Above 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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Gallatin Center For Rehabilitation And Healing during CMS and state inspections, most recent first.
The facility did not properly manage resident trust funds, resulting in multiple residents accumulating balances far above the allowable limit. Despite policy requirements, staff failed to monitor and address these overages for residents with various chronic conditions until the issue was recently discovered by a new business office consultant.
A nurse diverted controlled medications intended for three residents by signing out opioid pain medications on days not worked and documenting unauthorized doses, despite facility policies requiring strict narcotic handling and documentation. The affected residents, who had chronic medical conditions and regular pain assessments, did not report issues with pain management during the period of diversion. The nurse later admitted to taking the medications for personal use.
Two residents who required substantial assistance with ADLs did not consistently receive or have documentation of required bathing over a multi-week period, despite facility policy and care plans. Observations confirmed strong body odor and poor hygiene, and staff interviews acknowledged the lack of documentation and care.
The facility failed to ensure that medications, including narcotics and psychotropics, were administered according to physician orders for four residents. In several cases, an LPN gave medications at incorrect intervals, after orders had expired, or at unscheduled times, resulting in multiple medication errors. Documentation and interviews confirmed that these actions did not follow prescribed protocols, although no adverse outcomes were observed for the residents involved.
A resident with multiple medical conditions, including dementia and heart failure, was observed receiving oxygen at 4 L/min despite a physician's order for 2 L/min via nasal cannula as needed. Facility staff confirmed the oxygen was not set according to the order, resulting in a failure to follow prescribed respiratory care.
A resident receiving opioid pain medication had multiple doses documented as wasted by an LPN without a second licensed nurse present to witness the destruction, as required by facility policy. The witness field was left blank on the controlled drug administration record, and interviews confirmed that no other nurse was asked to witness the process.
An opened and undated Ipratropium-Albuterol Solution was found on a medication cart during a med pass for a resident with COPD and depression. An LPN and LPN Manager confirmed the medication was not properly labeled and disposed of it in the med cart's trash bag, which was later acknowledged as an inappropriate disposal method. The DON confirmed that medication packaging should not be opened and left undated, reflecting a lapse in medication storage and labeling procedures.
A resident with multiple medical conditions and ongoing dental issues was not provided with routine or emergency dental care, despite being scheduled for several onsite dental appointments. Documentation showed the resident was not brought to the clinic, and interviews confirmed staff responsibility for ensuring attendance, but no evidence was found that the resident received the necessary dental services.
A resident with multiple medical conditions and intact cognition was scheduled for several dental appointments, but documentation showed the resident was not seen because they did not present or were not brought to the clinic. The facility was unable to provide records explaining the missed appointments or evidence of rescheduling, despite policy requiring such documentation.
Staff failed to follow infection control protocols, including improper hand hygiene, lack of disinfection of reusable equipment, and failure to use required PPE in both contact isolation and enhanced barrier precaution situations. An LPN did not clean equipment or perform hand hygiene, a CNA entered a contact isolation room without PPE and did not sanitize hands, and an RN provided care to a resident with a PICC line without wearing a gown, all in violation of facility policy.
Failure to Safeguard and Manage Resident Personal Funds
Penalty
Summary
The facility failed in its fiduciary responsibility to properly hold, safeguard, manage, and account for the personal funds of 13 residents whose trust fund balances significantly exceeded the allowable limit of $2,900. Policy review confirmed that the facility was required to manage resident funds in accordance with local, state, and federal regulations. However, quarterly statements for multiple residents revealed balances ranging from $266.38 to $10,267.48 over the permitted threshold. These overages were identified through a review of financial documents and medical records for residents with various diagnoses, including diabetes, dementia, heart failure, and other chronic conditions. Interviews with facility staff indicated that the Regional Business Office Consultant (RBOC) only became aware of the excessive balances after assuming responsibilities from the previous Business Office Manager. The RBOC acknowledged that action to address the overages was not initiated until the week of the interview, despite the ongoing accumulation of funds beyond regulatory limits. This lapse demonstrates a failure to monitor and manage resident trust accounts in accordance with established policy and regulatory requirements.
Failure to Prevent Diversion of Controlled Medications by Nursing Staff
Penalty
Summary
The facility failed to protect residents from the misappropriation of their property, specifically the diversion of controlled medications by a registered nurse (RN). Facility policy required strict compliance with laws and regulations regarding the handling, storage, and documentation of controlled substances, including shift-to-shift narcotic counts and immediate reporting and investigation of discrepancies. Despite these policies, a review of controlled drug administration records revealed that the RN signed out and documented the administration of opioid medications to three residents on days when the RN was not scheduled to work. In several instances, the RN signed out extra doses, documented medication wastage with unverified witnesses, and duplicated entries for the same medication, indicating unauthorized removal of controlled substances. The three residents affected had significant medical histories, including chronic pain, orthopedic aftercare, diabetes, dementia, heart failure, and hypertension. Their medical records showed regular physician orders for opioid pain medications, and medication administration records indicated that pain levels were assessed every shift. However, discrepancies in the controlled drug records showed that the RN diverted medications intended for these residents, sometimes signing out doses that were not administered or were not witnessed by appropriate staff. In one case, the RN admitted to taking a total of 11 tablets from three different residents for personal use. The facility's investigation included audits of narcotic records, resident assessments to ensure pain control, and interviews with involved staff. The RN, who was known to be participating in a professional assistance program for substance use, admitted to the diversion of medications. The facility notified law enforcement and the provider pharmacy regarding the missing medications. Despite the diversion, documentation indicated that residents did not report issues with pain management or distress during the period in question.
