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Countryside Post-Acute And Rehabilitation Center

3051 Buffalo Road, Lawrenceburg, TN 38464 · For profit - Limited Liability company · 162 certified beds · (931) 762-7518 Medicare & Medicaid certified

Call the home — (931) 762-7518 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • about 28% of its spending goes to commonly-owned related companies

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

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

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2019 N Locust Ave · (931) 762-1800 · Call to confirm hours
Pharmacy
2130 N Locust Ave · (931) 762-6058 · Call to confirm hours
Grocery
2220 Wo Smith Dr · (931) 762-8134 · Call to confirm hours
Park
1300 W Gaines St · (931) 762-9541 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased1.5%14.0%15.4%better
Long-stay residents who lose too much weight3.5%6.1%5.4%better
Long-stay residents with a catheter left in their bladder0.5%0.7%0.9%better
Long-stay residents with a urinary tract infection0.3%1.8%2.0%better
Long-stay residents with depressive symptoms41.7%13.8%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.5%3.4%3.3%better
Long-stay residents whose ability to walk worsened2.4%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication27.7%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine93.9%94.5%95.3%typical
Long-stay residents with pressure ulcers2.6%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control18.3%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table19.8%16.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.1%1.7%1.4%worse
Short-stay residents given the seasonal flu vaccine55.8%79.8%79.4%worse
Short-stay residents rehospitalized after admission18.9%22.6%22.6%better
Short-stay residents with an outpatient ER visit10.9%11.2%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.171.671.67better
Long-stay outpatient ER visits per 1,000 resident days1.951.561.80typical

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

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

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

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

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

54.1% 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 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.1%U.S. median 51.5%
Got home and stayed home
13.0%U.S. median 10.7%
Went back to hospital
60.0%U.S. median 56.6%
Met the expected recovery
0.26U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 60.0% 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 35 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.1%CMS range 35.4–72.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.0%CMS range 8.7–18.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge60.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge51.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge51.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified78.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting95.5%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened6.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.1%CMS range 4.0–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.261.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.21
RN hours/ resident / day
1.26
LPN hours/ resident / day
2.19
Aide hours/ resident / day
3.66
Total nurse hours/ resident / day
0.15
RN hoursweekends
40.2%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 162 beds and averages 88.3 residents a day — about 55% occupied, or roughly 74 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 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 3.17 hrs/resident/day on weekends vs 3.86 on weekdays — 18% thinner on weekends. RN hours go from 0.23 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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

Inspection trend

2
deficiencies at the latest standard inspection (2026-02-25)
9
at the previous standard inspection (2021-09-10)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · Ecited before2026-02-25 · 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

    Based on policy review, Infection Control Nurse job description review, facility Infection Control Program document review, Instructions for Humalog sheets review, medical record review, observation, and interview, the facility failed to establish and implement a program to identify, report, investigate, and control infections and communicable diseases when the Infection Preventionist (IP)/Assistant Director of Nursing (ADON) failed to track organisms being treated in the facility, monitor for outbreaks and cross contamination, and when 1 of 3 staff ( Licensed Practical Nurse (LPN) B) failed to properly clean an insulin pen during medication administration. This had the potential to affect 88 of 88 residents in the facility. The findings include: 1. Review of the facility policy titled, 'Infection Prevention and Control Program, dated 6/20/2025, revealed .This facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases…

    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 · D2026-02-25 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to provide dental services for 1 of 3 (Resident #17) sampled residents reviewed for dental services. The findings include: 1. Review of the facility undated policy titled, Dental Services, revealed .It is the policy of this facility to assist residents in obtaining routine .and emergency dental care .'Routine dental services' means an annual inspection of the oral cavity for signs of disease .smoothing of broken teeth .'Emergency dental services' includes services needed to treat an episode of acute pain in teeth, gums, or palate; broken or otherwise damaged teeth, or any other problem of the oral cavity that required immediate attention by a dentist .The Social Services Director maintains contact information for providers of dental services that are available to the facility residents .The facility will if necessary or requested, assist the resident with making dental appointments and arranging transportation to 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-09-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by expired food items in the cooler, 1 of 5 Kitchen staff (Cook #1) failed to practice infection control while performing tray line temperatures, and 2 of 3 (West and East Hall) nourishment refrigerators were dirty. This had the potential to affect 75 of 85 residents who had received a tray from the Kitchen. The findings include: Review of the facility's undated policy titled, Getting Ready to Take Food Temperatures Sanitizing The Thermometer, revealed .The thermometer must be first sanitized and calibrated .The thermometer must be sanitized to avoid contaminating the food being tested .wipe the stem of the thermometer with an alcohol swab between measurements . Observation of the walk in cooler in the Kitchen on 9/7/2021 beginning at 9:30 AM, revealed 8 of 15 quarts of Scrambled Egg Mix with an expiration date of 8/30/2021. Observation of the walk in cooler in the Kitchen on 9/8/2021 at 7:50 AM, revealed a new case of 14…

