Smyrna Care Center

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.

57.1% 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 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 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 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 125 beds and averages 93.5 residents a day — about 75% occupied, or roughly 32 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 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 2.99 hrs/resident/day on weekends vs 3.31 on weekdays — 10% thinner on weekends. RN hours go from 0.63 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 6 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.

30 citations, most serious first. The 16 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-04-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, MedicineNet.com article titled, Normal Blood Sugar Levels in Adults with Diabetes, American Diabetic Association (ADA) factsheet Understanding A1C Test (Glycated Hemoglobin-Blood test that measures average blood glucose levels over the past 2 to 3 months) review, medical record review, and interview, the facility failed to ensure the provider was contacted following Blood Glucose (BG) readings that fell outside of the parameters for notification for 5 of 7 (Resident #1, #2, #3, #6 and #7) sampled residents reviewed for medication administration. The facility's failure to ensure staff followed the facility policy and physician's orders to notify the physician of BG levels that fell outside of the listed parameters placed Resident #1 at the likelihood of developing adverse effects and complications related to uncontrolled blood glucose levels. The facility's failure to ensure Resident #1 received care and services to maintain blood glucose levels within a safe range resulted 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2018-01-24 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This REQUIREMENT is not met as evidenced by: Based on medical record review and interview, the facility failed to notify the Physician when Resident #68 incurred substantial injury related to a fall, had a decline in status, and needed treatment alterations regarding a Thoracic Lumbar Spinal Orthopedic (TLSO) brace. Failure for the facility to notify the Physician on 11/1/17 resulted in Resident #68 developing an axillae pressure ulcer while experiencing pain from the TLSO brace (HARM). The findings included: Medical record review revealed Resident #68 sustained an initial fall on 8/6/17 at 11:01 AM which was unwitnessed with no injury reported and no interventions added to the Care Plan. Further review of the medical record revealed Resident #68 incurred a second fall on 10/31/17 at 2:50 PM which was unwitnessed with injury. Resident #68 was sent out to the Emergency Department and transferred to a Level II hospital equipped to care for such injury. Further review of the medical record revealed the Attending Physician was not notified of Resident #68's injury which was: multiple…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2018-01-24 · 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, observation, and interview, the facility failed to provide skin assessments for Resident (#68). Resulting in development of skin pressure ulceration to the right axilla and arm resulting in (HARM). Medical record review revealed Resident #68 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Dementia without Behavioral Disturbance, Dysphagia, Essential Hypertension, Major Depressive Disorder, Type 1 Diabetes, Fracture of Unspecified Thoracic Vertebra, and Fracture of Unspecified Lumbar Vertebra. Medical record review of the Care Plan dated 6/12/17, revealed the problem of .altered integument [skin] .fragile and poorly perfused skin . with approaches including .weekly skin assessment to be performed/documented by nursing . Further review of the Care Plan revealed Resident #68 was readmitted on [DATE] with intact, but fragile and poorly perfused skin. Medical record review revealed the last skin assessment documented was 9/27/17. Further 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2018-01-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to provide timely treatment after a fall for 1 resident (#2), a fall resulting in Thoracic and Lumbar fractures for 1 resident (#68) and failed to utilize interventions to achieve maximum function of a hemiplegic limb for 1 resident (#74) of 16 residents reviewed. The facility's failure to prevent falls resulted in HARM for Resident #2 and #68. The findings included: Medical record review revealed Resident #2 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Alzheimer's disease, Hypertension, Gout, Heart Failure, Unspecified Fracture of Right Femur, Anxiety Disorder, and Gastro-Esophageal Reflux Disease without Esophagitis. Medical record review of the Discharge with return anticipated Minimum Data Set (MDS) dated [DATE] revealed Resident #2 had severe cognitive impairment with short term memory problems and required extensive assistance with bed mobility, transfers, Activities of Daily Living,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2018-01-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to prevent a pressure ulcer for 1 resident (#68) of 7 residents reviewed. The facility's failure to prevent a pressure ulcer for Resident #68 resulted in HARM. The findings included: Review of facility policy, Skin Care Guideline, dated 6/2017 revealed .the plan of care will address problems, goals and interventions directed toward prevention of pressure ulcers in those at risk and for any skin integrity concerns identified . Medical record review revealed Resident #68 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Dementia without Behavioral Disturbance, Dysphagia, Essential Hypertension, Major Depressive Disorder, Type 1 Diabetes, Fracture of Unspecified Thoracic Vertebra, and Fracture of Unspecified Lumbar Vertebra. Medical record review of the Care Plan dated 6/12/17, revealed the problem of .altered integument [skin] .fragile and poorly perfused skin . with approaches…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2018-01-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to update the Care Plan with interventions for Resident #68 after first fall on 8/6/17, which resulted in a second fall on 10/31/17 with multiple fractures. The failure to develop interventions to prevent falls for Resident #68 resulted in HARM from a fall. Medical record review revealed Resident #68 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Dementia without Behavioral Disturbance, Dysphagia, Essential Hypertension, Major Depressive Disorder, Type 1 Diabetes, Fracture of Unspecified Thoracic Vertebra, and Fracture of Unspecified Lumbar Vertebra. Medical review of the Minimum Data Set, dated [DATE] revealed Resident #68 had a Brief Interview for Mental Status (BIMS) score of 0, indicating severe cognitive impairment. Medical record review of a Facility Investigative Report dated 10/31/17 at 2:50 PM revealed .Resident observed lying on floor on his stomach in front of his bed. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2020-02-26 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on facility documentation review and interview the facility failed to post complete daily staffing sheets of nursing hours for 18 months. The findings include: Observation of the posted daily staffing sheet on 2/24/2020 and 2/25/2020 at 9:30 AM, showed no hours posted for the nursing staff. Review of the posted daily staffing sheets dated 9/1/2018 to 2/25/2020 showed, the sheets did not have nursing hours on the daily staffing sheets. During an interview conducted on 2/25/2020 at 2:08 PM the Director of Nursing (DON) confirmed there was no nursing hours posted for 18 months.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2020-02-26 · tag F0880 — failed to prevent and control infections — widespread
  Provide 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 facility policy review, medical record review, observation and interview, the facility failed to post signage for 1 of 1 resident (Resident #85) on contact isolation. The facility failed to transport and store laundry in a safe and sanitary manner to 1 of 3 clean linen storage rooms. The facility failed to apply proper PPE (Personal Protective Equipment) before entering 1 of 1 contact isolation room. The findings include: Review of facility policy, Infection Control, dated November 1, 2017, showed, .The center's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections .Gowns required if clothing may come into contact with the patient/resident or environmental surfaces or if the patient/resident has diarrhea . Review of facility policy, Linen Handling Guidelines, dated November 1, 2017, showed, .Keep soiled and clean linen, and their respective hampers and laundry…

