Green Hills Center For Rehabilitation And Healing

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.

54.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 129 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.9% 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 63 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 0.47 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 150 beds and averages 139.0 residents a day — about 93% occupied, or roughly 11 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 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.62 hrs/resident/day on weekends vs 4.16 on weekdays — 13% thinner on weekends. RN hours go from 0.63 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

35 citations, most serious first. The 17 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-02-05 · 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, facility video footage, hospital record review, www.accuweather.com review, medical record review, observation, and interview, the facility failed to provide an environment that remained free of accident hazards and failed to adequately supervise Resident #106. Resident #106 exited the building in his wheelchair when a staff member unlocked the front door for a visitor to exit. Resident #106 followed the visitor out the door unnoticed on 12/8/2023 at 12:31 PM. Resident #106 exited the building for a second time when a staff member again unlocked the front door for a visitor and Resident #106 followed the visitor out the door unnoticed on 12/8/2023 at approximately 1:35 PM. The facility was unaware of Resident #106 missing until approximately 9:00 PM on 12/8/2023 (7 ½ hours after Resident #106 exited the front door). The facility was unable to find Resident #106. The facility failed to investigate and determine the root-cause and no new interventions were put into 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2020-02-07 · 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, observation, and interview the facility failed to develop and implement a person-centered care plan for 3 of 41 residents (Resident #60, #4 and #57) reviewed for Comprehensive Care Plans placing the residents in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). Resident #60 experienced a fall which resulted in a C7 fracture (fracture of the 7th neck vertebra) and a second fall which resulted in a Proximal Left Hip Fracture (Fracture at the base of the Femoral Neck). Resident #4 experienced a fall which resulted in a Traumatic Subarachnoid Hemorrhage (bleeding in the space between the brain and the tissue covering the brain related to trauma). Resident #4 then developed a new onset of seizure activity after the fall. Resident #57 was left unattended in the bathroom, fell while self-toileting 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2020-02-07 · 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, medical record review and interview, the facility failed to provide supervision and assistance for 3 of 4 residents (Resident #60, #4, and #57) reviewed for falls with major injury which placed these residents in Immediate Jeopardy when Resident #60 experienced a fall which resulted in a C7 fracture (fracture of the 7th neck vertebra) and a second fall which resulted in a Proximal (point of attachment) Left Hip Fracture. Resident #4 experienced a fall which resulted in a Traumatic Subarachnoid Hemorrhage (bleeding in the space between the brain and the tissue covering the brain related to trauma). Resident #4 then developed new onset seizure activity after the fall. Resident #57 was left unattended in the bathroom, fell while self-toileting, and sustained a Left Humerus (upper arm) fracture. The facility's noncompliance placed Resident #60, #4 and #57 in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has…

  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 · G2024-02-06 · 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, review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, facility investigation review, and interview, the facility failed to protect the resident's right to be free from neglect for 1 of 22 (Resident #319) sampled residents reviewed for abuse. The facility's failure to provide the necessary structure and processes to meet the care needs of Resident #319 resulted in actual HARM when Resident #319 fell from the bed and sustained a left hip fracture. Staff failed to provide 2-person assistance during incontinent care, for a cognitively impaired resident with contractures (a permanent tightening of muscle, tendons, skin, and surrounding tissue that causes the joints to shorten and stiffen) and hemiparesis (paralysis and partial weakness of one side of the body). Staff failed to ensure Resident #319 was monitored for adverse outcomes related to the witnessed fall. Resident #319 remained in the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-06 · 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, review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, review of the facility incident report, facility investigation, review of Hospital #2's Emergency Department (ED) records, medical record review, and interview, the facility failed to ensure a person-centered care plan was developed and implemented for 1 of 11 (Resident #319) sampled residents reviewed using an air mattress. The facility's failure to develop and implement a person-centered care plan for Resident #319 resulted in actual harm when he fell from the bed during incontinence care and sustained a left hip fracture. The findings include: Review of the policy titled, MDS [Minimum Data Set] Assessment revised 12/2020 revealed .The Purpose of the Assessment .Is to describe the resident's capability to perform daily life functions and to identify significant impairments in functional capacity, as well as medical, cognitive, and emotional needs .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
• Actual harm · Gcited before2024-02-06 · 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 Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, facility eINTERACT Transfer Form review, medical record review, facility investigation 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 11 (Resident #319) sampled residents reviewed for assistance with Activities of Daily Living (ADL)s and air mattress use. The facility's failure to provide a safe environment during care resulted in actual harm when Resident #319 fell from bed and sustained a left hip fracture on [DATE] while receiving incontinence care with use of 1 person assist. The findings include: Review of the facility's policy titled, .Fall Management revised 7/2017 revealed, .The facility assists each resident in attaining/maintaining his or her highest practicable level of function by providing the resident adequate supervision,…

