Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Tennessee Veterans Home during CMS and state inspections, most recent first.
Failure to Provide Ordered Wound Care for Residents With Pressure Ulcers: The facility did not complete physician-ordered wound care for multiple residents with pressure ulcers, including residents with stage 3, unstageable, and deep tissue injury wounds. TARs showed missed treatments for coccyx, foot, and heel wounds, and the Wound Care Nurse and DON confirmed that blank TAR entries meant the care was not done. The residents had significant medical histories including DM, kidney failure, Alzheimer’s, CHF, dementia, and severe malnutrition.
Failure to Follow Ordered Oxygen Rates: The facility failed to administer oxygen as ordered for three residents. One resident with acute respiratory failure was observed receiving oxygen at 2.5 to 3 L/min despite an order for 1 L/min continuous. A second resident with dementia, OSA, CHF, and atrial fibrillation was observed on 3 L/min even though the order was for 2 L/min PRN, and the MAR and care plan did not reflect the oxygen use. A third resident with dementia and emphysema was also observed on 3 L/min despite an order for 2 L/min continuous; an LPN and the DON confirmed the ordered rates.
The facility failed to ensure dumpsters had lids to properly contain refuse and prevent access by rodents or other animals. Despite the facility's policy requiring tight-fitting lids, observations showed trash piled high and dumpsters without lids. Staff continued to dispose of trash in uncovered dumpsters, and the Maintenance Director acknowledged the need for lids and staff retraining.
The facility failed to provide written transfer notices to three residents and their representatives during emergent hospital transfers, as well as to notify the ombudsman. Despite the facility's policy requiring such notifications, residents with Alzheimer's, quadriplegia, and severe cognitive impairment were transferred without the necessary documentation. An LPN confirmed that a Transfer Cover Sheet was supposed to be completed, but this was not done, and the Assistant Director of Clinical Services admitted to the oversight.
The facility failed to provide written bed hold notices to residents or their representatives during hospital transfers, as required by policy. Three residents were transferred to hospitals without receiving these notices, despite the facility's policy allowing bed hold agreements for up to 10 days. Staff interviews revealed inconsistencies in attaching bed hold notices to transfer documents, and the Assistant Director of Clinical Services acknowledged the lack of written notifications due to a unit closure.
A resident with type two diabetes had multiple instances of blood glucose readings exceeding 300 mg/dL, but the facility failed to notify the physician as required by the orders. Despite the facility's policy to consult with the attending physician for treatment changes, the EMR showed no documentation of such notifications. Interviews with staff confirmed the oversight, highlighting a deficiency in care practices.
A dietary staff member failed to follow proper hand hygiene practices by not changing gloves or washing hands after contaminating them while serving food. This occurred twice during food service, and the staff member acknowledged the oversight. The dietary manager confirmed the need for proper handwashing. This deficiency potentially affected 100 of 104 residents consuming food from the facility's kitchen.
The facility failed to protect residents from physical abuse in two incidents. In the first, a resident with moderate cognitive impairment struck another with severe cognitive impairment. In the second, a resident with intact cognition struck another resident multiple times due to impatience. Both incidents were witnessed by staff, and the Director of Nursing confirmed the events.
The facility administration failed to provide adequate oversight and supervision, resulting in deficiencies such as incomplete investigations into major injuries of unknown origin for two residents, inadequate wound care management for multiple residents, and ineffective pain management for a resident with a major injury. Additionally, the administration did not conduct effective QAPI meetings to address quality deficiencies, leading to citations for Immediate Jeopardy and substandard quality of care.
The QAPI committee at the facility failed to effectively identify and address quality deficiencies, resulting in resident neglect, inadequate investigations of adverse events, and ineffective pain management. Despite implementing a Performance Improvement Plan for wound care, the facility did not maintain proper oversight, leading to an increase in wound infections and Immediate Jeopardy citations. The Administrator's involvement was limited, and the previous wound care nurse was unresponsive to feedback.
