Weakley Rehabilitation And Nursing Center

Location & what’s nearby

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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

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.

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.

43.7% 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 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.0% 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 30 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

Staffing

How full it usually is: this home is certified for 139 beds and averages 55.2 residents a day — about 40% occupied, or roughly 84 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 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 2.93 hrs/resident/day on weekends vs 3.99 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.70 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 55% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

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.

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.

27 citations, most serious first. The 13 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2024-06-29 · 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 review of the State licensure regulations, job description review, policy review, medical record review, review of facility investigations, observation, and interview, the facility failed to ensure the environment was free from accident hazards when dangerously elevated hot water temperatures were measured for 8 of 69 (Resident Rooms #13, #17, #18, #86, #89, #90, #91, #93) rooms, and when the facility failed to provide a safe environment and adequate supervision to prevent falls and injury for 7 of 7 (Resident #2, #11, #21, #28, #46, #52, and #54) sampled residents reviewed for accidents. On 6/24/2024 and 6/28/2024, dangerous elevated hot water temperatures ranging from 123 degrees Fahrenheit (F) to 130 degrees Fahrenheit (F) were observed in 8 of 69 (Resident Rooms #13, #17, #18, #86, #89, #90, #91, #93). Two Residents who were physically and/or cognitively impaired (Residents #43 and #52) resided in a room with elevated dangerous hot water temperatures and two residents were able to access the hot…

  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
• Actual harm · Gcited before2025-09-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 policy review, medical record review, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status and implement nutritional interventions for 1 of 4 (Resident #38) sampled residents reviewed for weight loss. This resulted in an actual Harm when the facility failed to implement interventions following a significant weight loss for Resident #38 resulting in another significant weight loss 29 days later. The findings include: 1. Review of the facility policy titled, Nutrition (Impaired)/Unplanned Weight Loss-Clinical Protocol, revised September 2012, revealed .The threshold for significant unplanned and undesired weight loss will be based on the following criteria.1month - 5% [percent] weight loss is significant; greater than 5% is severe.3 months - 7.5% weight loss is significant; greater that 7.5% is severe.6 months- 10% weight loss is significant; greater than 10% is severe.staff will closely monitor residents who have been identified as having impaired…

  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
• Actual harm · G2024-06-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 policy review, facility investigation review, police report review, documentation review, medical record review, and interview, the facility failed to protect the resident's right to be free from abuse from another resident for 1 of 4 (Resident #42) sampled residents reviewed for abuse. The facility's failure to protect the resident's right to be free from abuse resulted in actual HARM, when on 1/17/2024, Resident #42 sustained two lacerations to the forehead when Resident #166 hit Resident #42 in the head with a hard plastic drinking cup. The findings include: 1. Review of the facility undated policy titled ABUSE PREVENTION POLICY revealed, .Every precaution will be taken to prevent mistreatment, neglect and abuse of residents .Residents must not be subjected to abuse by anyone, including .other residents . Review of the facility undated policy titled RESIDENT ABUSE POLICY revealed, .Purpose: To investigate any suspected or alleged abuse to residents by anyone. Definition: Abuse is the willful…

  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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-08 · 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 medical record review, hospital records review, and interview, the facility failed to implement a physician's order for a Bilevel Positive Airway Pressure (BIPAP) (a compact, non-invasive ventilator that assists with breathing by delivering pressurized air through a mask) for 1 of 3 (Resident #1) residents reviewed for respiratory care. The findings include: Review of the [named hospital] AFTER VISIT SUMMARY dated 2/10/2026, revealed Discharge Orders to SNF .BIPAP with settings of F102 [Fraction of inspired oxygen (FiO2) is the percentage or concentration of oxygen in the air mixture that a person inhales] .IPAP [Inspiratory Positive Airway Pressure is the higher pressure applied during inhalation] 25, EPAP [Expiratory Positive Airway Pressure is the lower pressure applied during expiration] 8 . Review of the medical record revealed Resident #1 was admitted to the facility on [DATE], with diagnoses including Pneumonia, Chronic Obstructive Pulmonary Disease, Emphysema, Obstructive Sleep Apnea, Sepsis,…

