Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Stone River Post Acute during CMS and state inspections, most recent first.
Dishmachine Sanitizer Concentration and Emergency Pureed Food Supply: The facility failed to maintain the dishmachine’s chemical sanitization concentration within the required 50-100 ppm range, with an observed reading of 10 ppm, and failed to keep an emergency supply of pureed meat on hand despite the emergency menu and inventory sheet listing pureed ham or sausage and pureed beef, chicken, and pork for residents receiving pureed diets.
Failure to honor resident food preferences and diet/allergy instructions. Two cognitively intact residents received meals that did not match their documented preferences or meal tickets: one resident with DM on a CCHO diet was served sweet tea, regular sugar, and oatmeal despite requests for milk, no oatmeal, and a banana; another resident with a documented sausage allergy was served a sausage patty. The DM confirmed the meal tickets should have been followed.
A facility failed to refund resident trust account balances to estates within 30 days after death for 4 sampled residents. The residents had diagnoses including respiratory failure, diabetes, lupus, dementia, COPD, and hemiplegia/hemiparesis, with BIMS scores ranging from cognitively intact to severely impaired. Records showed each account had a closing balance, but the checks were issued and cleared after the required timeframe; the Interim BOM stated the facility had 60 days to settle accounts, while the Administrator stated the timeframe was 30 days.
A resident with moderate cognitive impairment reported being slapped by a CNA during care. The incident was reported to the RN and Administrator, and the DON noted physical signs of abuse. However, the facility failed to report the allegation to the State Agency as required by policy and regulations.
Dishmachine Sanitizer Concentration and Emergency Pureed Food Supply
Penalty
Summary
The facility failed to ensure the dishwashing machine maintained the correct chemical sanitization concentration. Review of the facility’s Dishmachine Use policy showed that dishmachine chemical sanitizer concentrations should be between 50-100 ppm and that use should cease immediately if concentrations do not meet requirements. During observation in the dish room, the dish machine chemical sanitization concentration was found to be 10 ppm. When asked about the required concentration, the Dietary Manager stated it should be 50-100 ppm and confirmed that the dish machine was not providing the correct chemical sanitization concentration. The facility also failed to maintain an emergency supply of pureed food. The facility had a census of 55, with 52 residents receiving trays and 6 residents receiving pureed food. Review of the Emergency Food Supply policy showed the Dietary Manager was to maintain a 3-day supply of nonperishable foods based on resident dietary needs. Observation in the dry stock room showed the emergency food supply did not contain any pureed meat. The undated Emergency Menu listed Puree Ham or sausage and Puree Beef, Chicken, Pork, and the Emergency Supply inventory sheet showed the needed servings for these items. The Dietary Manager stated that pureed meat should be included in the emergency supply stock.
Failure to Honor Resident Food Preferences and Allergy/Diet Orders
Penalty
Summary
The facility failed to honor food preferences for 2 of 16 sampled residents. The facility policy titled, Resident Food Preferences, stated that nursing and dietary staff would document the resident's food and eating preferences on the diet order and/or meal ticket. Resident #6 was admitted with diabetes, had a BIMS score of 15 indicating cognitive intactness, and was on a controlled carbohydrate diet. During interview, Resident #6 stated that sweet tea was brought with lunch and dinner every day, that he asked for milk instead of tea but never received it, and that he did not like oatmeal but it was served anyway. Observation of his lunch tray revealed sweet tea, regular sugar packets, and no milk, and another observation showed oatmeal on the tray even though the meal ticket stated no oatmeal and add banana. Resident #6 also stated he had to water down his tea at other meals to weaken it so he would have something to drink. Resident #26 was admitted with diagnoses including hemiplegia, malignant neoplasm of the brain, seizures, and anxiety, and had a BIMS score of 15 indicating cognitive intactness. During observation and interview, Resident #26 stated she could not eat sausage, yet a sausage patty was on her breakfast plate and she reported she had also received it the day before and simply moved it aside without eating it. The meal ticket on her tray identified sausage as an allergy and highlighted the word sausage in red. During interview, the Dietary Manager confirmed that a diabetic resident on a controlled carbohydrate diet should not receive sweet tea, that the resident should receive what was written on the meal ticket, and that a food identified as an allergy should not be placed on a resident's meal tray.
Failure to Refund Resident Trust Funds Within Required Timeframe
Penalty
Summary
The facility failed to refund resident personal funds deposited with the facility to the resident's estate within 30 days after death for 4 of 4 sampled residents. Facility policy titled Resident Trust Fund stated the Administrator was responsible for maintaining a separate accounting of resident personal funds and that, upon death or discharge, the facility would convey the resident's funds and a final accounting within 30 days. Review of the Closed Account Summary Report, Resident Statement Landscape, and canceled checks showed that Resident #72, Resident #73, Resident #74, and Resident #75 each had a closing balance after death, but the checks for their accounts were issued and cleared after the 30-day timeframe had passed. Resident #72 had diagnoses including acute and chronic respiratory failure, pleural effusion, and diabetes, and was cognitively intact with a BIMS score of 14. Resident #73 had diagnoses including systemic lupus, dementia, and neuralgia, and was severely cognitively impaired with a BIMS score of 4. Resident #74 had diagnoses including hemiplegia and hemiparesis, diabetes, and COPD, and was moderately cognitively impaired with a BIMS score of 11. Resident #75 had diagnoses including hemiplegia and hemiparesis, acute respiratory failure with hypoxia, and chronic respiratory failure with hypoxia, and was moderately cognitively impaired with a BIMS score of 10. During interview, the Interim BOM stated the facility had 60 days to settle the account, while the Administrator stated the facility had 30 days to refund resident funds after death.
Failure to Report Abuse Allegation
Penalty
Summary
The facility failed to report a staff-to-resident allegation of abuse to the State Survey Agency for one resident. The facility's policy mandates that all allegations of abuse must be reported immediately, but not later than 2 hours after the allegation is made, and the results of the investigation must be reported within 5 working days. In this case, Resident #6, who had moderate cognitive impairment and multiple medical conditions, reported to a CNA that another CNA had slapped her leg twice during care. The incident was reported to the RN and the Administrator, and the DON assessed the resident, noting redness, swelling, and pain in the leg. However, there was no documentation that this abuse allegation was reported to the State Agency as required by the facility's policy and federal and state regulations. Interviews with the Social Services Director, RN, and CNA confirmed that the incident was reported to the Administrator, who was expected to start an investigation. Despite this, the facility did not provide evidence that the allegation was reported to the State Agency. The Administrator acknowledged that the incident should have been reported. This failure to report the abuse allegation constitutes a deficiency in the facility's compliance with its abuse prohibition policy and regulatory requirements.
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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 Murfreesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adamsplace, Llc | 0.4 mi | ★★★★★ | 7 | 0 |
| Stones River Manor, Inc | 1.3 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Murfreesboro | 1.6 mi | ★★★★★ | 5 | 0 |
| Tennessee Veterans Home | 2.7 mi | ★★★★★ | 2 | 0 |
| Community Care Of Rutherford | 7.3 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.