The facility failed to provide necessary wound care for several residents, resulting in unstageable wounds and infections. Despite having policies and a QAPI plan, the facility did not effectively implement wound care treatments, leading to Immediate Jeopardy. Residents suffered from untreated wounds, some requiring hospital transfers, highlighting significant neglect in care management.
Two residents in a LTC facility sustained serious injuries of unknown origin, but the facility failed to conduct thorough investigations or take appropriate corrective actions. One resident had a tibia fracture, and the other a femur fracture, yet the facility did not follow its policies on abuse and accidents, resulting in a citation for substandard quality of care.
A resident with a history of femur fracture and dementia experienced severe pain for 15 hours without effective management in an LTC facility. Despite complaints of pain, the resident was only given Tylenol, and staff failed to reassess pain levels or evaluate the cause. Delays in obtaining an X-ray and notifying medical staff led to prolonged suffering, resulting in an Immediate Jeopardy citation for substandard care.
The facility failed to report injuries of unknown origin for two residents. One resident with impaired cognition sustained a tibia fracture, and another with severe cognitive impairment suffered a femur fracture. Despite the facility's policy requiring immediate reporting of such injuries, the Administrator did not report them, believing the causes were determined. However, no investigations confirmed the root causes, and the exact circumstances of the injuries remain unknown.
The facility failed to update care plans for three residents following incidents of abuse. One resident was involved in a resident-to-resident incident, while another reported rough handling by CNAs. Despite immediate actions taken, the care plans were not revised to include interventions for these incidents, as confirmed by facility staff.
Two residents in the facility did not receive their scheduled showers and baths, as documented in medical records and confirmed through interviews and observations. One resident, with multiple health conditions, missed numerous scheduled showers over several months, while another resident, with cognitive impairments, received no showers for extended periods. Staffing issues, including high turnover and reliance on agency staff, were cited as contributing factors to the inconsistency in providing scheduled bathing care.
Failure to Provide Ordered Wound Care for Residents With Pressure Ulcers
Penalty
Summary
The facility failed to provide wound care treatment as ordered by the physician for 3 of 4 sampled residents reviewed for pressure ulcers. Facility policy stated that residents admitted with pressure ulcers are to receive necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing, and that medications are to be administered as prescribed with documentation on the MAR/TAR directly after administration. Surveyors reviewed medical records, TARs, and interviewed the Wound Care Nurse and DON, who both stated that wound care completion was verified by the TAR and that blank spaces meant the treatment was not done. One resident was admitted with depression, vitamin D deficiency, kidney failure, diabetes, acidosis, and severe protein-calorie malnutrition, and had two stage 3 pressure ulcers on the MDS. The TAR showed physician orders for coccyx wound care with normal saline, collagen, and border foam dressing, but treatment was not provided on multiple dates across several order periods, including several days in March and April. During interview, the Wound Care Nurse and DON reviewed the TAR and stated that the blank spaces indicated the treatments were not completed, including during the week of 4/21/2026 through 4/27/2026. A second resident with Alzheimer’s, heart failure, epilepsy, insomnia, and adult failure to thrive had an unstageable pressure ulcer to the right dorsal foot. The TAR showed an order for cleansing, wound honey, hydrofera blue, and border foam dressing, but treatment was not provided on several dates in April. A third resident with atherosclerotic heart disease, cellulitis, dementia, and urinary retention had an unstageable pressure ulcer/deep tissue injury to the right heel. The TAR showed orders for pressure-relieving boots, heel foam dressing, skin prep, and documentation of refusal each shift, but treatment was not provided on multiple dates in April and May. The DON acknowledged missing weekend treatments and stated the facility was trying to have a wound care nurse present on weekends and have the RN supervisor double sign off to ensure treatments were completed before leaving.
