Patriot Health and Rehabilitation Center
800 Volunteer Drive, Paris, TN 38242 · For profit - Corporation · 127 certified beds · (731) 642-2535 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has 1 actual-harm citation
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $30,150 in federal fines (most recent 2025-01-27)
- its payroll-based staffing rating is low (2/5)
- its facility-reported quality-measure rating is low (2/5)
- about 25% of its spending goes to commonly-owned related companies
- its last standard health inspection was over 4 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 24.0% | 14.0% | 15.4% | worse |
| Long-stay residents who lose too much weight | 9.6% | 6.1% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 3.4% | 0.7% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.3% | 1.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 13.4% | 13.8% | 6.5% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 6.6% | 3.4% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 40.5% | 17.2% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 50.9% | 31.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 93.4% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 8.0% | 5.0% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 26.8% | 20.0% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 35.0% | 16.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.7% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 92.8% | 79.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.1% | 22.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 13.2% | 11.2% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 0.70 | 1.67 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.64 | 1.56 | 1.80 | typical |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
49.6% 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 175 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 52.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 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 0.30 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 49.6%CMS range 41.8–57.6 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 8.0–14.5 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 52.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 49.2% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 44.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 93.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 95.5% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 98.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.1% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.8%CMS range 3.4–9.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.05 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 127 beds and averages 103.2 residents a day — about 81% occupied, or roughly 24 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 3.26 hrs/resident/day on weekends vs 4.02 on weekdays — 19% thinner on weekends. RN hours go from 0.53 to 0.28 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%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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.
This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.
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.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · Gcited before2025-01-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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, observation, record review, and interview the facility failed to ensure residents received the necessary treatment and services consistent with professional standards of practice to promote healing for 9 of 9 (Residents #1, #2, #5, #11, #14, #15, #16, #18, and #19) reviewed for pressure ulcers. The facility's failure to perform wound care treatments and weekly wound assessments in accordance with facility policy contributed to the deterioration of pressure ulcers/injury for Resident #14 and #18, resulting in Harm. The findings include: 1. Review of the facility policy titled, Pressure Injury Prevention and Management, dated 2/14/2023, revealed . provide treatment and services to heal the pressure ulcer/injury, prevent infection and the development of additional pressure ulcers/injuries .Licensed nurses will conduct a full body assessment on all residents upon admission, weekly, and after any newly identified pressure injury. Findings will be documented in the medical record. Assessments…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-01-27 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 serve palatable food at a safe and appetizing temperature for 3 of 6 (Resident #7, #8, and #12) sampled residents reviewed for appetizing and palatable meals. The findings include: 1. Review of the facility's policy titled, Food Safety Requirements. dated 12/1/2024 revealed, .It is the policy of this facility to procure food from sources approved or considered satisfactory by federal, state .Food will also be stored, prepared, distributed and served in accordance with professional standards for food service safety . 2. Review of the medical record revealed Resident #7 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Depression, Obesity, Anxiety and Diabetes. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 14, which indicated Resident #7 was cognitively intact. Observation and interview in Resident #7's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-01-27 · tag F0835 — failed to run the facility competently — patternAdminister 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation and interview the facility failed to provide its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility failed to maintain adequate supplies for staff or services necessary to provide for the needs of residents. The findings include: 1. Review of the medical record revealed that Resident #3 was admitted to the facility on [DATE], with diagnoses including Hemiplegia, Hypertension, Diabetes, and Asthma. Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated that Resident #3 was cognitively intact. During an interview on 9/15/2025 at 9:57 AM, Resident #3 was asked about the facility running out of supplies. Resident #3 stated the facility ran out of toilet paper and briefs 2 weeks ago and staff had to go to [named retail store]to purchase some. 2. Review of the medical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-01-27 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation and interview, the facility failed to ensure the resident's right to be treated with dignity was maintained for 1 of 16 (Resident #7) residents sampled for dignity. The findings include: 1. Review of the facility policy titled, Resident Rights, dated 3/7/2023, revealed .The resident has the right to a dignified existence .The resident has a right to be treated with respect and dignity . 2. Review of the medical record revealed Resident #7 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Depression, Obesity, Anxiety and Diabetes. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 14, which indicated Resident #7 was cognitively intact. Review of the Care Plan revised on 12/26/2024, revealed, .resident has an ADL [activities of daily living] self-care performance deficit .BATHING/SHOWERING .resident requires ext [extensive] assist by 1-2 staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-01-27 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview the facility failed to develop a person-centered care plan for 1 of 19 (Resident # 11) residents reviewed for pressure ulcers. The findings include: 1. Review of the facility's policy titled, Comprehensive Care Plan, dated 12/1/2024, revealed .It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental psychosocial needs that are identified in the resident's comprehensive assessment .The comprehensive care plan will describe .The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being . 2. Review of the medical record revealed that Resident #2 was admitted to the facility on [DATE], with diagnoses including Parkinson's Disease, Dementia, Anxiety, and Depression. Review 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.
