023 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Feb 20252 actual-harm citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Feb 2025
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4 Courthouse Sq · (931) 864-0222 · Call to confirm hours
Pharmacy
110 Hillcrest Dr · (931) 864-3166 · Call to confirm hours
Grocery
8460 TN-111 · (931) 864-3451 · Call to confirm hours
Park
1300 Cordell Hull Memorial Dr · (888) 867-2757 · Typically dawn to dusk
Place of worship
101 Maple Ave · (931) 864-3816

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 4 of 5
Short-stay residentsrehab / post-hospital 3 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 improved from 2 to 3 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 rating3★
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 increased5.8%14.0%15.4%better
Long-stay residents who lose too much weight1.6%6.1%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.7%0.9%better
Long-stay residents with a urinary tract infection0.0%1.8%2.0%better
Long-stay residents with depressive symptoms8.9%13.8%6.5%better than 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 injury2.5%3.4%3.3%better
Long-stay residents whose ability to walk worsened4.8%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication21.9%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers6.2%5.0%4.7%worse
Long-stay residents with worsening bladder/bowel control20.1%20.0%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table20.0%16.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.7%1.7%1.4%worse
Short-stay residents given the seasonal flu vaccine100.0%79.8%79.4%better
Short-stay residents rehospitalized after admission21.6%22.6%22.6%typical
Short-stay residents with an outpatient ER visit12.6%11.2%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.441.671.67better
Long-stay outpatient ER visits per 1,000 resident days2.701.561.80worse

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.

54.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.6%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
51.3%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 51.3% 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 39 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 SNF54.6%CMS range 45.0–64.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 6.5–14.310.7%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 discharge51.3%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 discharge38.5%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 discharge41.0%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 stay0.0%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 worsened2.0%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 hospitalization7.2%CMS range 4.3–13.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.161.02Oct 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

0.57
RN hours/ resident / day
1.10
LPN hours/ resident / day
2.10
Aide hours/ resident / day
3.78
Total nurse hours/ resident / day
0.39
RN hoursweekends
31.5%
Total nursing turnover
14.3%
RN turnover

How full it usually is: this home is certified for 69 beds and averages 56.0 residents a day — about 81% occupied, or roughly 13 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 3.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 3.04 hrs/resident/day on weekends vs 4.08 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.65 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below 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

6
deficiencies at the latest standard inspection (2025-04-09)
7
at the previous standard inspection (2021-11-17)

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.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

  • Actual harm · G2019-08-14 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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, review of facility falls investigation, and interviews, the facility failed to implement the care plan for 1 resident (#8) of 31 sampled residents, resulting in a nasal fracture (Harm) for Resident #8. The findings include: Review of the facility policy, Comprehensive Care Plans, dated 7/19/18, revealed .will include how the facility will assist the resident to meet their needs, goals and preferences .interventions are implemented after consideration of .problem areas and their causes .will reflect action, treatment, or procedure to meet the objectives toward achieving .goals . Medical record review revealed Resident #8 was admitted to facility on 3/23/16 with diagnoses including Stroke, Non-Traumatic Brain Dysfunction, Traumatic Spinal Cord Dysfunction, Contracture to Left Knee, and Contracture of Right Knee. Medical record review of Resident #8's current active care plan revealed .7/19/2016 .Resident has ADL [Activities of Daily Living] Self Care Deficit…

    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
  • Actual harm · G2019-08-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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, review of facility falls investigations, observation, and interview, the facility failed to implement appropriate interventions to prevent falls for 1 residents (#8) of 11 residents reviewed for falls. The facility's failure to ensure appropriate interventions to prevent accidents were implemented resulted in Resident #8 receiving a fractured nasal bone (Harm). The findings include: Review of the Facility Policy, Falls, dated 7/16/19, revealed, .POLICY STATEMENT: .It is the intent of this facility to provide residents with assistance and supervision in an effort to minimize the risk of falls and fall related injuries .Appropriate care plan interventions will be implemented and evaluated as indicated by assessment .A Comprehensive Care Plan will be implemented based on fall risk evaluation score with individual goal and interventions specific to each patient . Medical record review revealed Resident #8 was admitted to the facility on [DATE] with diagnoses…

