Nhc Healthcare, Lewisburg

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

54.8% 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 67 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 92.9% 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 28 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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.

Staffing

How full it usually is: this home is certified for 100 beds and averages 68.5 residents a day — about 68% occupied, or roughly 32 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 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 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 3.55 hrs/resident/day on weekends vs 4.20 on weekdays — 15% thinner on weekends. RN hours go from 0.76 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% 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

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.

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

• Immediate jeopardy · Jcited before2024-03-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, Review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, facility investigation review, facility document review, and interview, the facility failed to provide an environment that is free from accident hazards over which the facility has control and provide supervision for 1 of 3 (Resident #1) sampled residents reviewed for accidents. On 12/27/2023, Resident #1 had an unwitnessed fall from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. Resident #1 was transferred via air ambulance (helicopter) to a level 1 trauma center for emergent care. The emergency department record dated 12/28/2023 for Resident #1 revealed, .reported fall from bed with bilateral lower extremity deformity and reported 'near amputation' left leg . The facility's failure to provide an environment that was free from accident hazards resulted in an Immediate Jeopardy (IJ, a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, hospice notes, facility investigation review, and interview, the facility failed to protect the residents' right to be free from neglect for 2 of 6 (Resident #6 and Resident #8) sampled residents reviewed for abuse. The facility failed to address a change in condition for Resident #6, a severely cognitively impaired ambulatory resident, who exhibited escalating behaviors, a changes in mobility, and increased symptoms of pain beginning on 2/1/2024. On 2/4/2024, 4 days after Resident #6's increase in behaviors, mobility changes and increased pain symptoms, the night shift nurse documented edema and a bruise to the anterior right inner right thigh and notified Hospice. Hospice assessed Resident #6 on 2/5/2024, and an X-ray was ordered on 2/5/2024 at 2:00 PM. The facility did not address the results until 2/6/2024. Resident #6's X-ray revealed a right intertrochanteric femoral fracture. The facility's failure to timely identify an acute change in condition in a…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to develop and implement a comprehensive person-centered care plan for falls and resident to resident abuse for 4 of 10 (Resident #1, Resident #6, Resident #8, and Resident #9) sampled residents reviewed for care plans. The facility failed to develop and implement a comprehensive person-centered care plan for Resident #1, a cognitively impaired resident with poor safety awareness, and at high risk for falls, that appropriately addressed Resident #1's unsafe behaviors related to the use of her bed remote to raise her bed to an unsafe height when unsupervised. The facility failed to develop and implement interventions related to Resident #1's increased fall risk when Resident #9, a cognitively impaired resident, demonstrated unsafe behaviors of putting Resident #1's shoes on her and attempting to assist/encourage Resident #1, who was non-weight bearing, to get out of bed multiple times. The facility also…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-14 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, review of the Mobile Radiology #1's agreement, medical record review, hospice notes, facility investigation review, employee file review and interview, the facility failed to provide competent and proficient nursing staff to assure residents' safety and obtain or maintain the highest practicable physical wellbeing which resulted in actual harm for 2 of 10 sampled residents (Resident #1 and Resident #6) reviewed. Nursing staff failed to recognize increased fall risks and develop and implement care plan interventions which resulted in actual harm when Resident #1 had an unwitnessed fall on 12/27/2023 from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. Nursing staff failed to recognize a change in condition for Resident #6 which resulted in actual harm when Resident #6 remained in the facility experiencing increased pain and decreased mobility for 6 days before being sent 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-14 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on job description review and interview, Administration failed to administer the facility in a manner that enabled the facility to use its resources effectively and efficiently to attain the highest practicable wellbeing of the residents. Administration failed to provide oversight to ensure nursing staff provided an environment that is free from accident hazards over which the facility has control, implement care plan interventions for known unsafe behaviors, and provide supervision for 1 of 3 (Resident #1) sampled residents reviewed for falls. On 12/27/2023 Resident #1 had an unwitnessed fall from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. Resident #1 was transferred via air ambulance (helicopter) to a level 1 trauma center for emergent care. Administration failed to provide oversight to ensure competent nursing staff provided care consistent with professional standards of practice to prevent Abuse/Neglect for 1 of 6 (Resident #6) sampled residents when nursing staff failed…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-26 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure nursing staff did not pre-pour and store medications in advance of medication administration for 10 (Residents #47, #1, #39, #15, #23, #8, #56, #67, #59 and #17) of 24 residents who received medications from the 200 Hall medication cart. The findings include: A facility policy titled, Medication Storage in the Facility, revised 02/25/2025, revealed, C. All medications dispensed by the pharmacy are stored in the container with the pharmacy label. A facility policy titled, Medication Administration - General Guidelines, revised 02/25/2025, revealed the section titled, B. Administration, included, 4. When medications are administered by mobile cart taken to the resident's location (room, dining area, etc. [et cetera, and so forth]) medications are administered at the time they are prepared. Medications are not pre-poured either in advance of the med [medication] pass or for more than one resident at a time. 5. In no case shall more than one dose time be prepared in advance. Further…