  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 · Past Non-Compliance
• Potential for harm · Ecited before2025-09-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, facility documentation review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when the dishwasher did not meet the sanitary temperature requirement of 180 degrees Fahrenheit (F), and when staff failed to accurately complete the dishwasher temperature logs for 48 of 51 residents receiving meal trays. The findings include: 1. Review of the facility policy titled, Sanitization, revised 10/2008, revealed .The food service area shall be maintained in a clean and sanitary manner.Dishwashing machines must be operated using the followings specifications.High- Temperatures Dishwasher (Heat Sanitization).Wash temperature (150-165 F) for at least forty-five (45) seconds.Rinse temperature (165-180 F) for at least twelve (12) seconds. 2. Review of the Dishwasher Temperature Chart dated 6/2025, revealed the facility failed to monitor and document dishwasher temperatures at a sanitary degree for wash and final rinse for the following dates: a. 6/27/2025 noon temperature b. 6/28/2025 evening temperature c. 6/29/2025…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-10 · tag F0880 — failed to prevent and control infections — pattern
  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 policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when 5 of 10 staff (Certified Nursing Assistant (CNA) D, E, F, Housekeeping Aide G and H) failed to donn (put on) and doff (remove) proper Personal Protective Equipment (PPE) and perform hand hygiene for 4 of 21 (Residents #11, #12, #19 and #28) residents in droplet precautions and when 1 of 4 staff (Licensed Practical Nurse (LPN) C) failed to sanitize reusable equipment during medication administration. The findings include: 1. Review of the facility policy titled, Coronavirus Disease (COVID-19) Infection Prevention and Control Measures, dated 4/29/2024, revealed .The facility follows infection prevention and control (IPC) practices recommended by the Centers for Disease Control and Prevention to prevent the transmission of COVID-19 within the facility.These measures include: ensuring everyone is aware of recommended IPC practices in 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-10 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary 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 policy review, medical record review, and interview, the facility failed to ensure medication monitoring related to the use of an antipsychotic (a type of medication used to treat psychiatric conditions) medication for 1 of 5 (Resident #8) sampled residents reviewed for unnecessary medications. The findings include: 1.Review of the facility policy titled, Psychotropic Medication Use, dated 7/2022, revealed .Psychotropic medication management includes.adequate monitoring for efficacy and adverse consequences.preventing, identifying and responding to adverse consequences.Residents receiving psychotropic medication are monitored/assessed for adverse consequences. Review of the facility policy titled, Behavioral Assessment, Intervention and Monitoring, dated 3/2019, revealed .will monitor for side effects and complications related to psychoactive medications. 2.Review of the medical record revealed Resident #8 was admitted on [DATE], with diagnoses including Traumatic Brain Injury, Dementia, Anxiety, and…

  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 before2025-09-10 · 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 policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored when medications were found unsecured and unattended in 2 of 51 (Resident #4 and Resident #34) resident rooms and when 2 of 5 (Licensed Practical Nurse (LPN) B and C) staff left medications unsecure and unattended on 2 of 6 (North Hall Cart and South Hall Cart) medication storage carts. The findings include: 1.Review of the facility policy titled, Storage of Medication, revised 4/2019, revealed .The facility stores all drugs and biologicals in a safe, secure, and orderly manner.The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, sanitary manner.Compartments (including, but not limited to, drawers, cabinets .carts) containing drugs and biologicals are locked while in use .Unlocked medication carts are not left unattended . 2.Review of the medical record revealed Resident #4 was admitted to the facility on [DATE], with…