- Potential for harm · D2025-01-27 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, review of staff competency documentation, medical record review, observation and interview the facility failed to ensure licensed nurses had the skills and knowledge to detect changes in a resident's condition related to pressure ulcers for 9 of 9 (Residents #1, #2, #5, #11, #14, #15, #16, #18, #19) sampled residents. The findings include: 1. Review of the facility policy titled, Pressure Injury Prevention and Management, dated 2/14/2023, revealed .to provide treatment and services to heal the pressure ulcer/injury, prevent infection and the development of additional pressure ulcers/injuries .Licensed nurses will conduct a full body assessment on all residents upon admission, weekly, and after any newly identified pressure injury. Findings will be documented in the medical record. Assessments of pressure injuries will be performed by a licensed nurse and documented. The staging of pressure injuries will be clearly identified to ensure correct coding on the MDS [Minimum Data Set] .Training…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-27 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections when 1 of 2 Licensed Practical Nurses (LPN C) failed to perform hand hygiene during wound care and 5 of 5 (LPN C, LPN D, Certified Nursing Assistant (CNA) E, CNA F, and CNA G) staff failed to wear appropriate Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) during wound care. The findings include: 1. Review of the facility policy titled, Enhanced Barrier Precautions, dated 12/1/2024, revealed .to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. An order for enhanced barrier precautions will be obtained for residents with any of the following: Wounds .and/or indwelling medical devices .Implementation of Enhanced Barrier Precautions: PPE for enhanced barrier precautions is only necessary when performing high-contact care activities .High-contact…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-19 · tag F0553 — failed to let residents help plan their care — isolatedAllow resident to participate in the development and implementation of his or her person-centered plan of care.
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 include a resident or family member in the Interdisciplinary Team (IDT) Care Plan meeting for 2 of 12 sampled residents (Resident #3 and #18) reviewed for Care Plan Meetings. The findings include: Review of the facility's policy titled, Care Planning-Resident Participation, dated 10/18/2021, revealed .This facility supports the resident's right to be informed of, and participate in his or her care planning and treatment .the facility will notify the resident and/or resident representative, in advance .to the plan of care .and assist the resident and/or .representative to participate in choosing care . Review of the medical record, revealed Resident #3 was admitted to the facility on [DATE] with diagnoses of Downs Syndrome, Chronic Kidney Disease, Dysphagia, and Anxiety. Review of the Interdisciplinary Plan of Care Review dated 11/1/2021, revealed a family member participated in the IDT meeting via phone. Review of the quarterly…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-19 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to ensure 5 of 9 sampled residents (Resident #18, #22, #56, #65, and #154) had alternative food and menu choices. The findings include: Review of the facility's policy titled, Dietary: Resident Dietary Needs, Allergies .Preferences and Substitutes, dated 11/30/2021, revealed .To ensure that facility staff support the nutritional well-being of the residents while respecting an individual's right to make choices about his or her diet .will ensure residents are offered meaningful choices in meals/diet that are nutritionally adequate and satisfying to the individual . Review of the facility's policy titled, Resident Rights ., dated 1/2022, revealed .The facility will inform the resident .of his or her rights .The right to .receive services in the facility with reasonable accommodation or resident needs and preferences .the right to make choices about aspects of his or her life .that are significant to the resident . Review…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-19 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of the meal tray card, observation, and interview, the facility failed to provide the appropriate equipment necessary to maintain the ability to drink independently for 1 of 5 sampled residents (Resident #22) reviewed for dining. The findings include: Review of the medical record, revealed Resident #22 was admitted to the facility on [DATE] with diagnoses of Cerebral Infarction, Diabetes Mellitus, and Dysphagia. Review of the quarterly Minimum Data Set, dated [DATE], revealed a Brief Interview for Mental Status score of 13, which indicated Resident #22 was cognitively intact and was able to feed herself after tray set-up. Review of Resident #22's meal tray card revealed, .lids on all cups . for breakfast, lunch and supper meals. Observation in resident's room [ROOM NUMBER]/16/2022, 5/17/2022, 5/18/2022 and 5/19/2022, revealed Resident #22 had a constant shake/tremor in her bilateral arms and hands except while sleeping. Observation of the resident's room [ROOM…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-02-26 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, and interview, the facility failed to care for a resident in a manner that maintained or enhanced their dignity for 1 of 3 sampled residents (Resident #214) reviewed with indwelling urinary catheters. The findings include: Review of facility's policy titled, Promoting/Maintaining Resident Dignity, revised 11/2017, showed that all staff members should promote and maintain resident dignity and respect. Review of the medical record, showed Resident #214 had a diagnoses of Ureteral Calculus Obstruction, Cystectomy, Hypertension, Dementia, and Neuromuscular Dysfunction. Observation in the resident's room on 2/24/2020 at 12:11 PM, 12:42 PM, 3:43 PM and 2/25/2020 at 4:44 PM, showed Resident #214 was seated in her wheel chair with the nephrostomy leg bag hanging on the right side of her wheel chair, uncovered and not in a dignity bag. During an interview conducted on 2/25/2020 at 4:47 PM, Licensed Practical Nurse (LPN) #1 confirmed that the nephrostomy leg bag should be covered. During an interview conducted on 2/26/2020 at 9:20 AM, the Director…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2020-02-26 · tag F0640 — isolatedEncode 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 review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, medical record review, and interview, the facility failed to complete and transmit a MDS assessment within 14 days for 1 of 24 sampled residents (Resident #1) reviewed for Resident Assessment and transmission. The findings include: Review of the MDS 3.0 RAI Manual v (version) 1.16 [DATE], page 664, showed, .Assessment Transmission .MDS assessments must be submitted within 14 days of the MDS Completion Date . Review of the medical record, showed Resident #1 was admitted to the facility on [DATE] and expired on [DATE], with diagnoses of Dementia, Atrial Fibrillation, Chronic Obstructive Pulmonary Disease, and Psychosis. Review of the facility's MDS transmission log, showed that the death in the facility MDS was completed and transmitted on [DATE]. The facility failed to complete and transmit the assessment timely. During an interview conducted on [DATE] at 1:54 PM, MDS Coordinator #1 confirmed Resident #1 expired on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-02-26 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately for pressure ulcers for 1 of 24 sampled residents (Resident #22) reviewed. The findings include: Review of the medical record, showed Resident #22 was admitted to the facility on [DATE] with diagnoses of Diabetes Mellitus, Dysphagia, Muscle Weakness, and Pressure Ulcer. Review of the WOUND AND PRESSURE INJURY INFORMATION dated 11/17/2019, showed Resident #22 had a stage 2 facility acquired pressure ulcer to the coccyx. Review of the quarterly MDS assessment dated [DATE], showed Resident #22 had a pressure ulcer on admission. During an interview conducted on 2/26/2020 at 8:45 AM, MDS Coordinator #2 confirmed Resident #22 developed the pressure ulcer after admission to the facility and the MDS was coded incorrectly.