    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
  • Potential for harm · D2025-04-09 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, and interviews the facility failed to ensure MDS assessments were accurately coded for 1 resident (Resident #37) of 16 residents reviewed for MDS assessments. The findings include: Review of the MDS 3.0 RAI Manual, revised 3/18/2025, revealed .SECTION I .The items in this section are intended to code diseases that have a direct relationship to the resident's current functional status, cognitive status, mood or behavior status, medical treatments, nursing monitoring, or risk of death. One of the important functions of the MDS assessment is to generate an updated, accurate picture of the resident's current health status .This section identifies active diseases and infections that drive the current plan of care .ACTIVE DIAGNOSES .Physician-documented diagnoses in the last 60 days that have a direct relationship to the resident's current functional status, cognitive status, mood or behavior, medical…

    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 · D2025-04-09 · 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 facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASSR) timely after a new mental health diagnosis was added for 1 resident (Resident #5) of 7 residents reviewed for PASSR. The findings include: Review of the facility's policy titled, Pre-admission Screening and Resident Review (PASSR), revised 9/15/2023, revealed .PASSR is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. PASSR requires that 1) all applicants to a Medicaid-certified nursing facility be evaluated for serious mental illness (SMI) and/or intellectual disability; 2) be offered the most appropriate setting for their needs (in the community, a nursing facility, or acute care settings); and 3) receive the services they need in those settings .3. An individual is considered to have a serious mental illness if the individual meets the following requirements on diagnosis, level of…

    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 · Dcited before2025-04-09 · 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, observations, and interviews the facility failed to label and store 1 prefilled insulin syringe on 1 medication cart of 2 medication carts observed for medication storage. The findings include: Review of the facility's policy titled, Medication Storage Storage of Medication, dated 1/2025, revealed .Insulin products should be stored in the refrigerator until opened .Note the date on the label for insulin vials and pens when first used .opened insulin pens should be stored at room temperature .Refer to specific product labeling for additional detail . Review of the medical record revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including Type 2 Diabetes, Anxiety, Major Depressive Disorder, and Post-Traumatic Stress Disorder (PTSD). Review of a Physician's order dated 11/1/2024, revealed Resident #37 had a physician's order for a prefilled Semaglutide insulin pen to be administered once a week on Thursdays. Review of a quarterly Minimum Data Set (MDS)…

    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 · D2025-04-09 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 1 of 2 dumpsters. The findings include: Review of the facility's undated policy titled, Dispose of Garbage and Refuse, revealed, .All garbage and refuse will be collected and disposed of in a safe and efficient manner .The Dining Services Director coordinates with the Director of Maintenance to ensure .the exterior dumpster area is maintained . During an observation of the outside dumpster area on 4/7/2025 at 11:20 AM, revealed the facility had 2 dumpsters. Continued observation revealed dumpster #2 did not have a dumpster plug in place and secured. During an interview on 4/7/2025 at 11:25 AM, the Dietary Manager (DM) confirmed the dumpster plug for dumpster #2 was missing, and a plug should be in place.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-09 · tag F0838 — failed to assess facility resources and resident needs — isolated
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    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 medical record review, facility assessment review, and interview the facility failed to ensure the facility assessment was accurate to include residents with a diagnosis of PTSD. The findings include: Review of the medical record revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including Type 2 Diabetes, Anxiety, Major Depressive Disorder, and Post-Traumatic Stress Disorder (PTSD). Review of the Facility assessment dated 2025, revealed .Assessment Period January 1 through December 31, 2024 .determine what resources are necessary to care for the facility's residents competently during both day-to-day operations and emergencies .discuss and document any diagnoses or special condition likely to be cared for in the coming year, care and services provided to meet the identified needs of the residents .Resident Population .Category .Psychiatric/Mood Disorders .Common diagnoses .Impaired Cognition . Further review of the 2025 facility assessment revealed residents with PTSD was not…