Failure to Follow Ordered Oxygen Rates
Penalty
Summary
The facility failed to follow physician's orders for oxygen for 3 of 7 residents reviewed for respiratory care. Facility policies stated that oxygen would only be administered with a physician's order, medications were to be administered as prescribed and in accordance with written orders, and the comprehensive plan of care was to be individualized and updated as warranted by condition changes. Resident #38 had diagnoses including acute respiratory failure with hypoxia, PTSD, hypertension, and depression. The care plan directed staff to administer oxygen therapy as ordered, and the physician's order was for oxygen at 1 L/min via nasal cannula continuously to maintain oxygen saturation above 90%. However, observations on 5/4/2026 showed the resident receiving oxygen at 2.5 L/min, and on 5/5/2026 an LPN stated the resident's oxygen was set at about 3 L/min even though the order was for 1 L/min. The DON confirmed the ordered rate should have been 1 L/min. Resident #48 had diagnoses including dementia, OSA, CHF, and chronic atrial fibrillation. The physician's order was for oxygen at 2 L/min via nasal cannula PRN to maintain oxygen saturation above 90%, but observations showed the resident receiving oxygen at 3 L/min. The MAR showed PRN oxygen was signed off on only once in April and not signed off in May, and the care plan did not reflect oxygen use. Resident #94 had diagnoses including dementia, adult failure to thrive, and emphysema. The physician's order was for oxygen at 2 L/min via nasal cannula continuously, but observations showed oxygen being administered at 3 L/min, and an LPN stated it was on 3 L/min and believed it should be 2 L/min. The DON confirmed the ordered rate should have been 2 L/min.
Failure to Properly Cover Dumpsters
Penalty
Summary
The facility failed to ensure that the dumpsters used for trash and cardboard disposal were equipped with lids to properly contain refuse and prevent access by rodents or other animals. The facility's policy, dated 05/13/15, mandates that all garbage and rubbish containers must have tight-fitting lids and be kept covered when not in continuous use. During an initial tour of the kitchen, it was observed that the trash was piled high and not contained within the dumpster, and the dumpsters lacked lids. The Dietary Manager and Maintenance Director confirmed that the dumpsters should not be piled up and should have lids to contain the trash and keep varmints out. Subsequent observations revealed that staff continued to dispose of trash in the dumpsters without lids. On multiple occasions, staff were seen throwing bags of trash into the dumpsters, which remained uncovered. The Maintenance Director acknowledged that the dumpsters should have lids and stated that staff needed retraining. Despite the initial observation and acknowledgment of the issue, the problem persisted, indicating a failure to adhere to the facility's policy on garbage and rubbish disposal.
Failure to Provide Written Transfer Notices
Penalty
Summary
The facility failed to provide written transfer notices to three residents and their representatives upon emergent transfers to the hospital, as well as to notify the ombudsman. The facility's policy, titled 'Resident Discharge Policy,' mandates timely and proper notice for any intent to transfer or discharge a resident, including notifying the resident, family, or legal representative, and the ombudsman. However, this policy was not adhered to in the cases of three residents who were transferred to the hospital without receiving the required written notifications. Resident 49, who had a primary diagnosis of Alzheimer's Disease, was transferred to the hospital after becoming unresponsive. Although the family was notified verbally, there was no written transfer notice provided to the resident, their responsible party, or the ombudsman. Similarly, Resident 259, with a primary diagnosis of quadriplegia, experienced multiple unplanned discharges to a short-term general hospital, yet no written notifications were documented in their medical records. The facility's Licensed Practical Nurse (LPN) confirmed that a Transfer Cover Sheet was supposed to be filled out for each hospitalization, but this was not done. Resident 76, who had severe cognitive impairment, was also transferred to the hospital on two occasions without receiving written transfer notifications. The Assistant Director of Clinical Services admitted that the facility was unaware that written notice was required for the family and acknowledged that notifications to the ombudsman had not been completed. This oversight indicates a failure to comply with the facility's own discharge policy and federal or state regulations regarding resident transfers.