  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 · G2024-02-06 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to provide effective pain management for 2 (Resident #221 and #224) of 5 residents reviewed for pain. The facility's failure to implement an effective pain management program for Resident #221 and Resident #224 resulted in an increase in pain and actual HARM to Resident #221 and Resident #224. The findings include: Review of the facility policy titled, Pain Assessment and Management, dated 5/19/2023 revealed, .The purposes of this procedure are to help the staff identify pain in the resident, and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain .1. Observe the resident [during rest and movement] for physiologic .signs of pain. 2. Possible Behavioral Signs of Pain .a. negative verbalizations and vocalizations such as groaning .b. facial expressions such as grimacing, frowning .4. Ask the resident if he/she is experiencing pain…

  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 · D2026-04-29 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  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 reimburse funds within 30 days to 2 of 2 (Resident #135 and #136) sampled residents reviewed for personal fund accounts. The findings include: 1. Review of the undated policy titled, Conveyance Resident Funds, revealed .Any funds on deposit with the facility are refunded to the resident, resident representative, or to the resident's estate upon discharge, eviction or death, as applicable.The resident's personal funds and a final accounting of funds are returned to the resident, the resident's representative, or to the resident's estate.as applicable within thirty (30) days from the date of the resident's discharge or eviction from the facility, or death. 2. Review of the medical record revealed Resident #135 was admitted to the facility on [DATE], with diagnoses including Acute Kidney Failure, Hypertension, Chronic Kidney Disease, and Atrial Fibrillation. Review of the quarterly Minimum Data Set (MDS) assessment dated…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-04 · 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, observation, and interview, the facility failed to ensure food was properly stored, prepared, and served under sanitary conditions, when the facility failed to ensure kitchen equipment was clean and sanitary, when food was stored opened, undated, and expired, when staff failed to cover hair, failed to perform hand hygiene, when food was left uncovered and unattended, and when the ice machine had pink and black build up. The facility served 119 meal trays. The findings include: 1. Review of the facility's undated policy titled, Food and Sanitation, revealed .All local, state and federal standards and regulations are followed in order to assure a safe and sanitary food service department .Hair restraints are required and should cover all hair on the head .Beard nets are required when facial hair is visible .All staff will wash their hands just before they start to work in the kitchen and when they have used their hands in an unsanitary way .Foods are protected from contamination (dust, flies, rodents, and other vermin) .Foods with expiration dates are used…

  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 · Dcited before2025-02-04 · 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 review of the Resident Rights document, medical record review, observation, and interview, the facility failed to treat residents with respect and dignity when 4 of 15 (Certified Nursing Assistant (CNA) K, L, M, N) and (Minimum Data set (MDS Nurse) staff members stood over a residents (Resident #12, #33, #45, #54, and #90) to assist with the meal. The findings include: 1. Review of the facility's Resident Rights, document dated February 2021, revealed .Employees shall treat all residents with kindness, respect, and dignity . 2. Review of the medical record revealed Resident #12 was admitted to the facility on [DATE], with diagnoses including Alzheimer's Disease, Cerebral Infarction, Chronic Obstructive Pulmonary Disease, and Congestive Heart Failure. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #12 had a Brief Interview for Mental Status (BIMS) score of 7, which indicated severe cognitive impairment. Resident #12 required assistance from staff for eating, bathing,…

  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 · D2025-02-04 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 maintain privacy and confidentiality of residents' medical record for 27 of 119 (Resident #4, #10, #11, #19, #23, #27, #29, #31, #33, #36, #41, #47, #50, #51, #52, #53, #60, #75, #77, #81, #82, #88, #94, #98, #106, #107, and #110) sampled residents observed during a random observation and medication administration. The findings include: 1. Review of the facility's policy titled, Resident Rights, dated 2/2011, revealed .Employees shall treat all resident with kindness, respect, and dignity .Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to .privacy and confidentiality . 2. Observation on the 200 Hall on 1/30/25 at 12:07 PM, revealed Licensed Practical Nurse (LPN R) sitting at the nurses' desk away from the 200 Hall Medication Cart #1. During observation and interview at the 200 Hall Medication Cart #1 on 1/30/2025 at 12:08 PM, revealed the computer screen opened and viewable with the following residents name and room numbers…