  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 · Dcited before2020-02-26 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to treat 1 of 5 residents (Resident #391) who required an indwelling urinary catheter with dignity related to not covering the resident's indwelling urinary catheter drainage bag with a privacy cover, and failed to treat 4 of 17 residents with dignity who were referred to as feeders during the breakfast tray pass on 2/25/2020. The findings include: Review of the medical record, showed Resident #391 was admitted to the facility on [DATE] with diagnoses which included Retention of Urine and Alzheimer's Disease. Review of the Physician Order Report for Resident #391, dated 2/24/2020, showed .16F [size of catheter] 10 ml [milliliter] catheter . Review of Resident #391's Care Plan dated 2/24/2020, showed .Cover drain bag with privacy bag/cover . Observation of the resident's room on 2/24/2020 at 9:22 AM, and 12:25 PM, showed Resident #391's indwelling urinary catheter bag was placed on the right side of the bed facing the door without a…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2020-02-26 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 facility documentation review, medical record review, observation, and interview the facility failed to have a call light in reach for 1 of 41 residents (Resident #27) reviewed for call light placement. The findings include: Review of the facility documentation, Call Light, Use Of, showed, .When providing care to residents be sure to position the call light conveniently for the resident to use. Tell the resident where the call light is and show him/her how to use the call light .Be sure all call lights are placed on the bed at all times, never on the floor or bedside stand . Review of the medical record, showed Resident #27 was admitted to the facility on [DATE] with diagnoses which included Type 2 Diabetes, Hemiplegia and Hemiparesis Following Cerebral Infarction Affecting Left Non-Dominant Side, and Narcolepsy. Review of the Quarterly Minimum Data (MDS) assessment dated [DATE], showed Resident #27 had a Brief Interview for Mental Status (BIMS) score of 11 indicating moderate cognitive impairment.…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-02-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, facility documentation review, medical record review, and interview, the facility failed to prevent abuse for 1 of 2 residents (Resident #42) involved in a resident to resident altercation. The findings include: Review of the facility policy, Abuse, dated June 2018, showed, .It is the policy of the center to take appropriate steps to prevent the occurrence of abuse, neglect, injuries of unknown origin and misappropriation of resident/patient property and to ensure that all alleged violations of Federal or State laws which involve mistreatment, neglect, abuse, injuries of unknown origin and misappropriation of resident/patient property are reported immediately to the Administrator/Director of Nursing of the center . Review of the medical record, showed Resident #4 was admitted to the facility on [DATE], with readmission on [DATE] with diagnoses which included Psychotic Disorder with Delusions, Vascular Dementia with Behavioral Disturbance, Major Depressive Disorder, Bipolar…