  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 · D2026-02-26 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident that was self-administering medications was assessed for the capability to self-administer medications for 1 (Resident #53) of 2 residents reviewed for medication administration. The findings include: A facility policy titled, Self-Administration of Medication, revised 02/25/2025, revealed, IN order to maintain the residents' high level of independence, residents who desire to self-administer medications are permitted to do so if the facility's interdisciplinary team has determined that the practice would be safe for the resident and other residents of the facility and there is a prescriber's order to self-administer. The policy revealed, If the resident desires to self-administer medications, a physician order should be obtained then an assessment is conducted by a member of the interdisciplinary team of the resident's cognitive (including orientation to time), physical, and visual ability to carry out this responsibility. For those residents who self-administer, a…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the Resident Assessment Instrument (RAI) Manual guidelines, the facility failed to accurately complete the Minimum Data Set (MDS) assessments for 2 (Resident #7 and Resident #50) of 2 residents reviewed for MDS discrepancies. The findings include: The Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated 10/2025, indicated, Those residents covered by Level II PASRR [Pre-Admissions Screening and Resident Review] process may requires certain care and services provided by the nursing home, and/or specialized services provided by the state. The RAI manual further indicated section A1500 should be coded yes if PASRR Level II screening determined that the resident has a serious mental illness and/or ID [intellectual disability]/DD [developmental disability] or related condition. 1. A Resident Face Sheet revealed the facility admitted Resident #7 on 06/01/2022. According to the Resident Face Sheet, the resident had a medical history that included diagnoses of spina…

