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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Tullahoma during CMS and state inspections, most recent first.
Dignity was not maintained when a resident with profound IDD, bipolar disorder, and cognitive communication deficit was observed in the lobby with an ill-fitting blouse exposing a bare shoulder and bra, and staff later confirmed the concern. Dignity was also not promoted for most residents when the facility continued using disposable cups, plates, and utensils for meals for an extended period after a kitchen fire, while meals were prepared in a mobile kitchen with no commercial dishwasher and residents reported ongoing questions about when normal dining would resume.
Failure to Report Allegations of Abuse: The facility did not timely report allegations of abuse involving two residents. One resident with impaired communication and total ADL dependence was involved in an allegation that a CNA made inappropriate comments in front of the resident, which the DON later described as a customer service issue. Another cognitively intact resident with MS reported harsh care during bowel assistance by a CNA. The DON confirmed both allegations were not reported to the proper state entities as required by policy.
Failure to Thoroughly Investigate Abuse Allegations: The facility did not thoroughly investigate allegations of staff-to-resident verbal abuse involving a resident with impaired communication and total ADL dependence, or physical abuse involving a cognitively intact resident with MS and ADL deficits. The abuse investigations documented resident statements and staff concerns, but did not include follow-up on two residents who said they were not treated with respect and did not include interviews with other residents regarding the physical abuse allegation; the DON confirmed the investigations were not thorough.
Unsecured Chemicals on Housekeeping Cart: A housekeeping cart was observed unlocked and unattended, and staff confirmed it should have been locked when not in direct view. Review of the carts found chemicals including Enzyme Treatment and Disinfectant Deodorant labeled keep out of reach of children, and the Housekeeping Supervisor stated all housekeeping carts were to be locked when not in view of a housekeeper.
An infection control deficiency occurred during medication administration for a resident with Cerebral Palsy, dysphagia, and a G-tube. An LPN carried prepared medications uncovered through the facility, did not wash hands before donning gloves, administered the meds via G tube, and did not clean the resident's tube feeding before restarting it; the LPN and DON both confirmed the expected practices.
Dignity Not Maintained During Resident Exposure and Prolonged Disposable Meal Service
Penalty
Summary
Dignity was not maintained for Resident #10 when the resident was observed sitting in the facility lobby with an ill-fitting blouse that exposed a bare shoulder and bra. Resident #10 had diagnoses including Profound Intellectual Disabilities, Bipolar Disorder, and Cognitive Communication Deficit, and the quarterly MDS indicated the resident was absent of spoken words and rarely or never made self-understood or understood others. During the observation, multiple staff members came to adjust the blouse, and when the Administrator and DON later observed the resident in the same area, the blouse was still ill-fitting. The Administrator confirmed the exposure of the resident’s shoulder and bra could be a dignity concern. The facility also failed to promote dignity for residents by continuing to use disposable meal service items for a prolonged period, affecting 83 of 88 residents reviewed. Dining observations from multiple days showed disposable cups, plates, and utensils were used for all meals. The kitchen remained under construction, and the facility continued to prepare meals in a temporary mobile kitchen unit behind the building, which had been in use since a 2023 fire disabled the kitchen. Food was plated in a conference room used as dry storage, and reach-in coolers remained in the dining room. The mobile kitchen had a 3-compartment sink but no commercial dishwasher, and the dietary manager reported about 240 meals per day were prepared there with utensils hand washed and sanitized between meals. A resident with intact cognition reported that since the disaster the facility had continuously used the mobile kitchen and disposable meal items, and that residents had repeatedly asked in council meetings when normal dining would resume. The regional nurse and RVP confirmed the facility had not sought waivers related to the prolonged use of disposables or pursued alternatives while the kitchen remained out of service.
Failure to Report Allegations of Abuse
Penalty
Summary
The facility failed to timely report allegations of abuse to the proper authorities for 2 residents reviewed for abuse. For Resident #5, who was admitted with diagnoses including persistent vegetative state, dysphagia, anxiety disorder, and autistic disorder, the record showed the resident was dependent on staff for all activities of daily living and had impaired communication. A facility investigation documented that a CNA reported inappropriate things were said in front of the resident regarding the resident having her period and the amount of blood at the site. A coaching session also documented that an allegation suggested a CNA may have made inappropriate comments in front of the resident. During interview, the CNA stated she remembered the incident and that she was questioned by facility staff and suspended pending investigation. The DON later stated she felt the matter was a customer service issue and that this was the reason the allegation was not reported. For Resident #16, who was admitted with diagnoses including multiple sclerosis, cognitive communication deficit, irritable bowel syndrome, and diverticulitis of the intestine, the admission MDS showed a BIMS score of 13, indicating the resident was cognitively intact. The care plan identified an ADL self-care performance deficit related to weakness. A facility investigation documented that the resident reported harsh care during bowel movement assistance by a CNA. The CNA was removed from all care areas, and during interview stated he had been accused by the resident of abuse and was told not to go into the resident’s room after the allegation. The DON stated she failed to report the allegation concerning Resident #16 and confirmed it was the facility policy to report any allegation of abuse to state entities.