    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 · Dcited before2025-04-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record reviews, observations, and interviews, the facility failed to wear appropriate Personal Protective Equipment (PPE) when in the room for 3 residents (Resident #9, #2, and #57) of 16 residents reviewed for Infection Control. The findings include: Review of the facility's policy titled, Viral Respiratory Pathogens, dated 2/22/2025, revealed .guidelines are intended to ensure a comprehensive and effective response to respiratory illness outbreaks .PPE includes but is not limited to masks, gowns, gloves and eye protection .used as source control during outbreak situations .infection control policies and guidelines will be followed . Review of the medical record revealed Resident #9 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease (COPD), Cognitive Impairment, Cough, Need for Assistance with Personal Care, and Muscle Weakness. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #9…

    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 · D2025-02-12 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 provide timely notification to the Power of Attorney and/or resident representative for 1 Resident (Resident #2) of a significant change in condition of 3 residents reviewed for notification, when Resident #2 had a significant mental status change which required a onetime injection of an antipsychotic medication. The findings include: Review of a facility policy titled, Notification of Change of Condition, revised 9/15/2023, revealed .to ensure appropriate individuals are notified of changes in condition .the facility must inform the resident, consult with the resident's physician; and notify consistent with his or her authority, the resident representative(s) when there is significant change in the resident's physical, mental, or psychosocial status .A need to alter treatment significantly . Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses including Metabolic…

    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 · D2025-02-12 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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, facility investigation review, medical record review, and interview, the facility failed to prevent misappropriation of property for 1 resident (Resident #9) of 6 residents reviewed for misappropriation of resident property. The facility was cited at F-602 at a Scope and Severity of D and was cited as past non-compliance. Noncompliance began on 4/10/2024, was corrected and ended on 4/12/2024. The facility is not required to submit a Plan of Correction for F-602. The findings include: Review of a facility policy titled, Abuse, Neglect and Misappropriation of Property, revised 9/15/2023, revealed .it is the organization's intention to prevent the occurrence of abuse . misappropriation of resident property .Misappropriation of resident property is defined as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent . Review of the medical record revealed Resident #9 was admitted to the…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2021-11-17 · 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, and interview the facility improperly placed 1 of 2 (Resident #9) sampled residents on droplet transmission based precautions. The findings include: Review of the facility policy titled, Resident Rights revised 8/16/2018, revealed .Refuse transfer from a distinct part within institution . Review of the guidance titled, Centers for Disease Control and Prevention: Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, Nursing Homes & Long-Term Care Facilities dated 9/6/2021, revealed .In most circumstances, quarantine is not recommended for unvaccinated residents who leave the facility for less than 24 hours (e.g., for medical appointments, community outings with family or friends) and do not have close contact with someone with SARS-CoV-2 infection. Quarantining residents who regularly leave the facility for medical appointments (e.g., dialysis, chemotherapy) would result in indefinite isolation of the…

    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 · D2021-11-17 · 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 1 of 31 (Resident #62) sampled residents for comprehensive care plans. The findings include: Review of the facility policy titled, Comprehensive Care Plans revised [DATE], revealed .Care plans are ongoing and revised as information about the resident and the residents's condition change . Review of the medical record revealed Resident #62 was readmitted to the facility on [DATE] with diagnoses which included Pneumonitis, Paraplegia, and Chronic Pain Syndrome. Review of the Discharge Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #62 died in the facility on [DATE]. Review of the Discharge orders dated [DATE], revealed comfort measures for Resident #62. Review of the Care Plan revised [DATE], revealed no problems or interventions for comfort measure related to Resident #62. During an interview on [DATE] at 4:18 PM, Licensed Practical Nurse (LPN) #2 also known as the Unit Manager confirmed she did…

