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 Nhc Healthcare, Cookeville during CMS and state inspections, most recent first.
The facility failed to resubmit PASARRs for three residents after they were diagnosed with new mental health conditions, contrary to the facility's policy requiring a Level II resident review upon significant changes in status. Despite diagnoses such as Delusional Disorder, Major Depressive Disorder, and Substance Dependency, the facility did not refer these residents to the state-designated PASARR agency. The Assistant Director of Nursing confirmed the oversight during an interview.
The facility failed to develop comprehensive care plans for two residents, one requiring hospice services and another with dental issues. A resident with a terminal diagnosis did not have hospice services included in their care plan, while another resident with broken teeth did not have dental issues addressed in their care plan. Staff interviews confirmed these oversights.
A resident with a history of stroke and difficulty swallowing was observed with room temperature, expired yogurts on her overbed table. Despite being cognitively intact and able to feed herself, the facility failed to ensure proper storage of refrigerated food items, as confirmed by the RN Supervisor and Certified Dietary Manager.
Failure to Resubmit PASARR After New Mental Health Diagnoses
Penalty
Summary
The facility failed to resubmit a Pre-Admission Screening and Resident Review (PASARR) in a timely manner after new mental health diagnoses were identified for three residents. According to the facility's policy, a Level II resident review should be initiated upon a significant change in status or condition, such as the emergence of a serious mental disorder. However, the facility did not adhere to this policy for three residents who were reviewed for PASARR. Resident #43 was admitted with diagnoses including Dementia and Insomnia. Over time, the resident was diagnosed with several new mental health conditions, including Delusional Disorder, Major Depressive Disorder, Generalized Anxiety Disorder, and Psychotic Disorder. Despite these significant changes, a new PASARR was not submitted. Similarly, Resident #47, who was admitted with Dementia and other conditions, was later diagnosed with Psychoactive Substance Dependency and Opioid Dependency. Again, the facility did not submit a new PASARR following these diagnoses. Resident #69 was initially admitted without any mental health conditions but was later diagnosed with Adjustment Disorder, Delusional Disorder, Psychoactive Substance Dependency, Opioid Dependency, and Generalized Anxiety Disorder. Despite these new diagnoses, the facility failed to submit a new PASARR. During an interview, the Assistant Director of Nursing confirmed that the facility did not refer these residents to the state-designated PASARR agency after identifying their new mental health conditions.
Deficiencies in Comprehensive Care Planning for Hospice and Dental Services
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for two residents, leading to deficiencies in their care. Resident #75, who was admitted with diagnoses including Heart Failure, Atrial Fibrillation, and Chronic Kidney Disease, did not have a care plan for hospice services despite a physician's order for hospice evaluation and treatment. The resident was certified with a terminal diagnosis and a prognosis of six months or less, yet the care plan was not updated to reflect the hospice services needed. Similarly, Resident #85, admitted with Chronic Obstructive Pulmonary Disease, Heart Failure, and Diabetes, did not have a care plan addressing dental issues related to broken and missing teeth. Despite receiving antibiotics and pain medication for a broken tooth, the care plan was not updated to include these dental issues. Interviews with the resident and staff confirmed the lack of an updated care plan, with the Assistant Director of Nursing acknowledging the oversight.
Improper Storage of Refrigerated Food Items
Penalty
Summary
The facility failed to properly store refrigerated food items for a resident, leading to a deficiency in maintaining a homelike environment related to food storage. The resident, who was admitted with diagnoses including stroke, difficulty swallowing, kidney disease, and falls, was observed with two 4-ounce yogurts that were room temperature and unopened on her overbed table. The resident was cognitively intact and able to feed herself with staff setup and cleanup assistance. During multiple observations, the yogurts remained at room temperature and were confirmed to be expired by the RN Supervisor. Despite the Certified Dietary Manager stating that the room temperature yogurts would not harm the resident if consumed, the facility's failure to ensure proper storage of refrigerated food items was evident. This oversight was noted during interviews and observations, highlighting a lapse in adhering to professional standards for food storage.
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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.
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Nursing homes near Cookeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grandview Post Acute | 2.1 mi | ★★★★★ | 2 | 0 |
| Signature Healthcare Of Putnam County | 4.2 mi | ★★★★★ | 0 | 0 |
| Standing Stone Care And Rehab | 13.4 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Sparta | 13.6 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Sparta | 15.6 mi | ★★★★★ | 0 | 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.