Failure to Provide and Document Required Bathing and Personal Hygiene
Penalty
Summary
The facility failed to provide adequate personal hygiene and bathing assistance to two residents who required substantial or maximal help with activities of daily living (ADLs). Facility policy required that residents be offered the required number of showers each week and that cleanliness be promoted. For one resident with cerebral infarction, gastrostomy, anxiety, and depression, who was cognitively intact and dependent on staff for bathing and transfers, documentation showed that bathing was not provided or not documented for 35 out of 53 days reviewed. Observations over several days revealed a strong foul smell of body odor in the resident's room. For another resident with Alzheimer's disease, diabetes, and COPD, who was severely cognitively impaired and also dependent on staff for bathing and transfers, documentation indicated that bathing was not provided or not documented for 37 out of 53 days reviewed. This resident was also observed to have a strong foul smell of body odor and dirty, disheveled hair during multiple visits. Interviews with facility staff confirmed that residents should be offered showers on scheduled dates and that care provided or refused should be documented. The Director of Nursing acknowledged the expectation for documentation, and an LPN confirmed the presence of a strong, unpleasant odor in the residents' rooms, which could be attributed to body odor. The facility was unable to provide documentation that the affected residents were offered or received bathing as required by policy and care plans.
Failure to Follow Physician Orders for Medication Administration
Penalty
Summary
The facility failed to follow physician's orders regarding the administration of narcotic and psychotropic medications for four residents. In multiple instances, medications were administered at incorrect intervals or after the orders had been discontinued. For example, one resident with chronic pain and moderate cognitive impairment received Hydrocodone-Acetaminophen every 6 hours instead of the ordered every 8 hours, resulting in two medication errors. Documentation confirmed that the medication was not administered according to the prescribed schedule, although no side effects were noted during the review period. Another resident with a history of dementia and a femur fracture received Hydrocodone after the order had expired, with the medication being administered five times without a valid physician's order. The resident was also receiving other pain management medications, and records indicated that the resident was monitored for pain and did not appear to be in distress during this period. The nurse responsible for these errors was suspended and later terminated following the investigation. Additional deficiencies were identified for two other residents. One resident with dementia and a history of anxiety received Ativan at intervals shorter than prescribed, with doses given five hours apart instead of twice daily as ordered. Another resident with severe cognitive impairment received Trazodone at 2:00 AM instead of at bedtime as ordered. In all cases, the medication administration records and interviews confirmed that the nurses did not follow the physician's orders, resulting in medication errors. The medical director and administrator both acknowledged these errors and confirmed that the facility's expectation is for licensed nurses to adhere strictly to physician orders when administering medications.
Failure to Follow Physician Orders for Oxygen Administration
Penalty
Summary
The facility failed to follow physician orders for oxygen administration for one resident. According to facility policy, medications and treatments, including oxygen, must be administered as prescribed by the physician. The resident, who had diagnoses including volvulus, diabetes, dysphagia, colostomy, dementia, and heart failure, had a physician's order for oxygen at 2 liters per minute via nasal cannula as needed. However, during multiple observations over several days, the resident's oxygen was found set at 4 liters per minute, which was not in accordance with the physician's order. This discrepancy was confirmed by both the Director of Nursing and a registered nurse during interviews.
Failure to Properly Witness and Document Narcotic Medication Destruction
Penalty
Summary
The facility failed to follow its policy regarding the destruction of controlled substances for a resident who was prescribed Hydrocodone-Acetaminophen for pain management. According to the facility's policy, controlled substances must be destroyed or wasted in the presence of two licensed nurses, with proper documentation reflecting this process. However, medical record review showed that multiple entries for the wasting of the narcotic medication were documented by a single LPN, with the witness field left blank each time. The LPN wrote 'wasted' by hand but did not have a second licensed nurse present to witness the destruction, as required by policy. Interviews confirmed that the LPN responsible for administering and wasting the medication did not request another nurse to witness the process during the relevant shifts. The nurse working the same shift on an adjacent hallway stated she was not asked to witness any medication destruction. Both the Medical Director and the Administrator confirmed that the facility's policy was not followed, as the destruction of the narcotic medication was not witnessed by a second licensed nurse.
