Tennova Lafollette Health And Rehab Center
200 Torrey Road Po Box 1301, Lafollette, TN 37766 · For profit - Corporation · 98 certified beds · (423) 907-1380 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (2/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 2 of 5 |
| Long-stay residentspeople who live here | 2 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 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 19.5% | 14.0% | 15.4% | worse |
| Long-stay residents who lose too much weight | 13.8% | 6.1% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 2.8% | 0.7% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.5% | 1.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 13.8% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.5% | 3.4% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 22.6% | 17.2% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 41.8% | 31.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.1% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.3% | 5.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 15.8% | 20.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 33.3% | 16.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.9% | 1.7% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 92.2% | 79.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 28.9% | 22.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 21.9% | 11.2% | 12.0% | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ 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.
57.3% 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 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 63.4% 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 41 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 1% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 57.3%CMS range 45.1–69.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.2%CMS range 7.6–14.6 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 63.4% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 58.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 56.1% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not 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 discharge | 97.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.6%CMS range 4.4–11.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.83 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 98 beds and averages 58.1 residents a day — about 59% occupied, or roughly 40 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 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.01 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 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 3.14 hrs/resident/day on weekends vs 4.01 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.17 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 28% 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
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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · D2025-01-23 · tag F0641 — isolatedEnsure 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 Centers for Medicare & [and] Medicaid Services [CMS] Long-Term Care Facility Resident Assessment Instrument [RAI] 3.0 User's Manual review, medical record review, and interview the facility failed to accurately code a Minimum Data Set (MDS) assessment for oral/dental status for 1 resident (Resident #162) of 25 residents reviewed. The findings include: Review of the CMS Long-Term Care Facility RAI 3.0 User's Manual dated 10/2024, revealed .primary purpose as an assessment instrument is to identify resident care problems that are addressed in an individualized care plan .the assessment [MDS] accurately reflects the resident's status .registered nurse conducts or coordinates each assessment .SECTION L: ORAL/DENTAL STATUS .This item is intended to record any dental problems present in the 7-day look-back period .Check L0200B, no natural teeth or tooth fragment(s) (edentulous): if the resident is edentulous/lacks all natural teeth . Review of the medical record revealed Resident #162 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.
- Potential for harm · D2025-01-23 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interviews the facility failed to document post dialysis assessments for 1 resident (Resident #20) of 1 resident reviewed for dialysis. The findings include: Review of the facility's policy titled, Dialysis, revised 5/6/2021, revealed .The facility staff will provide immediate monitoring and documentation of the status of the resident's access site(s) upon return from the dialysis treatment to observe for bleeding or other complications . Review of the medical record revealed Resident #20 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder, Dependence on Renal Dialysis, Hypertension, Chronic Diastolic Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and End Stage Renal Disease. Review of an annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #20 scored a 15 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact.…
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.
- Potential for harm · D2025-01-23 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 ensure expired supplies were not available for resident use for 2 medication storage rooms of 4 medication storage rooms observed. The findings include: Review of the facility's policy titled, Medication Administration Guidelines, dated [DATE], revealed .The expiration/beyond use date .must be checked . During an observation on [DATE] at 9:55 AM, of the 2nd floor north medication storage room with Registered Nurse (RN) C revealed: *1-20 gauge (G) X (by)1 ¼ inch intravenous (IV) catheter with expiration date of [DATE]. *1-20 G X 1 ¼ inch IV catheter with expiration date of [DATE]. *5-20 G X 1 ¼ inch IV catheters with expiration date of [DATE]. During an interview on [DATE] at 10:15 AM, RN C confirmed the IV catheters were expired.During an observation on [DATE] at 1:16 PM, of the 3rd floor medication storage room with RN A revealed: *8-0.97 ounce individual packets of nutrition powder with expiration date of [DATE]. *27-blue top…
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.