  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 · Ecited before2024-06-29 · tag F0761 — failed to label and store drugs safely — pattern
  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 policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 2 of 6 medication carts (Northeast Cart and [NAME] Cart) was left unlocked and unattended during medication administration. The findings include: 1. Review of the facility's policy titled Medication Storage undated, revealed .It is the policy of this facility to ensure all medications housed on our premises shall be stored in the pharmacy and/or medication rooms .All drugs and biologicals will be stored in locked compartments .During medication pass, medications must be under the direct observation of the person administering medications or locked in the medication storage area/cart . Review of the facility's policy titled Medication Administration Policy dated 6/2024 revealed .Medication carts must be kept locked when not in use during medication pass . 2. Observation during medication administration on 6/24/2024 at 4:28 PM, LPN B unlocked the Northeast Medication Cart at the North Hall nurse's station, LPN B walked away leaving…

  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 · E2024-06-29 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 review of the job description review, review of the State Licensure Regulations, policy review, medical record review, observation, and interview, the facility Administration failed to provide oversight to monitor and prevent hot water temperatures in resident care areas, failed to ensure a safe environment and adequate supervision to prevent falls, failed to prevent resident to resident abuse, and failed to ensure a resident with behaviors received appropriate care and services for 10 of 63 residents (Resident #17, 36, 40, 41, 43, 44, 52, 55, 166, and 370) residents. The findings include: 1. Review of the undated ADMINSITRATOR JOB DESCRIPTION revealed .Position Purpose .Leads, guides, and directs the operations of the healthcare facility in accordance with local state and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents .Plans, develops, implements, evaluates, and directs the overall operation of the facility as well…

  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 · D2024-06-29 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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, medical record review, observation, and interview, the facility failed to ensure residents were free of physical restraints for 1 of 1 (Resident #9) sampled residents reviewed for restraints. The findings include: 1. Review of the facility policy titled, Restraint Free Environment dated 3/28/2019, revealed .A physical restraint is defined as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or normal access to one's body .physical restraints may be used on emergency care situations for brief periods .Falls do not constitute self-injuries, behavior or a medical symptom that warrants the use of a physical restraint .A physician's order alone is not sufficient to warrant the use of a physical restraint .the length of time the restraints anticipated to be used .time and frequency that the restraint will be released .The type of direct monitoring…

  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 · Deficient, Provider has date of correction
• Potential for harm · D2024-06-29 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 policy review, medical record review, facility investigation, named Sheriff's Department Incident Report, and interview, the facility failed to thoroughly investigate an alleged incident of Employee to Resident abuse for 1 of 4 sampled residents (Resident #216) reviewed for abuse. The findings include: 1. Review of the undated facility policy titled Nursing Home's Resident Abuse Policy, revealed .Procedure: Allegation of abuse by an employee .will be thoroughly investigated and documented .Any staff member who witness a suspicious situation .is to immediately notify the supervisor on duty .The Charge nurse will examine the alleged victim immediately and complete an incident report with a summary of her interview and notify the Director of Nursing and the Administrator . Review of the facility policy titled Investigation Reporting/Response dated 5/2024, revealed .The facility will have written procedures that include .Reporting of all alleged violations to the Administrator, state agency, adult…

  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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-29 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 policy review, medical record review and interview, the facility failed to complete a baseline care plan within 48 hours for 2 of 10 (Resident #21 and 369) sampled residents reviewed for baseline care plans. The findings include: 1. The facility policy titled, Baseline Care Plan revised 12/5/2022, revealed, .The facility will develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care .The baseline care plan will .be developed within 48 hours of a resident's admission .include the minimum healthcare information necessary to properly care for a resident including, but not limited to .Initial goals based on admission orders .Physician orders .Dietary orders .Therapy services .A supervising nurse shall verify within 48 hours that a baseline care plan has been developed . 2. Review of the medical record revealed Resident #21 was admitted to the facility 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.

  Resident Assessment and Care Planning 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.

Fines & penalties

$72,917 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $9,620 — penalty dated 2025-09-10
• $63,297 — penalty dated 2024-06-29
• Medicare payment denial — starting 2024-07-03 for 40 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CCH HEALTHCARE — 33 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 →

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

CMS files one row per role, so the 18 rows in the source record cover these 9 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.

5 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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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