- Potential for harm · Dcited before2020-02-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on policy review, medical record review, and interview, the facility failed to develop and implement Care Plans related to antidepressants, diuretics, suprapubic catheter, nephrostomy tube site, and isolation precautions for 3 of 24 sampled residents (Resident #58, #67, and #214) reviewed. The findings include: Review of the facility's policy titled, Comprehensive Care Plans, revised 12/2020, showed that the facility will develop and implement a comprehensive person-centered care plan. 1. Review of the medical record, showed Resident #58 had diagnoses of Hypertension, Diabetes, Major Depressive Disorder, and Anxiety Disorder. Review of the Physician Orders dated 9/20/2018, showed an order for Remeron (an antidepressant) 15 milligrams (mg) every hour of sleep and antidepressant monitoring. Review of the medical record, showed a Care Plan was not developed for antidepressant use. During an interview conducted on 2/26/2020 at 4:10 PM, Minimum Data Set Coordinator (MDS) #1 confirmed that a comprehensive Care Plan should have been developed for antidepressant use. The facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-02-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 review, observation, and interview, the facility failed to document treatments for 1 of 3 sampled residents (Resident #22) reviewed with pressure ulcers. The findings include: Review of the facility's policy titled, Pressure Injury Prevention and Non-Pressure Ulcer Management, dated 11/2019, showed, .The facility shall establish and utilize a systematic approach for pressure injury prevention and management, starting with prompt assessment and treatment Evidence-based treatments in accordance with current standards of practice will be provided for all residents who have a pressure ulcer . Review of the medical record, showed Resident #22 was admitted to the facility on [DATE] with diagnoses of Diabetes Mellitus, Dysphagia, Muscle Weakness, and Pressure Ulcer. Review of the Physician Order dated 11/18/2019, showed Resident #22 had orders to .Cleanse areas on right and left buttocks with NS [normal saline] or wound cleanser. Apply Bactroban [antibiotic] ointment calcium…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-02-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 — the official record, unedited, may be distressing
Based on policy review, medical record review, and interview, the facility failed to monitor the left nephrostomy site for 1 of 3 sampled residents (Resident #214) reviewed with urinary conditions. The findings include: Review of the medical record, showed Resident #214 had diagnoses of Ureteral Calculus Obstruction, Cystectomy, Hypertension, Dementia, and Neuromuscular Dysfunction. Review of the Physician Orders dated 2/17/2020, showed an order to monitor the left nephrostomy tube 2 times day. Review of the February 2020 Medication Administration Record (MAR) and Treatment Administration Record (TAR), showed there was no documentation of monitoring of the left nephrostomy tube as ordered. During an interview conducted on 2/26/2020 at 9:23 AM, the Director of Nursing (DON) confirmed that there was no documentation that Resident #214's left nephrostomy tube site was monitored each shift. The facility failed to monitor Resident #214's left nephrostomy tube site 2 times a day.
- Potential for harm · D2020-02-26 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when 1 of 23 staff members (Certified Nursing Assistant (CNA) #1) handled food barehanded during dining observations. The findings include: 1. Review of the facility's policy titled, Serving a Meal, dated 11/27/17, showed that unwrapped food items should not be handled with bare hands. 2. Observation in the 400 Hall Dining Room on 2/24/2020 at 11:56 AM, showed CNA #1 peeled a banana, removed the banana from the peeling with her bare hands, then removed a sandwich from a sandwich bag and pulled the sandwich apart with her bare hands. 3. During an interview conducted on 2/26/2020 at 9:20 AM, the Director of Nursing (DON) confirmed that the staff should not touch food with their bare hands.