- Potential for harm · D2024-11-04 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 review of a facility policy, medical record review and interview the facility failed to develop a comprehensive care plan for placement of a midline catheter for one Resident (#8) of 3 residents reviewed. The findings included: Review of the facility's policy titled Care Plan, Comprehensive Person-Centered, dated 6/13/2022 revealed .the facility will ensure that a comprehensive, person-centered care plan that is consistent with the resident's rights, needs, and choices is developed and implemented . Review of the medical record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including Emphysema, Anxiety Disorder, and Chronic Respiratory Failure. Review of a comprehensive care plan dated 4/18/2024, revealed the midline catheter had not been included on the care plan. Review a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #2 scored 14 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact.…
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.
- Potential for harm · D2024-11-04 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, the Center for Disease Control (CDC) Guidelines for the Prevention of Intravascular Catheter-Related Infections review, medical record review, and interview the facility failed to obtain a physician's order for dressing changes for a midline intravenous (IV) catheter, failed to ensure daily assessments of the midline IV site were completed, and failed to change the dressing for 1 resident (Resident #2 ) of 3 residents reviewed for IV therapy. The findings included: Review of the facility policy titled Midline Dressing Changes, revised 12/30/1899 [the Administrator confirmed revision date was error] revealed .To preform, using sterile technique, a Midline dressing change every 7 days and as needed if the dressing becomes soiled, loose, or saturated .Document in care manager [electronic medical record] the procedure, assessment of site, and how patient tolerated procedure. Review of the Summary of Recommendations Infection Control from the Center of Disease Control dated 2/28/2024, revealed replace dressings used on short-term CVC [central venous…
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.
- Potential for harm · D2024-11-04 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, interview, review of personnel records, staff education, and staff competencies, the facility failed to ensure qualified staff completed tasks within their scope of practice for 1 of 7 staff reviewed for competency. The findings include: Review of a facility policy titled Blood Glucose Monitoring-Using the Accu-Check, dated 1/26/2023, revealed .testing is to be performed by trained personnel. Trained personnel may include a licensed nurse, perfusionist, laboratory personnel and ancillary staff members . Review of a facility document Position Description/Competency Based Evaluation Nursing Assistants, undated revealed no documentation or competency for preforming blood glucose level. Review of the Certified Nursing Assistant (CNA) E personnel file revealed no documentation of education/training for obtaining blood glucose level. The CNA had received a termination notice on 2/15/2024 for obtaining a patients blood glucose without proper training. Review of the Licensed Practical Nurse (LPN) F personnel file revealed the LPN had been terminated for…
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.
- Potential for harm · Dcited before2024-11-04 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 review, observation, and interviews the facility failed to follow infection control practices during resident care for 1 resident (Resident #8) of 3 residents observed for Enhanced Barrier Precautions. The findings include: Review of the facility's policy titled Infection Control Program, dated 1/18/2024, revealed .the facility will establish and maintain an infection prevention and control program designed to provide a safe sanitary .environment to help prevent the development and transmission of communicable diseases and infections . Review of the medical record revealed Resident #8 was admitted to the facility on [DATE] with diagnoses including Sepsis Unspecified Organism, Venous Insufficiency, Type 1 Diabetes Mellitus, and Anxiety Disorder. Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #8 scored a 13 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. Active…
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.
- Potential for harm · F2022-04-06 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 facility policy review, temperature log review, observation, and interview, the facility failed to maintain an appropriate temperature in the freezer and failed to ensure temperature logs were maintained for the refrigerator and freezer in 1 of 2 nourishment rooms which had the potential to affect 55 of 56 residents in the facility. The findings include: Review of the facility's policy titled, NURSING UNIT STOCK, dated 1/2022, showed .Nursing personnel are responsible for the once daily temperature monitoring of unit refrigerator(s) on a posted temperature sheet .If the refrigeration unit includes a freezer, the temperature in the freezer is also recorded once daily (ideal temperature is 0 [degrees] F [Fahrenheit], but may go as high as 10 [degrees] F in the nursing pantries if food remains solid to touch . Review of the 2nd North Nourishment Room FREEZER TEMPERATURE LOGS dated 4/2022, showed .Please place an X in the appropriate box for freezer temperature readings daily. If temperatures fall outside the gray zone, corrective actions must be taken .Dietary action steps…
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.