  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 · Dcited before2020-02-26 · tag F0641 — isolated
  Ensure 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 capture Hospice Services on the Quarterly Minimum Data Set (MDS) assessment for 1 of 4 residents (Resident #19) who received hospice services. The findings include: Review of the medical record, showed Resident #19 was admitted to the facility on [DATE] with diagnoses which included Dementia with Lewy Bodies and encounter for Palliative Care. Review of the Physician's Order dated 8/12/2019 showed, .Under the services of [named Hospice] . Review of the Quarterly MDS assessment dated [DATE], showed Hospices were not captured for Resident #19. During an interview conducted on 2/26/2020 at 3:25 PM, the MDS Coordinator confirmed Resident #19's Quarterly MDS dated [DATE] did not reflect hospice services.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-02-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 ensure 1 of 41 residents (Resident #31) had clean and groomed fingernails. The findings include: Review of the medical record, showed Resident #31 was admitted to the facility on [DATE] with diagnoses which included Muscle Weakness, Unspecified Lack of Coordination, Major Depressive Disorder, and Anxiety Disorder. Review of the Quarterly Minimum Data Set (MDS) dated [DATE], showed Resident #31 was dependent on staff for bathing and required extensive assistance of 2 staff for personal hygiene. Review of the comprehensive care plan dated 10/15/2018, showed Resident #31 required assistance with bathing. Observations of the resident's room on 2/24/2020 at 9:17 AM and 11:13 AM, showed Resident #31 had brown debris under his fingernails on both hands. Observation of the resident's room on 2/24/2020 at 12:22 PM, showed Resident #31 lying in bed eating his lunch. Continued observation showed the resident had brown debris under his…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2020-02-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview the facility failed to implement physician's orders for 1 of 41 residents (Resident #88) reviewed for physician orders. The findings include: Review of the medical record, showed Resident #88 was admitted to the facility on [DATE] with diagnoses which included Type 2 Diabetes Mellitus with Hyperglycemia, Hypothyroidism, Dementia Without Behavior Disturbance, Chronic Kidney Disease, Obstructive and Reflux Uropathy. Review of the Physician Order Report dated 2/26/2020, showed, .CBC [Complete Blood Count], BMP [Basic Metabolic Panel], Free T4 [Free Thyroxine] with TSH [Thyroid Stimulating Hormone], Hepatic Panel, Lipid Panel and HgbA1C [Glycated Hemoglobin] every 6 months, (MARCH and SEPTEMBER) . Review of the medical record, showed there was no CBC, BMP, T4 with TSH or HgbA1C obtained for the month of March 2019 or September 2019. During an interview conducted on 2/26/2020 at 10:40 AM, the Director of Nursing confirmed Resident #88 did not have a CBC, BMP, Free T4 with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2020-02-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when 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, observation, and interview, the facility failed to label and date oxygen tubing and store nebulizer tubing in a safe and sanitary manner for 2 of 18 residents (Residents #27 and #390) receiving respiratory treatments. The findings include: Review of the facility policy titled, Departmental (Respiratory Therapy) - Prevention of Infection, dated November 2011, showed, .The purpose of this procedure is to guide prevention of infection associated with respiratory therapy tasks and equipment, including ventilators, among residents and staff .change the oxygen cannula and tubing every seven (7) days, or as needed .Infection Control Considerations related to Medication Nebulizers/Continuous Aerosol: Store the circuit in plastic bag, marked with date and resident's name, between uses . Review of the medical record, showed Resident #27 was admitted to the facility on [DATE] with diagnoses which included Type 2 Diabetes, Hemiplegia and Hemiparesis Following Cerebral…

  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 · F2019-03-06 · tag F0800 — widespread
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to sanitize a thermometer while obtaining food temperatures in 1 of 5 observations of the dietary department. The findings include: Observation on 3/4/19 at 11:12 AM in the dietary department revealed the resident trayline was in progress and 1 cart had been delivered to a unit. Further observation revealed the dietary cook was obtaining food temperatures on the trayline. Further observation revealed the cook wiped the thermometer in a cloth towel between each food item. Further observation revealed the cook did not sanitize the thermometer between each of the 7 hot food items and 1 cold food item served to the residents. Interview with the dietary cook on 3/4/19 at 11:15 AM at the dietary trayline confirmed she did not sanitize the thermometer because we ran out of wipes. Interview with the Certified Dietary Manager on 3/4/19 at 1:15 PM in the hallway outside the dining room confirmed the thermometer was to be wiped with an alcohol wipe between each food item.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$174,615 in federal fines across 1 penalty.

• $174,615 — penalty dated 2026-04-27

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 EXCEPTIONAL LIVING CENTERS — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 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.

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $955K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TN