Hardin 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.

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.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 39 beds and averages 22.4 residents a day — about 57% occupied, or roughly 17 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 5.19 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.29 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.37 hrs/resident/day on weekends vs 5.52 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 more than at the previous inspection — worsening. 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 · D2025-09-18 · tag F0606 — failed to not employ staff found guilty of abuse — isolated
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the TN Department of Health Guidelines for Sex Offenders, Registered Sex Offender Registry review, policy review, personnel file review, and interview, the facility failed to protect 24 of 24 residents from 1 of 3 (Licensed Practical Nurse (LPN) A), whose criminal background check revealed a criminal conviction and placement on the Tennessee Bureau of Investigation (TBI) Registered Sex Offender Registry. The findings include: 1. Review of the Tennessee Department of Health Guidelines for Sex Offenders revealed, .individuals with certain sex offender convictions are permanently prohibited from working in long-term care facilities due to background check requirements. The Tennessee Department of Health (TDH) prohibits employment for anyone with a disqualifying event which includes specific sex-related offenses . 2.Review of the TBI Sex Offender Registry revealed LPN A was placed on the registry on 3/28/2023 for aggravated statutory rape, exploitation of a minor by electronic means, and solicitation of a minor. 3. Review of the facility's undated policy titled, POLICY - ABUSE,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-10 · tag F0727 — failed to provide required RN coverage — pattern
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the facility ' s Licensure Staffing Requirements, daily staffing schedules, staff time punches, and interview, the facility failed to ensure a Registered Nurse (RN) was on duty at least 8 consecutive hours a day, 7 days a week, for 111 of 160 days reviewed. The findings include: 1. Review of the facility ' s daily working schedule for 1/2025, revealed no RN was on duty for 8 consecutive hours on 1/1/2025-1/3/2025, 1/6/2025-1/11/2025, 1/13/2025-1/17/2025, and 1/19/2025-1/30/2025. Review of the facility ' s time punches dated 1/2025, revealed RN E worked 7 hours and 45 minutes on 1/4/2025, 1/12/2025 and 1/18/2025, resulting in no RN coverage for 8 consecutive hours on those days. 2. Review of the facility ' s daily working schedule for 2/2025, revealed no RN was on duty for 8 consecutive hours on 2/3/2025-2/5/2025, 2/7/2025, 2/10/2025-2/14/2025, 2/17/2025-2/19/2025, 2/21/2025-2/23/2025, and 2/25/2025-2/28/2025. Review of the facility ' s time punches dated 2/2025, revealed RN F worked 7 hours and 45 minutes on 2/8/2025 and 2/9/2025, and RN E worked 7 hours and 45…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-10 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure 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 facility policy review, medical record review, and interview, the facility failed to ensure residents were free from significant medication errors when 2 of 7 (Licensed Practical Nurse (LPN) A and LPN B) nurses failed to follow physician orders for 1 of 5 (Resident #5) residents reviewed for unnecessary medications. The findings include: 1. Review of the facility policy titled, Administration of Drugs, dated 1/21/2022, revealed .Medications shall be administered as prescribed by the attending physician .Medications must be administered in accordance with the written orders of the attending physician . 2. Review of the medical record revealed Resident #5 was admitted to the facility on [DATE], with diagnoses including Paroxysmal Atrial Fibrillation, Major Depressive Disorder, Hypertension, and Cerebrovascular Disease. Review of the Physician Order dated 11/20/2023, revealed .Metoprolol Tartrate Oral Tablet .Give 12.5 mg [milligram] by mouth two times a day .HOLD IF HEART RATE IS LESS THAN 60 bpm [beats…