- Potential for harm · D2022-04-06 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 5 residents (Resident #14, #27, #29, #15, and #24) of 56 residents reviewed for dignity. The findings include: Review of the facility's policy titled, ATTACHMENT I: Resident Rights Policy, revised 1/2014, showed .Every Facility Resident has the following minimum rights .respect and full recognition of his/her dignity .The Resident has a right to a dignified existence .The resident has the right to personal privacy and confidentiality . Record review showed Resident #14 was admitted on [DATE] with diagnoses including Adult Failure to Thrive, Dysphagia, and Alzheimer's. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #14 was rarely or never understood and had severe cognitive impairment. During observation on 4/4/2022 at 10:28 AM, revealed signage on the nightstand read, .[Resident #14's initials] .[Resident's room number]…
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.
- Potential for harm · D2022-04-06 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure 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 review, medical record review, interview, and observation, the facility failed to obtain a signed consent indicating the potential risks and benefits for the use of a restraint from the resident's representative prior to the use of a restraint and failed to document the monitoring and supervision provided during the use of a restraint to check ever 30 minutes and release and reapply every 2 hours for toileting and range of motion for 1 resident (Resident #2) of 1 resident reviewed for restraint use. The findings include: Review of the facility policy titled, Restraints, Use of, revised 2/17/2020, showed .The following safety guidelines shall be .documented while a resident is in restraints .A resident placed in a restraint will be observed at least every thirty (30) minutes by nursing personnel .Restrained residents must be repositioned at least every two (2) hours on all shifts .Residents and/or surrogate /sponsor shall be informed about the potential risks and the benefits of all…
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.
Show the remaining 9 citations
- Potential for harm · D2022-04-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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 facility policy review, medical record review, observation, and interview, the facility failed to follow a physician order for a fluid restriction for 1 resident (Resident #12) of 3 residents reviewed for fluid restrictions. The findings include: Review of the facility's policy titled, Medication Administration, revised 10/14/2015, showed .be sure to observe any fluid restriction ordered by the physician . Review of the facility's policy titled, Intake & Output, revised 9/26/2013, showed .resident has a flow sheet maintained by the nurse. The purpose of which is to monitor fluid intake .C.N.A.s [Certified Nurse Assistants] record in cc's [cubic centimeter-equivalent to milliliters] the amounts of intake residents receive each meal .Nurses take the information .and record it on the flow sheet . Record review showed Resident #12 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes Mellitus, Acute Myocardial Infarction, Atherosclerotic Heart Disease, Edema, and Essential…
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.
- Potential for harm · D2022-04-06 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 water flushes for a resident who received tube feeding (nutrition provided by a tube placed directly into the stomach) per the Physician's order for 1 resident (Resident #42) of 2 residents review for tube feedings. The findings include: Review of the facility policy titled, Feeding, tube feeding, revised 6/14/2016, showed .Dietician will .determine .nutritional needs .The physician will be notified of any recommendations and any orders will be followed . Record review showed Resident #42 was admitted to the facility on [DATE] with diagnoses including Dysphagia, Parkinson's, and Gastrostomy Status. Review of Resident #42's quarterly Minimum Data Set (MDS) assessment dated [DATE], showed the resident was rarely or never understood and had severe cognitive impairment. Continued interview showed the resident received nutrition by tube feedings. Review of Resident #42's Physician's Telephone Order 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.
