Stones River Manor, INC

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.

68.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 339 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 75.5% 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 139 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 0.93 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 30 beds and averages 26.3 residents a day — about 88% occupied, or roughly 4 beds typically open. It runs fairly full. 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 6.19 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.11 is at or above 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 4.90 hrs/resident/day on weekends vs 6.71 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 1.16 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%.

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

Inspection trend

Deficiencies are unchanged from the previous inspection. 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.

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 before2025-07-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, kitchen sanitation logs, refrigerator and dishwasher temperature logs, observation, and interview, the facility failed to ensure food was served under sanitary conditions when the kitchen floor was dirty with a black sticky substance, the deep fryer had thick sticky yellow dried coating on the outside, the steam table had dried brown streaks, the ice machine had a black dried substance on the inside, and undated items were in the refrigerator. The facility had a census of 27 with 26 of those residents receiving a tray from the kitchen. The findings include: 1. Review of the facility policy titled, Sanitization, revised October 2008, revealed .The food service area shall be maintained in a clean and sanitary manner.Dishwashing machines must be operated using the following specifications .High-Temperature Dishwasher .Wash temperature (150 [degrees]-165 F [Fahrenheit]) .Rinse temperature (165 -180 F) .Ice machines and ice storage containers will be .cleaned, and sanitized per manufacturer's instructions and facility policy.Kitchen and dining room surfaces not in…

  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 · D2025-07-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to ensure care and services were provided when a Percutaneous Endoscopic Gastrostomy (PEG) tube (a tube inserted into the stomach to administer medications and food supplements through) dressing change was not completed as ordered for 1 of 1 (Resident #20) resident reviewed for the use of an enteral feeding.The findings include:1. Review of the facility policy titled, Gastrostomy/Jejunostomy Site Care, dated 2001, revealed .The purpose of this procedure are [is] to promote cleanliness and to protect the gastrostomy or jejunostomy site from irritation, breakdown and infection .Verify that there is a physician's order .gently clean the area immediately surrounding the tube .The person performing this procedure should record the following information .The date and time the procedure was performed .if the resident refused .2. Review of the medical record revealed Resident #20 was admitted to the facility on [DATE], with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, the facility's Infection Control documents, and interview, the facility failed to follow Infection Control practices when they failed to track pathogens (a bacteria, virus, or other microorganism that can cause disease) in the monthly .Infection Control 2025 report which could potentially affect 27 out of 27 Residents. The findings include: 1. Review of the facility's policy titled, Antibiotic Stewardship - Review and Surveillance of Antibiotic Use and Outcomes, dated 12/2016, revealed .Antibiotic usage and outcome data will be collected and documented using a facility-approved antibiotic surveillance tracking form.All resident antibiotic regimens will be documented on the facility-approved antibiotic surveillance tracking form. The information gathered will include.pathogen identified.date of culture. 2. Review of the monthly .Infection Control 2025 report dated 3/2025, 4/2025, and 5/2025, revealed .ROOM.PATIENT.admit date .S/S [signs/symptoms] START DATE.LAB TESTING AND RESULTS.TX [treatment] START.TX STOP.DIAGNOSES.TREATMENT ORDERS.IN HOUSE.COMM.…

  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 · D2024-09-18 · 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 483.12(c)(1) Based on facility policy review, Facility Reported Investigation (FRI) review, medical record review, and interview, the facility failed to report allegations of abuse within 2 hours for 1 (Resident #5) of 3 sampled residents reviewed for abuse. The findings included: Review of the facility policy titled, Abuse, Neglect, Exploitation or Misappropriation – Reporting and Investigating dated 4/2021 revealed, .All reports of resident abuse .Findings of all investigations are documented and reported .Reporting Allegations to the Administrator and Authorities . ' Immediately ' is defined as .a. within two hours of an allegation involving abuse . Review of the Facility Reported Incident dated 2/29/2024 at 2:45 PM, revealed Resident #5 reported to FM W on 2/16/2024 that someone had poured cold water on her head. The Administrator wrote the complaint up as a grievance on 2/16/2024. Resident #5 and FM W decided they did not want CNA N to care for her anymore. Review of medical record revealed Resident #5 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-10-26 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 facility policy review, medical record review, and interview, the facility failed to complete and submit a discharge Minimum Data Set for 1 of 15 sampled residents (Resident #3) reviewed. The findings include: Review of the facility policy titled, MDS (Minimum Data Set) Completion and Submission Timeframes, revealed, .Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes . Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] and discharged on 6/20/2022. Continued review revealed there was no discharge MDS completed for the resident. During an interview on 10/26/2022 at 9:11 AM, the MDS nurse reviewed the medical record for Resident #3 and confirmed there was no discharge MDS performed for the resident. She stated, I don't see it in there. During an interview on 10/26/2022 at 9:26 AM, the MDS Coordinator confirmed the discharge MDS for Resident #3 was not completed. She stated, It was an oversight…