Failure to Provide Bed Hold Notices During Hospital Transfers
Penalty
Summary
The facility failed to provide a written bed hold notice to residents or their representatives prior to or within 24 hours of transfer to a hospital, as required by their policy. This deficiency was identified for three residents who were hospitalized. The facility's policy, revised in July 2018, states that a bed hold agreement should be provided for hospital or therapeutic leave, not exceeding 10 days, with the possibility of consecutive agreements. However, the facility did not adhere to this policy for the residents reviewed. For Resident 49, the electronic medical record indicated an unplanned discharge to a short-term general hospital due to a medical emergency. Despite the resident's return to the facility the following day, there was no documentation of a bed hold notification or reserve bed payment information in the resident's records. Similarly, Resident 259 experienced multiple unplanned discharges to a hospital, but the facility failed to provide the required bed hold notifications. Interviews with staff revealed that a Transfer Cover Sheet, which should include a bed hold notice, was supposed to be attached to transfer documents, but this was not consistently done. Resident 76, who had severe cognitive impairment, was also transferred to a hospital on two occasions without receiving a written bed hold notice. The Assistant Director of Clinical Services confirmed that no bed hold notifications were sent in writing to the resident or family, citing the closure of a unit as a reason for not issuing these notices. This lack of compliance with the facility's policy resulted in a deficiency in ensuring residents and their representatives were informed about bed hold procedures during hospital transfers.
Failure to Notify Physician of Elevated Blood Sugar Levels
Penalty
Summary
The facility failed to adhere to physician's orders regarding the notification of blood sugar levels exceeding 300 mg/dL for a resident diagnosed with type two diabetes, among other conditions. The facility's policy mandates prompt consultation with the attending physician when treatment alterations are necessary. However, the review of the resident's electronic medical record (EMR) revealed multiple instances where blood glucose readings exceeded 300 mg/dL, yet there was no documentation indicating that the physician was notified as required. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15, had several high glucose readings recorded in the Medication Administration Record (MAR) without subsequent physician notification. Interviews with the Unit Manager, Physician Assistant, and Director of Nursing confirmed the oversight, acknowledging that the medical team should have been informed according to the established orders. This lapse in following the physician's orders represents a deficiency in the facility's care practices.
Failure in Hand Hygiene by Dietary Staff
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by dietary staff during food service operations. Specifically, a dietary staff member was observed placing food on trays and running his gloved hand under his nose without changing gloves or washing hands, as required by the facility's dietary policy. This occurred twice during the observation period, and the staff member acknowledged the failure to wash hands when questioned. The dietary manager confirmed that the staff should have removed the gloves and washed hands after each instance of contamination. This deficiency had the potential to affect 100 of 104 residents who consumed food prepared in the facility's kitchen.
Failure to Protect Residents from Physical Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse during two separate incidents involving three residents. In the first incident, a resident with moderate cognitive impairment struck another resident with severe cognitive impairment on the hand when the latter attempted to move the former's wheelchair. This incident was witnessed by a Certified Nurse Technician who reported it to the Nursing Manager. The Director of Nursing confirmed the incident during an interview, stating it occurred while the resident was preparing for an appointment. In the second incident, a resident with intact cognition physically struck another resident with severe cognitive impairment multiple times on the back. This occurred as the two residents were exiting the dining room, with the aggressor becoming impatient with the slower-moving resident in front. The incident was witnessed by a Certified Nurse Aide who intervened and noted the victim appeared scared. The Director of Nursing and the aggressor both provided accounts of the incident, with the aggressor denying the severity of the actions despite video evidence.