- Potential for harm · D2019-03-28 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview, the facility failed to provide timely notice to the Ombudsman of transfer for 2 of 6 (Resident #60 and #96) sampled residents reviewed. The findings include: 1. The facility's Transfer and Discharge Policy revised 9/2018 documented, .Social Services Director, or designee, shall provide notice of transfer to a representative of the State Long-Term Care Ombudsman via [by way of] monthly list . 2. Medical record review revealed Resident #60 was admitted to the facility on [DATE] with diagnoses of Hypertension, Hypokalemia, Alzheimer's Disease, Cerebral Infarction, Seizures, Dementia, and Hyperlipidemia. A HOSPITAL TRANSFER FORM dated 1/31/19 documented, .Sent to: [Named Hospital] . A Clinical Notes Report dated 1/31/19 documented, .Pt. [patient] sent via ambulance to ER [Emergency Room] for eval [evaluation] and treat [treatment] . Review of the Emergency Transfers from Facility .1-2019 . form revealed the Ombudsman was not notified of Resident #60's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-03-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, observation, and interview, the facility failed to ensure fall prevention measures were followed for 1 of 8 (Resident #46) sampled residents reviewed for falls. The findings include: The facility's Accidents and Supervision policy dated 3/2019 documented, Monitoring and modification processes include .Ensuring that interventions are implemented correctly and consistently . Medical record review revealed Resident #46 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease, Hypertension, Osteoporosis, and Contracture of Left Hand, Shoulder, and Wrist. The NURSE'S EVENT NOTE dated 3/20/19 documented, .Fall .put a fall mat to the left side of resident's bed . Observations in Resident #46's room on 3/25/19 at 9:35 AM, 1:15 PM, and 4:40 PM and on 3/26/19 at 4:23 PM and 6:20 PM, revealed Resident #46 lying in bed and no fall mats were beside the bed. Interview with the Director of Nursing (DON) on 3/28/19 at 9:35 AM in the DON office,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-03-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, 2 of 2 (Certified Nursing Assistants (CNA) #1 and #2) failed to provide proper catheter care for 2 of 2 (Resident #60 and #111) residents receiving urinary catheter care. The findings include: 1. The facility's Catheter Care policy dated 11/2016 documented, .Male .Using circular motion, cleanse the meatus [the point where urine exits the penis] with a clean cloth moistened with water and perineal cleanser (soap) .With a new moistened cloth, starting at the urinary meatus moving down, cleanse the shaft of the penis .With a new moistened cloth, starting at the urinary meatus moving outward, wipe the catheter .Dry area with towel . 2. Medical record review revealed Resident #18 was admitted to the facility on [DATE] with diagnoses of Diabetes, Hypertension, Chronic Kidney Disease, Benign Prostatic Hyperplasia with Obstruction, and Heart Failure. A physician's order dated 2/11/19 documented, .Maintain indwelling catheter . Observations 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.
- Potential for harm · D2019-03-28 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the GERIATRIC MEDICATION HANDBOOK provided by the American Society of Consultant Pharmacists, medical record review, observation, and interview, the facility failed to ensure 1 of 6 (Licensed Practical Nurse (LPN) #1) nurses administered medications free of significant medication errors. LPN #1 failed to administer insulin within the proper time frame related to food intake for Resident #6, which resulted in a significant medication error. The findings include: 1. The GERIATRIC MEDICATION HANDBOOK, thirteenth edition, page 45, documented, .Novolog .ONSET .15 min [minutes] .ADMINISTRATION .15 minutes prior to meals . 2. Medical record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses of Diabetes, Alzheimer's Disease, Hypertension, and Hypoglycemia. A physician's order dated 3/9/18 documented, .NovoLOG Flexpen .Insulin .4 TIMES A DAY BEFORE MEALS AND BEDTIME . Observation in Resident #6's room on 3/26/19 at 4:33 PM revealed LPN #1 administered 4 units of NovoLOG…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$30,150 in federal fines across 1 penalty.
- $30,150 — penalty dated 2025-01-27
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 CHAMPION CARE — 22 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.2 | +0.8 vs chain |
| Health inspection | 3 of 5 | 2.1 | +0.9 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 2 of 5 | 3.0 | -1.0 vs chain |
The other 21 homes this chain runs (chain average 2.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| TN3 OPCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/01/2025 |
| FINK, EPHRAIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 01/01/2025 |
| 800 VOLUNTEER DRIVE TN LLC | Organization | 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNF | — | since 01/01/2025 |
| MELTON, WENDY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2025 |
| MERRICK, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2025 |
| RUVEL, MENACHEM | Individual | ADP OF THE SNF | — | since 01/13/2025 |
| WEINBERG, YISROEL | Individual | ADP OF THE SNF | — | since 01/13/2025 |
CMS files one row per role, so the 10 rows in the source record cover these 7 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 $3.3M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Tennessee Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445462. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2022-05-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.