  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 · D2022-10-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to obtain orders for ice/cold therapy treatments for 2 of 2 sampled residents (Resident #25 and Resident #27) reviewed. The findings include: Review of the facility policy titled, Medication and Treatment Orders, revised 2016, revealed, .Orders for medications and treatments will be consistent with principles of safe and effective order writing . Review of the medical record revealed Resident #25 was admitted to the facility on [DATE] with diagnoses which included Aftercare Following Explantation of Knee Joint Prosthesis. Review of the Order Summary Report for Resident #25 dated October 2022, revealed there were no orders for the resident to have ice/cold therapy treatments. Review of the medical record revealed Resident #27 was admitted to the facility on [DATE] with diagnoses which included Aftercare Following Joint Replacement Surgery, Pain in Right Knee, and Rheumatoid Arthritis. Review of the Order…

  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 · D2022-10-26 · 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, manufacturer's guidelines review, medical record review, observation, and interview, the facility failed to prevent a potential accident for 2 of 2 sampled residents (Resident #25 and Resident #27) reviewed. The findings include: Review of the facility policy titled, Use of [Brand name] (Ice/cold Therapy), dated, 10/25/2022, revealed, .Use only as prescribed .apply insulation barrier .check for moisture .inspect skin regularly . Review of the Manufacturer Guidelines for [Brand name] (Ice/cold Therapy) revealed, .Use Only as Prescribed .Use only according to your practitioner's instructions regarding the frequency and duration of cold application and length of breaks between uses, how and when to inspect the skin, and total length of treatment .Apply Insulation Barrier & [and] Cold Therapy Pad .Do not let any part of the pad touch skin .Always use an insulation barrier between the Cold Therapy Pad and skin .Inspect the skin under the Cold Therapy Pad as prescribed, typically every…

  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 · D2019-07-31 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review and interview the facility failed to develop a baseline care plan for 3 (#24 #25 and #74) of 19 residents reviewed. The findings include: Facility policy review, Care Plans-Baseline, revised December 2016 revealed .A baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission . Medical record review revealed Resident #24 was admitted to the facility on [DATE] with diagnoses which included Acute and Subacute Infective Endocarditis, Urinary Tract Infection and Pneumonia. Medical record review of Resident #24's medical record revealed the resident did not have a baseline care plan in place. Medical record review revealed Resident #25 was admitted to the facility on [DATE] with diagnoses which included Cerebral Infarction, Persistent Atrial Fibrillation and Pain. Medical record review of Resident #25's medical record revealed the resident did not have a baseline care plan in place.…

  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 · D2019-07-31 · 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 Medical record review revealed Resident #5 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's disease and General Anxiety Disorder. Medical record review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #8 had a Brief Interview for Mental Status (BIMS) Score of 99 which indicated resident was unable to complete interview. Further review revealed Resident #8 receiving Hospice services. Medical record review of the care plan dated 5/21/19 revealed no hospice services and no interventions for psychotropic medications. Interview with MDS Coordinator on 7/31/19 at 9:14 AM in her office when asked what interventions were missing from Resident #5's Comprehensive Care Plan confirmed hospice services and interventions for psychotropic medications is missing from Resident #5's Comprehensive care plan. Interview with the DON on 7/31/19 at 6:17 PM in the conference confirmed care plans need to be updated anytime there is a change in a resident's condition . 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 · D2019-07-31 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review and interview the facility failed to update/revise care plans for 4 (#7, #8, #17, #21) of 19 residents reviewed. The findings include: Facility policy review Care Plans, Comprehensive Person-Centered, revised [DATE], revealed .Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change .The Interdisciplinary Team must review and update the care plan; a. When there has been a significant change in the resident's condition; d. At least quarterly, in conjunction with the required quarterly Minimum Data Set (MDS) assessment . Facility policy review, Advance Directives, revised [DATE], revealed .the plan of care for each resident will be consistent with his or her documented treatment preferences and/or advance directive . Medical record review revealed Resident #7 was admitted to the facility on [DATE] with diagnoses which included Anxiety Disorder, Age-Related Osteoporosis Without…

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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

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