Facility Administration Fails in Oversight and Supervision
Penalty
Summary
The administration of the facility failed to provide adequate oversight and supervision, leading to several deficiencies. Specifically, the administration did not ensure thorough investigations were conducted to determine the root cause of major injuries of unknown origin for two residents. The investigation into one resident's injury was incomplete, as the administrator did not review camera footage or obtain statements from all involved staff. Additionally, the administration did not implement any training regarding resident transfers following the incident. The administration also failed to ensure that physician's orders for wound care were followed for multiple residents. The Director of Nursing (DON) acknowledged missed documentation and identified that wound care treatments were not being performed on weekends. Despite recognizing this issue, the DON was not present on weekends and was denied the request for a weekend treatment nurse. This lack of oversight resulted in inadequate wound care management for several residents. Furthermore, the administration did not ensure effective pain management for a resident who sustained a major injury and experienced unresolved severe pain. The administration also failed to conduct effective Quality Assurance Performance Improvement (QAPI) meetings to address identified quality deficiencies. The administrator's involvement in QA discussions was limited, and there was no comprehensive monitoring to ensure wound care was completed. These failures contributed to the facility being cited for Immediate Jeopardy and substandard quality of care.
QAPI Committee's Failure Leads to Immediate Jeopardy
Penalty
Summary
The Quality Assurance Performance Improvement (QAPI) committee at the facility failed to ensure an effective program that identified and addressed quality deficiencies, leading to significant issues such as resident neglect, inadequate investigations of adverse events, and ineffective pain management. The facility's policies and procedures were not properly implemented or overseen, resulting in a situation of Immediate Jeopardy, where the noncompliance was likely to cause serious harm to residents. The facility was cited for Immediate Jeopardy at several F-tags, indicating substandard quality of care. The facility's QAPI program did not effectively address the increasing number of wound infections, despite implementing a Performance Improvement Plan (PIP) to tackle issues with pressure ulcers and inconsistent treatment plans. The QAPI committee's oversight was insufficient, as evidenced by the lack of proper investigation into major injuries of unknown origin and the failure to establish an effective pain management program. Interviews with staff revealed that the previous wound care nurse was not receptive to feedback, and the Administrator's involvement in monitoring wound care was limited to discussions and reviewing reports. The facility's failure to maintain oversight and implement necessary policies and procedures resulted in neglect for residents requiring wound care and inadequate investigation of adverse events. The QAPI committee did not ensure that the facility was administered efficiently, leading to ongoing Immediate Jeopardy. The facility's census at the time of the survey was 114, and the deficiencies were identified during a partial extended survey conducted on May 15, 2024.
Neglect in Wound Care Management
Penalty
Summary
The facility failed to ensure that all residents were free from neglect, specifically in providing necessary wound care for five residents. Resident #7 did not receive wound care as ordered by the physician for a wound that progressed from excoriation to an unstageable wound. Similarly, Resident #9 did not receive wound care for a right calf wound and a right heel wound, both of which progressed to unstageable wounds. Resident #12 also did not receive wound care for a left calf wound, which required antibiotics and hospital transfer. Resident #13 did not receive wound care for a right heel wound, and the facility failed to identify and treat additional unstageable wounds on the resident's ischium. Resident #14 did not receive treatment for a diabetic ulcer on the right second toe, which became infected and required hospital transfer for amputation. These failures resulted in Immediate Jeopardy, indicating a situation where the provider's noncompliance likely caused serious harm to the residents. The facility's policies on abuse, neglect, and pressure ulcer management were not effectively implemented, as evidenced by the lack of documentation and follow-through on wound care treatments. The Quality Assurance Performance Improvement (QAPI) plan and meeting minutes revealed ongoing issues with wound care management, including staffing turnover and missing documentation. Despite a performance improvement plan being in place, the facility experienced an increase in wound infections over several months.