- Potential for harm · Dcited before2022-04-06 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #6 was admitted to the facility on [DATE] with diagnoses including Diabetes, Dementia, Anxiety, and Depression. Review of the physician's telephone orders for Resident #6 showed a decrease in daily blood sugar checks, dated 12/10/2020, Decrease Fingersticks (to obtain a blood sugar value) to FBS (fasting blood sugar)/ [and] 4 PM. Review of Resident #6's monthly Physician Recapitulation Orders, dated 4/2022, showed HUMALOG [fast acting insulin] 100 UNITS/ML [mililiter] VIAL INJECT 4-16 UNITS .BEFORE MEALS & [and] AT BEDTIME PER MODERATE DOSE SLIDING SCALE. Continued review showed an order, LANTUS [ long acting insulin] 100 UNITS/ML INJECT 46 UNITS .EVERY DAY. Review of Resident #6's monthly physician's recapitulation orders showed the orders were inaccurate from January 2021 through April 2022 and did not reflect the resident new order for blood sugar checks twice a day. During an interview with Licensed Practical Nurse (LPN) #3 on 4/5/2022 at 3:00 PM, she confirmed each month, when the physician's…
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.
- Potential for harm · D2022-04-06 · tag F0867 — failed to act on quality-improvement findings — isolatedSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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 prior survey results, medical record review and interview, the facility failed to maintain compliance with prior plans of correction, in an effort to sustain accurate physician orders and failed to ensure an effective Quality Assurance program that addressed ongoing concerns with physician orders for 4 residents (Residents #1, #6, #32, and #42) of 19 residents reviewed for medical records. The findings include: Review of the facility's plans of correction dated 2/10/2020 included, .3. The DON [Director of Nurses] conducted education with the nursing staff regarding following physician orders, diabetic medication/sliding scale insulin, and treatment administration .random checks of treatment and medication administration orders to ensure compliance with physician orders .findings .reported at the quarterly QAPI [quality assurance performance improvement] meeting with modifications made if indicated , to maintain substantial compliance. The facility defines substantial compliance as a rate 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.
- Potential for harm · E2020-01-23 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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, observation and interview the facility failed to attempt a Gradual Dose Reduction (GDR) of psychotropic medications for 1 resident (#14), and failed to provide a rationale for the continued use of an as needed (PRN) antianxiety and antipsychotic medication beyond 14 days for 1 resident (#40) of 5 residents reviewed for unnecessary medications. The findings include: Review of the medical record showed Resident #14 was admitted to the facility on [DATE], with diagnoses including Anxiety, Psychosis, Dementia and Major Depressive Disorder. Review of the Annual Minimum Data Set (MDS) assessment dated [DATE], showed Resident #14 received antidepressant medications on all 7 days of the assessment look back period. Review of the Physician Recapitulation Orders for 1/1/2020 - 1/31/2020, showed Mirtazapine (antidepressant) 30 milligrams (mg) by mouth twice daily with an order date of 2/7/2018 and Sertraline (antidepressant) 50 mg 1and 1/2 tablets by mouth daily with an order date 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.
- Potential for harm · D2020-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 follow Physician Orders for wound care and failed to follow Physician Orders for sliding scale insulin for 1 resident (#59) of 3 residents reviewed for wound care and sliding scale insulin. The findings include: Review of the facility's policy titled, Medication Administration, dated 10/20/2018, showed .Medications will be administered only upon the orders of physicians . Resident #59 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes, Muscle Weakness, and Anxiety Disorder. Review of a Physician Telephone Order dated 12/16/2019, showed .Apply Z-guard [ointment to treat pressure wound] BID/PRN [twice daily and as needed] . Review of a Treatment Flow Sheet dated 12/1/2029-12/31/2019, showed Z-guard had been applied daily 12/16/2019-12/31/2019, and not BID/PRN as ordered. Review of a Treatment Flow Sheet dated 1/1/2020-1/31/2020, showed the Z-guard had been applied daily 1/1/2020, 1/2/2020,…
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.