    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 · E2021-09-10 · tag F0886 — failed to test for COVID-19 as required — pattern
    Perform COVID19 testing on residents and staff.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy, COVID 19 testing log review, and staff interview, the facility failed to develop and implement a system to track and ensure all staff were tested for COVID-19 twice weekly for the prevention and potential spread of COVID 19 when 29 of 42 staff members (Registered Nurse (RN) #1, Licensed Practical Nurse (LPN) #2, #3, #4, #7, and #8, Certified Nursing Assistant (CNA) #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #13, and #14, Occupational Therapist (OT) #1 and #2, Physical Therapist Assistant (LPT) #1, Housekeeper #1, #2, and #3, Certified Dietary Manager (CDM), Receptionist #1, and [NAME] #1 and #2) failed to perform COVID 19 testing for 6 days of 18 days (8/23/2021, 8/26/2021, 8/30/2021, 9/2/2021, 9/6/2021, and 9/9/2021) reviewed. The findings include: Review of the facility's policy titled Covid Guidance . dated 4/27/2021, revealed .TESTING: Unvaccinated staff must continue to be routinely tested based on county positivity rates .> [greater than] 10% 2 x week [twice a week] . Review of the facility's COVID TESTING logs from 8/23/2021-9/9/2021 revealed 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 · D2021-09-10 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, observation, and interview, the facility failed to promote and enhance the resident's dignity during a dressing change for 1 of 3 sampled residents (Resident #338) reviewed. The findings include: Review of the facility's policy titled Quality of Life- Dignity, revised 2/2020, revealed .Staff promote, maintain, and protect resident privacy, including bodily during assistance with personal care and during treatment procedures . Review of the medical record, revealed Resident #338 had diagnoses of Paraplegia, Diabetes, Morbid Obesity, Congestive Heart Failure, Neurogenic Bladder, Pressure Ulcers Sacral Region and Right Ankle. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #338 was cognitively intact and required total dependence with all activities of daily living. Wound care observation in the resident's room on 9/9/2021 at 3:08 PM, revealed the Treatment Nurse and Licensed Practical Nurse (LPN) #1 left Resident #338 exposed on the bed during…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-10 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and interview, the facility failed to initiate a significant change Minimum Data Set (MDS) assessment within 14 days after hospice services were ordered for 1 of 21 sampled residents (Resident #12) reviewed. The findings include: Review of the medical record, revealed resident #12 had diagnoses of Parkinson's Disease, Alzheimer's Disease, Dysphagia, History of COVID-19, Bipolar Disorder, Psychotic Disorder, Dementia, and Cardiac Pacemaker. Review of a Physician Order dated 4/12/2021, revealed .Hospice to evaluate and treat . Review of a medical record, revealed there was no significant change MDS assessment completed after Resident #12's admission to hospice services. Interview on 9/9/2021 at 3:20 PM, the MDS Coordinator was asked if a significant change should have been completed when Resident #12 was ordered hospice services. The MDS Coordinator stated, .I didn't do it .

