Bledsoe County Nursing Home

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.

Staffing

How full it usually is: this home is certified for 50 beds and averages 33.9 residents a day — about 68% occupied, or roughly 16 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.26 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 2.87 hrs/resident/day on weekends vs 3.42 on weekdays — 16% thinner on weekends. RN hours go from 0.37 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

• Potential for harm · E2026-05-07 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for 4 (Residents #3, #6, #12, and #23) of 4 sampled residents reviewed for resident assessment. Findings included:A facility policy titled, MDS Assessment Coordinator, revised 11/2019, indicated, 3. Each individual who completes a portion of the assessment (MDS) must certify the accuracy of that portion of the assessment by: a. dating and signing the assessment (MDS); and b. identifying each section completed. 1. An admission Record revealed the facility admitted Resident #23 on 08/02/2009. According to the admission Record, the resident had a medical history that included a diagnosis of type 2 diabetes mellitus with hyperglycemia. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 04/10/2026, revealed Resident #23 had a Brief Interview for Mental Status (BIMS) score of 6, which indicated the resident had severe cognitive impairment. The MDS indicated the resident received one insulin injection during the last seven days…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure there was a physician's order and a care plan for dialysis for 1 (Resident #18) of 1 sampled resident reviewed for dialysis. Findings included: A facility policy titled, Hemodialysis, implemented 07/30/2021, revealed, The facility will provide the necessary care and treatment, consistent with professional standards of practice, physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences, to meet the special medical, nursing, mental and psychosocial needs of residents receiving hemodialysis. Per the policy, 12. The facility will ensure that the physician's orders for dialysis include: a. The type of access for dialysis and location; b. The dialysis schedule; c. The nephrologist name and phone number; d. The dialysis facility name and phone number; e. Transportation arrangements to and from the dialysis facility; f. Any medications administration or withholding of specific medications prior to dialysis treatments; g. Any fluid…

  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 · D2023-08-08 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) after a new mental health diagnosis for 1 resident (#15) of 3 residents reviewed for PASARR. The findings include: Record review revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder and Anxiety Disorder. Record review of the most recent PASARR Level 1 assessment dated [DATE], revealed Resident #15 had a mental health diagnosis of Anxiety Disorder. Record review revealed Resident #15 received a new problem/ condition of Delusions was added on 12/14/2022. Record review revealed no new Level II PASARR had been submitted to include a new diagnosis/ condition of Delusions with anti-psychotic medication use. Record review revealed a care plan had been initiated on 12/14/2022 for psychotropic medication use for Delusions . Review of the quarterly Minimum Data Assessment (MDS) dated [DATE], revealed…

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

  Resident Assessment and Care Planning Deficiencies · No revisit needed
• Potential for harm · D2023-08-08 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 ensure the Physician reviewed and acted upon irregularities identified by the Consultant Pharmacist for 2 residents (#30 an #32) of 5 residents reviewed for unnecessary medications. The findings include: Review of the facility policy, Medication Regimen Reviews, revised 5/2019 revealed .The Consultant Pharmacist provides the Director of Nursing Services and Medical Director with a written, signed and dated copy of all medication regimen reports .Copies of medication regimen review reports, including physician responses, are maintained as part of the permanent medical record . Record review showed Resident #30 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, Failure to Thrive, Dementia, and Major Depressive Disorder. Review of a Consultation Report dated 3/30/2023 showed .[Resident #30] .psychotropic .w/o (with out) documentation of a specific diagnosis and benefit to the resident .…

  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 · No revisit needed
• Potential for harm · D2023-08-08 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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 ensure a PRN (as needed) anti-psychotic medication was not used beyond 14 days without a rationale and without documentation of duration for 1 resident (Resident #15) of 5 residents reviewed for unnecessary medications. The findings include: Review of the facility policy titled, Antipsychotic Medication Use dated July 2022, revealed .Antipsychotic medications will be prescribed at the lowest possible dosage for the shortest period of time .PRN orders for antipsychotic medications will not be renewed beyond 14 days .the duration of the PRN order will be indicated on the order . Record review revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Major Depressive Disorder and Anxiety Disorder. Review of a Physician's order dated 5/11/2023, revealed an order for Seroquel (anti-psychotic medication) 25 milligrams (mg) every 24 hours PRN for anxiety/agitation. The order did not have a date 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.

  Pharmacy Service Deficiencies · No revisit needed
• Potential for harm · D2023-08-08 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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, record review, and interview, the facility failed to ensure laboratory (lab) tests were obtained for 1 resident (Resident #33) of 16 residents reviewed for laboratory results. Findings include: Review of the facility's policy titled, Lab and Diagnostic Test Results-Clinical Protocol dated November 2018, revealed The physician will identify and order diagnostic and lab testing based on the resident's diagnostic and monitoring needs .staff will process test requisitions and arrange for test . Review of the admission Record revealed Resident #33 was admitted to facility on 3/7/2022 with diagnosis of Atrial Fibrillation. Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #33 had an active diagnosis of atrial fibrillation and received anti-coagulant medication 7 of 7 days. Review of the current care plan dated 3/7/2022, revealed Resident #33 was on anticoagulant therapy with interventions for labs as ordered. Review of Order Summary dated 8/8/2023, revealed…

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

  Administration Deficiencies · No revisit needed

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in TN