Failure to Properly Store and Label Medication on Medication Cart
Penalty
Summary
A deficiency occurred when medications were not properly stored according to facility policy and professional standards. During a medication pass, an opened and undated Ipratropium-Albuterol Solution was found on a medication cart. The facility's policy requires that medications be stored securely and properly, following manufacturer recommendations, and that any outdated, contaminated, or improperly labeled medications be removed from stock and disposed of according to procedure. The opened and undated medication was confirmed by an LPN and the LPN Manager, who instructed that it be disposed of. However, the medication was placed in the med cart's trash bag, which was later confirmed by the LPN Manager as not being an appropriate disposal method. The incident involved a resident with diagnoses of Chronic Obstructive Pulmonary Disease and Depression, who had intact cognition as indicated by a BIMS score of 15. The physician's order specified the use of Ipratropium-Albuterol Solution via nebulizer for bronchospasm. The Director of Nursing confirmed that the medication packaging should not have been opened and left undated, indicating a failure to adhere to proper medication storage and labeling protocols.
Failure to Provide Dental Services for Resident with Ongoing Dental Concerns
Penalty
Summary
The facility failed to provide routine and emergency dental care for a resident with a history of hemiplegia/hemiparesis, cerebral atherosclerosis, atrial fibrillation, and anemia. Despite the facility's policy stating that dental services are available through an onsite dentist and that all dental services are to be documented in the medical record, the resident was not seen by a dentist for increasing dental concerns since a previous visit in July. Multiple scheduled onsite dental clinics were documented, and the resident was listed for appointments, but progress notes repeatedly indicated the resident was not brought to the clinic or did not present. There was no documentation that the resident received the necessary dental care during this period. The resident, who was cognitively intact and required setup for oral and personal hygiene, reported ongoing dental issues and pain, stating that despite being told of good dental insurance, they had not seen a dentist and continued to experience mouth pain. Interviews with the Social Service Director and Administrator confirmed that floor staff are responsible for ensuring residents attend dental appointments and that the interdisciplinary team is expected to collaborate to ensure appointments are kept and rescheduled if missed. However, there was no evidence that these processes were effectively implemented for this resident.
Failure to Maintain Accurate Dental Appointment Records
Penalty
Summary
The facility failed to maintain accurate and complete medical records regarding dental appointments for a resident with multiple diagnoses, including hemiplegia/hemiparesis, cerebral atherosclerosis, atrial fibrillation, and anemia. The resident was cognitively intact and required set-up assistance for oral and personal hygiene. Documentation showed that the resident was scheduled for several dental appointments, both onsite and offsite, as indicated by transportation lists and ancillary service calendars. However, progress notes from the dental service repeatedly stated that the resident was not seen because they did not present to the clinic or were not brought to the clinic. Despite these missed appointments, the facility was unable to provide documentation in the resident's medical record explaining the reasons for the resident's absence from the dental clinic or any evidence that the appointments were rescheduled. Interviews with the Social Service Director and the Administrator confirmed that such documentation should have been present in the medical record but was not. This lack of documentation is inconsistent with the facility's policy, which requires all dental services provided to be recorded in the resident's medical record.
Failure to Follow Infection Control Practices and PPE Use
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices were followed by staff, as evidenced by multiple observed deficiencies. One LPN did not perform hand hygiene after touching her face and before providing care, failed to disinfect reusable equipment such as a pulse oximeter and stethoscope before and after use, and did not properly rinse or store a nebulizer mouthpiece after treatment. These actions were in direct violation of the facility's policies regarding hand hygiene and cleaning/disinfection of resident-care items. Additionally, a CNA entered the room of a resident on contact isolation for Clostridium Difficile without wearing required personal protective equipment (PPE), left the door open, and handled the resident's meal tray and personal items without performing hand hygiene after touching potentially contaminated objects. The CNA acknowledged awareness of the contact precautions signage and the requirement to wear gown and gloves, as well as the need to remove PPE and perform hand hygiene before leaving the room. A further deficiency was observed when an RN provided direct care to a resident with a PICC line under enhanced barrier precautions without wearing a gown, contrary to facility policy. The RN stated that a gown and gloves were not necessary for this care, which was later contradicted by the Director of Nursing, who confirmed that staff should wear a gown and gloves when providing direct care to residents with wounds or indwelling medical devices. These failures were confirmed through interviews and policy reviews.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 80 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Gallatin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Waters Of Gallatin | 0.8 mi | ★★★★★ | 14 | 0 |
| Nhc Place Sumner | 4.7 mi | ★★★★★ | 3 | 0 |
| Signature Health Of Portland Rehab & Wellness Cent | 9.1 mi | ★★★★★ | 17 | 0 |
| Nhc Healthcare, Hendersonville | 10.9 mi | ★★★★★ | 4 | 1 |
| Cedar Creek Post Acute | 13.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 July 2026) and official state health department websites.