- Potential for harm · D2020-01-23 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
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 prevent a significant medication error for 1 resident (#59) of 3 residents reviewed for insulin administration. The findings include: Review of the facility's policy titled, Medication Administration, dated 10/20/2018, showed .Medications will be administered only upon the orders of physicians . Resident #59 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes, Muscle Weakness, and Anxiety Disorder. Review of the Physician Recapitulation Orders for 1/1/2020-1/31/2020 showed, .NOVOLOG [insulin medication to treat Diabetes] .BEFORE MEALS & [AND] AT BEDTIME .LOW DOSE SLIDING SCALE . Review of a blank Insulin Administration Documentation form undated showed: Low Dose Regimen (blood glucose ranges) - Less than 40= initiate hypoglycemia protocol and call MD (Medical Doctor) - 41-50= 0 units - 151-200= 0 units - 201-250= 3 units - 251-300= 4 units - 301-350= 6 units - 351-499= 9 units - Greater than…
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.
- Potential for harm · Dcited before2020-01-23 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to ensure a physician had signed the Physician's Orders for Scope of Treatment (POST) (a physician's order which indicates end of life care preferences) for 1 (#46) of 24 sampled residents for POST forms. The findings include: Review of the medical record showed Resident #46 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Chronic Peripheral Venous Insufficiency, Acute Kidney Failure, and Type 2 Diabetes Mellitus with Diabetic Neuropathy. Review of the POST form for Resident #46 dated 9/12/2019 showed no physician signature. Review of the Physician's Recapitulation Orders dated 1/2020 showed the resident had a Do Not Resuscitate (DNR) status. During an interview on 1/23/2020 at 8:30 AM, the Director of Nursing confirmed the POST dated 9/12/2019 had not been signed by a physician.
- Potential for harm · Dcited before2020-01-23 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 review, observation, and interview the facility failed to follow contact isolation precautions for 1 resident (#60) of 4 residents observed for contact isolation. The findings include: Review of the facility's policy titled, Isolation Policy, revised 4/5/2016, showed .Contact Precautions .Personal Protective Equipment .Wear gloves and gown when entering the room .a mini-stop sign will be placed outside the door . Resident #60 was admitted to the facility on [DATE] with diagnoses including Urinary Tract Infection, Type 2 Diabetes, and Major Depressive Disorder. Review of a Physician's Telephone Order dated 1/14/2020 showed contact precaution for Urinary Tract Infection (UTI) Multidrug Resistant Organism (MDRO). Observation at Resident #60's room on 1/21/2020 at 11:00 AM, showed a large metal box placed on the resident's entrance door with no signage on the door. During an interview on 1/21/2020 at 11:20 AM, Licensed Practical Nurse (LPN) #1 stated the resident was…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| HEALTH MANAGEMENT ASSOCIATES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 12/31/2016 |
| CHS COMMUNITY HEALTH SYSTEMS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/27/2014 |
| COMMUNITY HEALTH SYSTEMS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/27/2014 |
| HMA-TRI HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| BUFFINGTON-PRICE, EDNA | Individual | CORPORATE DIRECTOR | — | since 03/01/2022 |
| HAMMONS, KEVIN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 01/01/2020 |
| LALOR, PAULA | Individual | CORPORATE DIRECTOR | — | since 04/01/2017 |
| PITT, JUSTIN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 03/01/2022 |
| SUMMAR, NATHANIEL | Individual | CORPORATE DIRECTOR; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 07/14/2017 |
| CASH, WILLIAM | Individual | CORPORATE OFFICER | — | since 06/01/2018 |
| COBB, CHRISTOPHER | Individual | CORPORATE OFFICER | — | since 04/01/2017 |
| JOHNSON, JASON | Individual | CORPORATE OFFICER | — | since 01/06/2020 |
| OTTINGER, ROMAN | Individual | CORPORATE OFFICER | — | since 01/06/2020 |
| DHANDAPANI, MURUGESEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/10/2025 |
| LAWSON, LINDSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/10/2025 |
| WILLIAMS, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/02/2025 |
CMS files one row per role, so the 21 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.
4 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.
What families pay in TN
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.
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 445115. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-23, 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.