  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 · D2024-03-14 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report a resident-to-resident altercation which involved physical abuse within 2 hours and failed to report the results of an investigation to the State Survey Agency and Adult Protective Services within 5 working days of the incident for 2 of 6 (Resident #6 and Resident #8) sampled residents reviewed for abuse. The Findings include: Review of the facility policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, dated 2/1/2023 revealed, .Abuse, Neglect .will not be tolerated by anyone .The patient has the right to be free abuse, neglect .Abuse .willful infliction of injury .pain or mental anguish .Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish .Willful, as used in this definition of abuse, means the individual must have acted deliberately .Physical…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to thoroughly investigate a resident-to-resident altercation which involved physical abuse for 2 of 6 (Resident #6 and Resident #8) of sampled residents reviewed for abuse. The Findings include: Review of the facility policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, dated 2/1/2023 revealed, .Abuse, Neglect .will not be tolerated by anyone .The patient has the right to be free from abuse, neglect .Abuse .willful infliction of injury .pain or mental anguish .Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish .Willful, as used in this definition of abuse, means the individual must have acted deliberately .Physical Abuse .includes hitting, slapping .Neglect .the failure of the facility, its employees, or service providers to provide goods and services…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to complete a comprehensive resident admission assessment within 14 calendar days after admission for 1 of 13 residents (Resident #1) sampled residents reviewed. The findings include: Review of the RAI Manual Version 3.0 dated 10/2023, revealed, .For the admission assessment, the MDS Completion Date (Z0500B) must be no later than 13 days after the Entry Date (A1600) . For the admission assessment, the Care Area Assessment (CAA) Completion Date (V0200B2) must be no later more than 13 days after the Entry Date (A1600) . Resident #5 was admitted to the facility on [DATE] with diagnoses which included Unspecified Dementia, severe, and Depression, Unspecified. Other diagnoses included Insomnia, Age-related Osteoporosis without pathological fracture, and Unilateral primary osteoarthritis, right hip. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set 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 facility policy review, Quality Assurance and Performance Improvement (QAPI) meeting documentation review, medical record review, and interview, the QAPI committee failed to ensure an effective QAPI program that identified opportunities for improvement. The QAPI Committee failed to provide oversight to ensure an environment that is free from accident hazards over which the facility has control, recognize fall risk and implement interventions, and provide supervision for 1 resident (Resident #1). The QAPI Committee failed to ensure competent nursing staff provided care consistent with professional standards of practice to prevent abuse/neglect for 1 resident (Resident #6) when nursing staff failed to appropriately assess Resident #6's change in condition and physical abuse for 2 residents (Resident #6 and Resident #8) involved in a physical altercation. The failure of the QAPI committee to identify opportunities for improvement had the potential to affect all residents residing in the facility. 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2020-02-01 · 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 in 2 of 3 isolation rooms (Resident #55 and #73's rooms), failed to maintain infection control practices for respiratory therapy masks and oxygen tubing for 6 of 10 sampled residents (Resident #74, #31, #39, #28, #61, and #33) receiving respiratory services, failed to ensure linens were removed properly from a resident's room (Resident #77), failed to ensure an indwelling catheter bag and tubing were kept off of the floor for 1 of 2 sampled residents (Resident #77) reviewed with an indwelling urinary catheter, and 2 of 4 Certified Nursing Assistants (CNA #1 and #3) failed to perform hand hygiene and proper catheter care for 1 of 2 sampled residents (Resident #55) reviewed during indwelling catheter care. The findings include: Review of the facility's policy titled, STANDARD PRECAUTIONS, revised 1/10/2020, showed that appropriate Contact Precautions sign should be placed on the residents' room doors. 1. Observation outside of the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-02-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to provide a comfortable and homelike environment when staff and family members were knocking loudly on the kitchen door on 2 of 6 days (1/28/2020 and 1/29/2020) of the survey. The findings include: Observation in the 100 Hall on 1/28/2020 at 8:30 AM, 9:00 AM, 9:17 AM, 9:25 AM, 9:50 AM, 1:30 PM, 3:13 PM, 4:15 PM, 4:25 PM and 6:40 PM, showed several staff members knocking loudly on the kitchen doors. Observation in the 100 Hall on 1/28/2020 at 1:27 PM, showed a family member knocking loudly on the kitchen doors. Dietary Aide #1 opened the kitchen door and the family member asked why was the kitchen door locked. Dietary Aide #1 stated, Because state is here . Observation in the 100 Hall on 1/29/2020 at 8:17 AM, showed several staff members knocking loudly on the kitchen doors. During an interview on 1/28/2020 at 9:56 AM, Resident #82 stated, They just started banging on the door while state is here .they lock it when state's [state is] in the building . During an interview on 1/30/2020 at 11:33 AM, Resident #15 stated, They lock…

  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 · D2020-02-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 29 sampled residents (Resident #28) reviewed. The findings include: Review of the medical record, showed Resident #28 was admitted to the facility on [DATE] with diagnoses of Dementia, Malignant Neoplasm of Bladder, Chronic Kidney Disease, and Atrial Fibrillation. Review of the [Named Hospice] PHYSICIAN ORDERS dated 9/4/19, showed, .Admit to hospice services [sign for with] primary DX [diagnosis]: Bladder CA [Cancer] . Medical record review, showed there was not a Significant Change MDS completed after Resident #28's admission to hospice services. The facility failed to complete a significant change MDS within 14 days of Resident #28's admission to hospice services. During an Interview on 1/30/2020 at 3:35 PM, the MDS Coordinator confirmed that a significant change MDS related to hospice was not completed for Resident #28.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$217,240 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $217,240 — penalty dated 2024-03-14
• Medicare payment denial — starting 2024-03-20 for 36 days

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

Part of a chain

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

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

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 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.

This home reported $764K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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