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-10 · 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 medical record review and interview, the facility failed to implement neurological (neuro) checks and appropriate interventions after unwitnessed falls for 2 of 2 sampled residents (Resident #85 and #86) reviewed for falls. The findings include: Review of the medical record, revealed Resident #85 had diagnoses of Cerebral Infarction, Dysphagia, Aphasia, Malignant Neoplasm of Lung, History of Covid-19, Depression, Anxiety, Failure to Thrive, and Repeated Falls. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #85 had severe cognitive deficits, required limited to extensive assistance with most of his activities of daily living, had functional limitations in range of motion with impairment on one side in both his upper and lower extremities, and had 1 fall with no injury and 1 fall with injury. Review of an Incident Investigation Note dated 8/17/2021, revealed .Resident found in floor sitting on his bottom in from [front] of the restroom door. Resident states I 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 provide care and services to maintain an indwelling urinary catheter for 1 of 2 sampled residents (Resident #338) reviewed for an indwelling urinary catheter. The findings include: Review of the facility's policy titled Foley Catheter Insertion, Male Resident, revised 10/2010, revealed .Verify that there is a physician's order for this procedure . Review of the medical record, revealed Resident #338 had diagnoses of Paraplegia, Diabetes, Morbid Obesity, Congestive Heart Failure, Neurogenic Bladder, Pressure Ulcers Sacral Region and Right Ankle. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #338 was cognitively intact, required total dependence for all activities of daily living, and had an indwelling urinary catheter. Review of the Physician Orders dated 8/31/2021, revealed .Foley output two times a day . There was no order for an indwelling urinary catheter. Observation…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-10 · 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 the policy review, medical record review, observation, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status, and failed to accurately assess, implement, and monitor interventions to prevent severe weight loss for 1 of 4 sampled residents (Resident #22) for weight loss. The findings include: Review of the facility's policy titled Weight Assessment and Intervention, revised 9/2008, revealed .nursing staff will measure resident weights on admission, the next day, and weekly for two weeks thereafter .weights will be measured monthly .dietitian will review the unit weight record by the 15th of the month to follow individual weight trends over time .threshold for significant unplanned and undesired weight loss will be based on the following criteria .3 months - 7.5% weight loss is significant; greater than 7.5% is severe . Review of the medical record, revealed Resident #22 was admitted to the facility on [DATE] and had diagnoses of Cerebral Infarction,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-10 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure 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

    Based on policy review, medical record review, observation, and interview, the facility failed to ensure 1 of 5 nurses (Licensed Practical Nurse (LPN) #7) followed the facility policy for medication administration through a percutaneous endoscopic gastrostomy (PEG) tube for 1 of 2 sampled residents (Resident #24) observed receiving medications through a PEG tube. The findings include: Review of the facility's policy titled Administering Medications through an Enteral Tube, revised 11/2018, revealed .Dilute medication . Dilute crushed (powdered) medication with at least 30 ml [milliliters] purified water (or prescribed amount) .pour diluted medications into the barrel of the syringe . Review of the medical record, revealed Resident #24 had diagnoses of Gastrostomy Tube, Cellulitis of Abdominal Wall, Diaphragmatic Hernia, Dysphagia, and Gastroesophageal Reflux Disease. Review of the Physician's Orders dated 7/12/2021, revealed .Flush peg tube with 100cc [cubic centimeter] of water every shift to keep tube patent . Observation in the resident's room on 9/8/2021 at 10:57 AM, revealed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · D2021-09-10 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and interview, the facility failed to ensure a Physician's Order was obtained related to Hospice for 1 of 1 sampled resident (Resident #21) reviewed for hospice. The findings include: Review of a medical record, revealed Resident #21 had diagnoses of Dementia with Behavioral Disturbances, History of Covid-19, Cerebral Infarction, Chronic Obstructive Pulmonary Disease, and Hypertension. Review of the medical record, revealed Resident #21 was receiving hospice but there was no Physician Order or Care Plan for hospice. During an interview on 9/10/2021 at 10:10 AM, the Regional Consultant stated, No, she [Resident #21] didn't initially have an order for Hospice.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-12-18 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to prevent the spread of infection when 2 of 12 staff members (Certified Nursing Assistant (CNA) #1 and #2) failed to keep ice and drinks covered during dining. The findings include: Observation during dining on 12/16/19 at 12:00 PM, in the 400 hallway, showed a cart with beverages and ice in the hallway. CNA #1 removed the lid from a pitcher of ice, picked up a glass with her bare hand and scooped ice from the pitcher with the glass. CNA #1 then poured the ice into another glass, and placed the glass used as a scoop for the ice into the pitcher of ice. The drink cart with the exposed ice was wheeled down the 400 hallway past the nurses station to the next area of resident rooms. CNA #1 returned to the drink cart, removed the glass that was in the ice, scooped up ice with the glass, poured the ice into another glass and placed the glass used as a scoop back into the ice pitcher. CNA #1 then poured a beverage over the ice she had prepared and carried it…