  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
• Potential for harm · D2025-06-10 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy and interview, the facility failed to follow its policy and provide education and vaccination for COVID-19 to 3 of 5 (Licensed Practical Nurse (LPN) C, Laundry Supervisor, and Certified Nursing Assistant (CNA) D staff members interviewed. The findings include: 1. Review of the undated facility policy titled, COVID-19 Vaccination, revealed .It is the policy of this facility to minimize the risk of acquiring, transmitting or experiencing complications from COVID-19 (SARS-CoV-2) by educating and offering our residents and staff the COVID-19 vaccine .It is the policy of this facility, in collaboration with the medical director, to have an immunization program against COVID-19 disease in accordance with national standards of practice .The facility will educate and offer the COVID-19 vaccine to .staff and maintain documentation of such . 2. During interview on 6/10/2025 at 3:43 PM, LPN C confirmed that she had not been offered education or vaccination for COVID-19. During interview on 6/10/2025 at 3:53 PM, the Laundry Supervisor confirmed that she had not been…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-14 · tag F0882 — isolated
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  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 the Infection Control Policy and Procedure Manual, and interview the facility failed to provide a qualified Infection Control Preventionist who was responsible to monitor and maintain the facility ' s Infection Prevention and Control Program. This could have affected the 26 residents residing in the facility. The findings include: Review of the facility ' s Infection Control Policy and Procedure Manual INFECTION CONTROL PROGRAM revealed, .The goals of the Infection Control Program are to .Decrease the risk of infection to patients and personnel .Monitor for occurrence of infection and implement appropriate control measures .Identify and correct problems relating to infection control practices .Insure compliance with state and federal regulations relating to infection control .The administrator is ultimately responsible for the Infection Control Program .Responsibility is delegated to the Infection Control Practitioner (ICP) to carry out the daily functions of the Infection Control Program .Patient…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-11-09 · 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 3 of 7 staff (Certified Nurse Assistant (CNA) #1 and #2, and Registered Nurse (RN) #1) served food under sanitary conditions when staff touched food with their bare hands and failed to perform hand hygiene for 4 of 25 sampled residents (Resident #14, #18, #19, and #26) observed during dining. The findings include: Review of the facility's undated policy titled, Hand Washing Reminders, revealed .Remember to wash Hands When .After coming in contact with resident's belongings/surfaces in room . Review of the facility's undated policy titled, Meal Time Reminders, revealed .Do not touch food with bare hands. Use forks, knives, spoons, and if need wear gloves . Observation in the Dining Room on 11/7/2021 at 11:35 AM, revealed RN #1 handled Resident #19's crackers with her bare hands. Observation in the resident's room on 11/7/2021 at 11:45 AM, revealed CNA #1 moved the bedside table near Resident #14 who was sitting on the side of the bed. CNA #1 sat down in the chair at the bedside. Without performing hand…

  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 · D2021-11-09 · tag F0641 — isolated
  Ensure each resident receives an accurate 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 medical record review and interview, the facility failed to accurately assess residents for activities of daily living for 2 of 13 sampled residents (Resident #3 and #7) reviewed for Minimum Data Set (MDS) assessments. The findings include: Review of the medical record, revealed Resident #3 was admitted to the facility on [DATE] with diagnoses Diabetes, Vascular Dementia with Behavioral Disturbance, Psychotic Disorder, and Age-Related Physical Debility. Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #3 required supervision for bed mobility and was independent for eating. Review of the quarterly MDS dated [DATE], revealed Resident #3 required limited assistance for bed mobility and required supervision for eating. During an interview on 11/9/2021 at 10:10 AM, MDS Coordinator #1 confirmed the MDS dated [DATE] for Resident #3 was inaccurate for bed mobility and eating, and should have been assessed as supervision for bed mobility and independent for eating. 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-11-09 · 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 labeled and stored appropriately when undated, opened, unlabeled, and unsecured medications were observed in 2 of 23 resident bathrooms (Resident #24 and Resident #238's bathroom) which could have potentially affected 2 identified wanderers (Resident #14 and Resident #20) in the facility. The findings include: Review of the facility's policy titled, POLICY- MEDICATION STORAGE ROOM, dated 9/21/2021, revealed .treatment supplies will be kept in .original packages .All containers will be labeled with expiration date and date opened . Observations in Resident #24's and Resident #238's bathroom on 11/7/2021 at 9:02 AM, 10:50 AM, 12:55 PM, and 2:30 PM, revealed 2 opened plastic medication cups with an unidentified white substance sitting on the bathroom shelf that was undated, opened, unlabeled, and unsecured. The facility identified 2 wanderers (Resident #14 and Resident #20) who could have potentially been affected by unsecured medications left unattended in resident bathrooms. During an…

  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

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