Failure to Thoroughly Investigate Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate an allegation of staff-to-resident verbal abuse involving Resident #5 and an allegation of staff-to-resident physical abuse involving Resident #16. The facility policy titled, Abuse - Conducting an Investigation, stated allegations are to be promptly and thoroughly investigated. Resident #5 was admitted with diagnoses including Persistent Vegetative State, Dysphagia, Anxiety Disorder, and Autistic Disorder, and was dependent on staff for all activities of daily living. The care plan noted impaired communication related to persistent vegetative state and that she smiled appropriately when spoken to. A facility investigation documented that a CNA reported inappropriate things were said in front of Resident #5 regarding her period and the amount of blood at the site, but the investigation did not document follow-up with the two residents who answered “no” when asked if they were treated with respect at the facility. Resident #16 was admitted with diagnoses including Multiple Sclerosis, Cognitive Communication Deficit, Irritable Bowel Syndrome, and Diverticulitis of the Intestine, and had a BIMS score of 13 indicating cognitive intactness. The care plan identified an ADL self-care performance deficit related to weakness from multiple sclerosis. The facility investigation documented that Resident #16 reported her care was harsh when a CNA was cleaning her after she had a bowel movement, and the CNA was removed from all care areas. However, the investigation did not include interviews with other residents regarding the allegation of physical abuse. During interview, the DON confirmed that thorough investigations had not been completed for either allegation.
Unsecured Chemicals on Housekeeping Cart
Penalty
Summary
The facility failed to ensure chemicals were stored and secured properly on 1 of 3 housekeeping carts for 6 wandering residents of 88 residents observed for accidents and hazards. Facility policy titled, Storage of Chemicals, dated 4/1/2026, stated the facility would store chemicals in accordance with manufacturer's guidelines while maintaining supervision while in use. During an observation on 5/11/2026 at 2:20 PM, a housekeeping cart was observed unlocked and unattended by housekeeping staff. In an interview on 5/11/2026 at 2:22 PM, Housekeeper A stated the cart with chemicals should have been locked when not in direct view. During a later interview and review of chemicals stored on the 3 housekeeping carts, the Housekeeping Supervisor identified one 32 fluid ounce bottle of Enzyme Treatment and one 15.5 ounce spray can of Disinfectant Deodorant, both labeled keep out of reach of children, and stated all housekeeping carts were to be locked when not in view of a housekeeper.
Infection Control Lapses During G-Tube Medication Administration
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when infection control practices were not followed during medication administration for Resident #17. Resident #17 was admitted with diagnoses including Cerebral Palsy, Encounter for Attention to Gastrostomy, Adult Failure to Thrive, and Dysphagia, and had physician orders for multiple medications to be given via G tube, including Buspirone, Dicyclomine, Ferrous Sulfate, Magnesium Oxide, Polyethylene Glycol, and Senna. During observation of medication administration, an LPN prepared medications for Resident #17 and failed to cover the medications while carrying them through the facility to obtain a feeding tube syringe. The LPN then returned to the resident's room, failed to wash hands before donning gloves, administered the medications via G tube, and failed to clean the resident's tube feeding prior to restarting tube feeding that had been hanging exposed over the tube feeding pole. In interview, the LPN stated hands should be cleaned prior to placing gloves, medications should not be uncovered while being carried through the facility, and the resident's tube feeding should have been cleaned prior to restarting. The DON later confirmed that it was her expectation for hands to be washed prior to donning gloves, exposed medications to be covered while carried through the facility, and exposed tube feeding to be cleaned prior to restarting.
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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.
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Nursing homes near Tullahoma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Tullahoma | 0.4 mi | ★★★★★ | 0 | 0 |
| Lynchburg Nursing Center | 9.5 mi | ★★★★★ | 5 | 0 |
| Legacy Health And Rehab | 10.1 mi | ★★★★★ | 0 | 0 |
| Manchester Center For Rehabilitation And Healing L | 11.8 mi | ★★★★★ | 1 | 0 |
| The Waters Of Shelbyville, Llc | 15.8 mi | ★★★★★ | 18 | 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 July 2026) and official state health department websites.