    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
Show the remaining 5 citations
  • Potential for harm · D2021-11-17 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 facility policy review, medical record review, observation and interview, the facility failed to label and date nebulizer tubing and store a nebulizer mask in a safe and sanitary manner for 1 of 12 (Resident #50) sampled residents reviewed receiving respiratory treatments. The findings include: Review of the facility policy titled Oxygen Administration using Simple Mask OR Venturi-Mask Clinical Practice Guidelines dated 10/23/2020, revealed .The purpose of this procedure is to provide guideline for safe oxygen administration .Follow relevant infection control procedures as appropriate . Review of the medical record revealed Resident #50 was admitted to the facility on [DATE], with diagnoses which included Chronic Obstructive Pulmonary Disease, Pneumonia, and Bronchitis. Review of the Significant Change Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #50 had a Brief Interview for Mental Status (BIMS) score of 3 which indicated severe cognitive impairment. Review of the current physician…

    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
  • Potential for harm · D2021-11-17 · tag F0711 — isolated
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    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 have an order for a Do Not Attempt Resuscitation POST (Physician Orders for Scope of Treatment) form for 1 of 31 (Resident #9) sampled residents reviewed. The findings include: Review of the medical record revealed Resident #9 was admitted to the facility on [DATE], with diagnoses which included Lewy Body Dementia, Fracture of Unspecified Part of Neck of Left Femur, and Chronic Kidney Disease. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #9 had a Brief Interview for Mental Status (BIMS) score of 14 which indicated no cognitive impairment. Review of the care plan revised 9/20/2021, revealed .Resident has the following Advanced Directives: DO NOT Resuscitate (DNR) Category Advanced Directives . Review of the POST form dated 8/3/2021, revealed a DNR with limited additional interventions and no artifical nutrition by tube (feeding tube) was selected. Review of the current physician orders dated…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-17 · 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

    Based on facility policy review, observation and interview, the facility failed to dispose of expired medications and biological's in the medication room and on 1 of 3 medication carts observed. The findings include: Review of the undated facility policy Medication Administration General Guidelines revealed .Manufacturer recommendations for beyond use dating should take precedence, taking into consideration 'not to exceed' limitations .The beyond date use dating, which only lists month/year, falls to the last day of that month . Observation and interview in the medication room with Licensed Practical Nurse (LPN) #5 on 11/16/2021 at 3:18 PM, revealed five unopened bottles of vitamin supplement tablets, expired on 8/21/2021. One container of disinfectant wipes expired on 10/2021. During an interview LPN #5 confirmed the five unopened bottles of vitamin supplements and one container of disinfectant wipes were expired. Observation and interview of the medication cart on Hope Hallway with Registered Nurse (RN) #1 on 11/16/2021 at 3:56 PM, revealed one bottle of iron tablets expired on…

    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 · Dcited before2021-11-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observation and interview, the facility failed to provide a sanitary environment to help prevent transmission of infection for 14 of 15 residents meal trays observed during the noon meal on 11/15/2021. The findings include: Review of the undated facility policy Policies and Practices-Infection Control revealed .This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections . Observation of Haven Hall on 11/15/2021 at 12:11 PM, revealed Certified Nurse Assistant (CNA) #1 removed a meal tray from the meal cart, took it into room [ROOM NUMBER] B and sat it on the over bed table. Continued observation revealed CNA #1 removed the lid from the tray and resident stated I do not want this can you get me something else. Further observation revealed CNA #1 brought the meal tray out of the room and placed it back on the meal cart. Observation…

    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 · D2021-11-17 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 provide a sanitary and comfortable environment 1 of 60 (Resident #49) sampled residents reviewed. The findings include: Review of the undated facility policy titled, Resident Rights revealed .All residents will be treated in a manner and in an environment that promotes maintenance or enhancement of quality of life . Review of the medical record revealed Resident #49 was admitted to the facility on [DATE] and re-admitted on [DATE], with diagnoses which included Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease, Gastrostomy Status, Protein-Calorie Malnutrition, and Type 2 Diabetes Mellitus with Hyperglycemia. Review of the 5-day admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #49 had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severe cognitive impairment. Observation and interview in Resident #49's room on 11/15/2021 at 11:10 AM, revealed…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