  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 · D2025-02-04 · 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 policy review, medical record review, and interview, the facility failed to conduct quarterly care conference meetings for 5 of 24 (Resident #9, #10, #25, #36, and #39) sampled residents reviewed. The findings include: 1.Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised 3/2022, revealed .Each resident's comprehensive person-centered care plan is consistent with the resident's rights to participate in the development and implementation of his or her plan or care, including the right to .participate in the planning process .identify individuals or roles to be included .request meetings .request revisions to the plan of care .participate in establishing the expected goals and outcomes of care .participate in determining the type, amount, frequency and duration of care .see the care plan and sign it after significant changes are made .The resident is informed of his or her right to participate in his or her treatment, and provided advance notice of care planning…

  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 · D2025-02-04 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 related to activities of daily living (ADLs) for 3 of 7 (Resident #5, #9, and #317) sampled residents for ADLs. The findings include: 1. Review of the facility's policy titled, Activities of Daily Living (ADL), Supporting, revised 3/2018, revealed .Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene .Appropriate care and services will be provided for residents who are unable to carry out ADLs independently .including appropriate support and assistance with .hygiene (bathing, dressing, grooming, and oral care) . 2. Review of the medical record revealed Resident #5 was admitted to the facility on [DATE], with diagnoses including Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and Atrial Fibrillation. Review of the quarterly Minimum Data Set (MDS)…

  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 · D2025-02-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, observation, and interview, the facility failed to provide care and services for the prevention of pressure ulcer/injury for 1 of 4 (Resident #61) sampled residents reviewed for pressure ulcer/injuries. The findings included: 1. Review of the facility's policy titled, Pressure Injuries Overview, dated 1/28/2025, revealed .Pressure Ulcer/Injury (PU/PI) refers to localized damage to the skin and/or underlying soft tissue usually over a bony prominence .A pressure injury will present as intact skin and may be painful .A pressure ulcer will present as an open ulcer, the appearance of which will vary depending on the stage and may be painful .Pressure ulcers/injuries occur as a result of intense and prolonged pressure .The tolerance of soft tissue for pressure and shear may also be affected by skin temperature and moisture, nutrition, perfusion, co-morbidities and condition of the soft tissue .Tissue tolerance is the ability of the skin and its supporting structures to endure…

  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 before2025-02-04 · 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 policy review, medical record review, and interview, the facility failed to ensure a safe and secure environment for 1 of 1 (Residents #25) residents reviewed for accident hazards. The findings include: 1. Review of the facility's undated form titled .AGAINST MEDICAL ADVICE-ACKNOWLEDGEMENT AND WAIVER . revealed .The above named physician has recommended a specific course of therapy, method of treatment or a means diagnosing and/or treating a medical condition for the patient named .is a medical decision that is made by the physician based upon the findings of an examination and/or diagnostic testing .The physician believes this recommendation is in the patient's best interest .The specific recommendation(s) being made by the physician includes the following [blank lines to include the physician's recommendations] .The patient has elected not to follow the recommendations of the physician as noted above and accepts responsibility for any consequences of that decision .The risks of not following 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-04 · 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 facility policy review, medical record review, observation, and interview, the facility failed to provide appropriate services and treatment for an indwelling urinary catheter for 1 of 3 (Resident #317) reviewed for the use of a urinary catheter care, when the facility failed to obtain an order, failed to revise the care plan for the use of an indwelling urinary catheter, and when 1 of 1 (Certified Nursing Assistant (CNA) HH) failed to perform hand hygiene during catheter care. The findings include: 1. Review of the facility policy titled, Indwelling (Foley) Catheter Insertion, Female Resident dated 5/19/2023, revealed .Verify that there is a physician's order . Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised 3/2022, revealed .Assessments of residents are ongoing and care plans are revised as information about the residents and resident's conditions are changed .reviews and updates the care plan .when there has been a significant change in condition in the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-04 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 3 of 9 (100 Hall Medication Cart #1, 200 Hall Medication Cart #1, and 300 Hall Medication Room) storage areas when external and internal medications were stored together and with toxic chemicals, medications stored opened and undated, and when discontinued medications were stored in the medication room, and when 1 of 9 (300 Hall Medication Cart #2) storage areas was left unsecure, unattended, and out of sight of the nurse The findings include: 1.Review of the facility policy title, Medication Labeling and Storage, dated 5/19/2023, revealed .The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. Only authorized personnel have access to keys .The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner .If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for…

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

  Pharmacy Service 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

$16,801 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $8,400 — penalty dated 2024-02-05
• $8,401 — penalty dated 2024-02-05
• Medicare payment denial — starting 2024-02-28 for 6 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 CARERITE CENTERS — 34 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 16 rows in the source record cover these 9 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.

This home reported $1.4M 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