    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 before2019-12-18 · 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

    Based on policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were followed when 3 of 5 nurses (Licensed Practical Nurse (LPN) #1, #2, and #3) failed to perform hand hygiene during medication administration to 3 of 5 residents (Resident #5, #29, and #266) observed during medication administration. The findings include: 1. Review of the undated facility policy titled, Handwashing/Hand Hygiene showed that hand hygiene should be performed before and after direct contact with residents, before preparing and handling medications, after contact with objects in the immediate vicinity of the resident, and after removing gloves. 2. Observation of medication administration in Resident #29's room on 12/17/19 at 10:15 AM, showed LPN #1 donned clean gloves to check the Percutaneous Endoscopic Gastrostomy (PEG) tube placement (use of a stethoscope to check for residual stomach contents). LPN #1 removed her gloves, touched the resident's left side rail, turned the water on, touched the sink, moved the resident's sheet,…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, and interview, the facility failed to ensure residents were accurately assessed for anticoagulant therapy and falls for 2 of 23 residents (Resident #25 and 56) reviewed. The findings include: 1. Review of the medical record, showed Resident #25 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease, Prosthetic Heart Valve, and Cerebral Infarction. The annual Minimum Data Set (MDS) dated [DATE] was coded to reflect anticoagulant use on 7 of 7 days. Review of the October 2019 Medication Administration Record, showed Resident #25 did not receive anticoagulant medications. During an interview conducted on 12/18/19 at 3:39 PM, the MDS Coordinator confirmed the 10/25/19 MDS was coded inaccurately. 2. Review of the medical record, showed Resident #56 was admitted to the facility on [DATE] with diagnoses of Alzheimer's Disease, Cerebrovascular Accident, and Muscle Weakness. The significant change assessment dated [DATE], showed Resident #56 had no…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-18 · 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, observation, and interview, the facility failed to follow the physician's orders for 1 of 6 sampled residents (Resident #41) reviewed for oxygen therapy. The findings include: Review of the medical record showed Resident #41 was admitted to the facility on [DATE] with diagnoses of Neoplasm of Brain, Chronic Obstructive Pulmonary Disease, and Hypertension. The physician's order dated 10/31/19 showed .O2 [oxygen] 2l/min [liters per minute] PNC [per nasal cannula] for SOB [shortness of breath] or decrease O2 sat [saturation] . Observation in Resident #41's room on 12/16/19 at 3:27 PM and 12/17/19 at 7:42 AM, showed Resident #41 in bed with oxygen at 3l/min per nasal cannula. Observation in Resident #41's room on 12/17/19 at 2:56 PM, showed Resident #41 in bed with oxygen at 3 1/2 l/min per nasal cannula. During an interview conducted on 12/17/19 at 3:08 PM, the Director of Nursing (DON) was asked if Resident #41's oxygen was administered as ordered. The DON stated, No, ma'am, I will…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PLAINVIEW HEALTHCARE PARTNERS — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.1+0.9 vs chain
Health inspection 3 of 52.3+0.7 vs chain
Staffing 2 of 52.1-0.1 vs chain
Quality measures 4 of 52.6+1.4 vs chain
The other 8 homes this chain runs (chain average 2.1★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
COUNTRYSIDE TN HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/01/2023
WF COUNTRYSIDE TN LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 08/01/2023
AMOYELLE, YECHEZKELIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 08/01/2023
FOGEL, JOSHUAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 08/01/2023
WEISS, NAFTALIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 08/01/2023
WALLACE, SARAIndividualW-2 MANAGING EMPLOYEEsince 08/01/2023

CMS files one row per role, so the 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$6.8M
Net patient revenuemost recent cost report
+24.8%
Operating marginrevenue minus expenses
$1.4M
Related-party expense28% of expenses
Who pays — share of resident-days
Medicaid 85%Medicare 5%Other / private 10%

About 85% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 28% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$246per resident / day
operating cost
$7,467per month
≈ monthly operating cost
$327per day
avg. revenue, all payers

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

What families pay in TN

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445280. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-25, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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