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 SIGNATURE HEALTHCARE — 67 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 3 of 53.1-0.1 vs chain
Health inspection 3 of 52.9+0.1 vs chain
Staffing 4 of 52.8+1.2 vs chain
Quality measures 4 of 53.9+0.1 vs chain
The other 66 homes this chain runs (chain average 3.1★, per CMS)
1 of 5Danville Centre for Health & RehabilitationDanville, KY 1 of 5Liberty Care & Rehabilitation CenterLiberty, KY 1 of 5Mayfair ManorLexington, KY 1 of 5Signature Health Of Portland Rehab & Wellness CentPortland, TN 1 of 5Signature Healthcare Of BremenBremen, IN 1 of 5Signature Healthcare Of ErinErin, TN 1 of 5Signature Healthcare Of MuncieMuncie, IN 1 of 5Signature Healthcare Of Putnam CountyCookeville, TN 1 of 5Signature Healthcare Of Terre HauteTerre Haute, IN 1 of 5Signature Healthcare at Colonial Rehab & WellnessBardstown, KY 1 of 5Signature Healthcare at Heritage Hall Rehab & WellLawrenceburg, KY 1 of 5Sunrise Manor Nursing HomeHodgenville, KY 2 of 5Fountain Circle Care & Rehabilitation CenterWinchester, KY 2 of 5Oakview Nursing & Rehabilitation CenterCalvert City, KY 2 of 5Rockcastle Health & Rehabilitation CenterBrodhead, KY 2 of 5Signature Healthcare Of ClarksvilleClarksville, TN 2 of 5Signature Healthcare Of Fentress CountyJamestown, TN 2 of 5Signature Healthcare at North Hardin Rehab & WellnRadcliff, KY 2 of 5Signature Healthcare at Summerfield Rehab & WellneLouisville, KY 2 of 5Signature Healthcare of East LouisvilleLouisville, KY 2 of 5Signature Healthcare of ElizabethtownElizabethtown, KY 2 of 5Signature Healthcare of GeorgetownGeorgetown, KY 2 of 5Signature Healthcare of McCreary County Rehab andPine Knot, KY 2 of 5Signature Healthcare of Roanoke RapidsRoanoke Rapids, NC 2 of 5Signature Healthcare of Spencer CountyTaylorsville, KY 3 of 5Harrodsburg Health & Rehabilitation CenterHarrodsburg, KY 3 of 5Lee County Care & Rehabilitation CenterBeattyville, KY 3 of 5Morgantown Care & Rehabilitation CenterMorgantown, KY 3 of 5Signature Healthcare Of ClevelandCleveland, TN 3 of 5Signature Healthcare Of Monteagle Rehab & WellnessMonteagle, TN 3 of 5Signature Healthcare Of NorfolkNorfolk, VA 3 of 5Signature Healthcare Of Ridgely Rehab&wellness CtrRidgely, TN 3 of 5Signature Healthcare Of South Pittsburg Rehab & WeSouth Pittsburg, TN 3 of 5Signature Healthcare at HillcrestOwensboro, KY 3 of 5Signature Healthcare at Jackson Manor Rehab and WeAnnville, KY 3 of 5Signature Healthcare of Chapel HillChapel Hill, NC 3 of 5Signature Healthcare of KinstonKinston, NC 3 of 5Spring City Care And Rehabilitation CenterSpring City, TN 3 of 5Westmoreland Care & Rehab CtrWestmoreland, TN 4 of 5Bluegrass Care & Rehabilitation CenterLexington, KY

Showing 40 of 66; 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

Owner / managerTypeRoleShareSince
LP CR HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/01/2007
AGEMO HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2016
JJLA LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2007
LPSNF II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2016
WHEATEN LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2007
STEIER III, ELMERIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2007
FOSTER, NOAHIndividualW-2 MANAGING EMPLOYEEsince 05/23/2023
HARRISON, JOHNIndividualCORPORATE OFFICERsince 11/01/2007
SIGNATURE HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2007

6 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.

$6.6M
Net patient revenuemost recent cost report
-6.7%
Operating marginrevenue minus expenses
$968K
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 12%Other / private 14%

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $968K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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

$336per resident / day
operating cost
$10,229per month
≈ monthly operating cost
$315per 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 445390. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-09, 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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