Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Community Care Of Rutherford during CMS and state inspections, most recent first.
Misappropriation of resident property and medication: A cognitively intact resident with dementia-related diagnoses returned from a hospital stay and found a wallet and ring missing from a room lockbox; a CNA later confessed to taking the wallet and cash. In a separate incident, an LPN found a suspicious narcotic count and missing oxycodone for a resident with severe cognitive impairment and chronic pain; the count sheet had been altered, and the agency nurse involved was later found to have surrendered their license for medication diversion.
A resident with intact cognition and multiple medical diagnoses alleged physical abuse by an LPN, including improper handling during a transfer and use of a lock on the wheelchair. The facility was aware of the allegation the same day, but the LPN continued working while the investigation remained open. Resident interviews and skin assessments were not completed until about a month later, and the DON and Administrator stated the investigation tasks should have been completed within the required 5-day timeframe.
A resident with dementia and Afib experienced significant medication errors, including missed doses of Eliquis and incorrect administration of Donepezil, due to the facility's failure to follow proper medication management protocols and communication lapses.
Misappropriation of resident property and medication
Penalty
Summary
The facility failed to protect residents from the wrongful use of their belongings and medications. For one resident, who had diagnoses including Alzheimer's disease, dementia, and cognitive communication deficit but had a BIMS score of 15, the resident returned from a hospital stay and discovered a wallet and ring missing from a lockbox in the room. The wallet had contained the resident's driver's license, Social Security card, and about $30 to $40 in cash. The Administrator later interviewed staff and determined a CNA assigned to the resident had taken the wallet, removed the money, and hidden the wallet in the resident's room; the CNA denied taking the ring. The facility reported the theft, notified the resident and ombudsman, and terminated the CNA. For another resident, who had Alzheimer's disease, dementia, chronic pain, and severe cognitive impairment with a BIMS score of 4, the facility had an order for oxycodone 10 mg every four hours as needed for pain. During a narcotic count, an LPN identified that the narcotic tracking sheet appeared suspicious and could not locate the resident's oxycodone on the medication cart. The count sheet showed a number had been altered, with one count scribbled out and another written beside it. The resident requested pain medication, and the nurse was unable to find the resident's medication card on the cart, but was able to access the medication through Cubex and administer it. The investigation found the altered narcotic count occurred on an agency LPN's shift. The Administrator later determined the agency nurse's license had been surrendered months earlier for medication diversion, meaning the individual was not a licensed nurse at the time of working in the facility. The facility documented the discrepancy, contacted the staffing agency, and reported the incident to the state agency and law enforcement.
Failure to Protect Resident After Abuse Allegation and Complete Timely Investigation
Penalty
Summary
The facility failed to immediately implement protective measures after an allegation of staff-to-resident physical abuse involving Resident #94 and failed to complete a timely and thorough investigation. The facility policy stated that abuse allegations must be reported immediately, the resident must be protected first, the alleged perpetrator must be removed from duty pending investigation, and the investigation must be completed within 5 days. The policy also required immediate investigation and corrective action when abuse was reported or observed. Resident #94 was admitted on 12/20/2024 and had diagnoses including cognitive, social, or emotional deficit following other cerebrovascular disease, type 2 diabetes mellitus, and acute kidney failure. A 5-day MDS showed a BIMS score of 15, indicating intact cognition. The allegation involved LPN #4 and Resident #94, with the resident reporting that a silver lock was used to lock the wheelchair and that LPN #4 pushed the resident's hand away during a transfer. The facility became aware of the allegation on 12/24/2024 and reported it later that evening. The resident's emergency contact identified LPN #4 as the alleged perpetrator based on information from the resident. Facility investigation documents showed that resident interviews and four head-to-toe skin assessments were not completed until 01/24/2025, about 30 days after the alleged incident. LPN #4's timecards showed she worked on both 12/23/2024 and 12/24/2024, and she stated that the Administrator informed her of the allegation when she reported to work on 12/24/2024, but she completed her shift while the investigation was ongoing. The DON and Administrator stated that the alleged perpetrator should have been removed from duty and that resident interviews, skin assessments, and staff education should have been completed within the required timeframe, but they could not explain why the investigative tasks were delayed.
Failure to Ensure Resident Free from Significant Medication Errors
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors. Resident #3, who had diagnoses including dementia, major depressive disorder, heart failure, and atrial fibrillation (Afib), was admitted to the facility and had specific medication orders for Donepezil and Eliquis. However, after a hospital discharge, the facility did not properly resume the resident's Eliquis medication, resulting in 43 missed doses in February 2024. Additionally, the resident was administered both 10mg and 5mg doses of Donepezil simultaneously for 31 days, which was not in accordance with the physician's orders. The facility's policies required incident reporting, physician notification, and proper documentation for medication errors, but these protocols were not followed. Interviews with the family member, unit manager, director of nursing (DON), and nurse practitioner (NP) revealed that there was a lack of communication and verification of medication orders. The DON admitted that the 5mg Donepezil dose was incorrectly added to the existing 10mg dose, and this error was not documented as a medication error. The NP and DON confirmed that the resident's blood thinner medication was not resumed as ordered after the hospital discharge, and there was no monitoring for blood thinner side effects for 25 shifts in February and 36 shifts in March. The facility's failure to properly manage and verify medication orders led to significant medication errors, putting the resident at risk for adverse health outcomes.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Murfreesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Murfreesboro | 5.7 mi | ★★★★★ | 5 | 0 |
| Stone River Post Acute | 7.3 mi | ★★★★★ | 4 | 0 |
| Adamsplace, Llc | 7.7 mi | ★★★★★ | 7 | 0 |
| Stones River Manor, Inc | 8.5 mi | ★★★★★ | 0 | 0 |
| Tennessee Veterans Home | 9.9 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.