Failure to Investigate Injuries of Unknown Origin
Penalty
Summary
The facility failed to conduct thorough investigations and take appropriate corrective actions for two residents with injuries of unknown origin, resulting in an Immediate Jeopardy situation. Resident #9, who had a right displaced tibia fracture, was found to have a swollen and bruised leg, but the facility could not provide documentation of a complete investigation into the cause of the injury. Interviews with staff revealed that the resident was non-verbal and had impaired mobility, making it unlikely that the injury was self-inflicted. Despite these findings, the facility did not conduct a thorough investigation or interview all relevant staff members. Similarly, Resident #10 sustained a subtrochanteric right femur fracture, and the facility again failed to conduct a comprehensive investigation. The resident had severely impaired cognition and required assistance for transfers, yet the facility did not involve the CNAs assigned to the resident in the investigation process. The Administrator admitted to not reviewing camera footage or obtaining statements from all staff involved, leaving the cause of the injury undetermined. The facility's policies on abuse, neglect, and accidents were not followed, as evidenced by the lack of documentation and incomplete investigations for both residents. The failure to adhere to these policies and procedures resulted in a citation for substandard quality of care, with a scope and severity level of J, indicating a serious deficiency that posed a risk of harm to the residents.
Failure in Pain Management for Cognitively Impaired Resident
Penalty
Summary
The facility failed to implement an effective pain management regimen for a resident who was cognitively impaired and vulnerable, resulting in the resident experiencing moderate to severe pain for approximately 15 hours before being transferred to the hospital. The resident, who had a subtrochanteric right femur fracture, was given Tylenol for severe pain but did not receive adequate follow-up or assessment to determine the cause of the pain. The facility's policy required a comprehensive pain assessment and timely intervention, which was not adhered to in this case. The medical record review revealed that the resident had a history of a right femur fracture and dementia, with a BIMS score indicating severely impaired cognition. Despite the resident's complaints of severe pain, the nursing staff did not reassess the pain level or evaluate the effectiveness of the administered Tylenol. The resident's pain was not adequately managed, and there was a lack of documentation regarding the evaluation of the pain's cause and the effectiveness of the pain relief measures. Interviews with facility staff indicated that there was a delay in obtaining an X-ray and initiating appropriate pain management interventions. The nursing staff failed to notify the nurse practitioner or medical director in a timely manner to address the resident's severe pain and potential injury. The facility's inaction and lack of adherence to its pain management policy resulted in the resident experiencing prolonged pain and necessitated an Immediate Jeopardy citation for substandard quality of care.
Failure to Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to report injuries of unknown origin to the State Survey Agency for two residents. Resident #9 sustained a right displaced tibia fracture, and Resident #10 sustained a subtrochanteric right femur fracture. Both injuries were identified during routine care, but the facility did not report them as required by their policy. The facility's policy mandates immediate reporting of such injuries to the Administrator and subsequent reporting to the Department of Health within prescribed timeframes. Resident #9, who has moderately impaired cognition and requires extensive assistance for locomotion, was found with a swollen right lower leg and bruising on the left upper arm. An X-ray confirmed a mild fracture of the tibia. Despite the injury's unknown origin, the Administrator did not report it, believing the cause was determined within two hours. However, no investigation was provided to confirm the root cause of the injury. Resident #10, with severely impaired cognition and dependent on assistance for transfers, was found with a right hip fracture of unknown origin. The Administrator and the previous Interim DON speculated the injury occurred during a transfer but did not involve the CNAs in the investigation or review camera footage. The exact cause of the injury remains unknown, and the facility did not report it as required.
Failure to Update Care Plans Following Abuse Incidents
Penalty
Summary
The facility failed to revise the comprehensive care plans to include interventions for abuse for three residents following incidents of abuse. Resident #3, who was admitted with diagnoses including unspecified dementia and Alzheimer's disease, was involved in a resident-to-resident incident where Resident #21 hit her with a foam pool noodle. Despite the incident being reported and immediate actions taken, the care plan for Resident #3 was not updated to include interventions for this abuse. Similarly, Resident #21, who has Alzheimer's disease and cognitive impairment, did not have her care plan revised to address the incident. Resident #4, admitted with conditions such as atherosclerotic heart disease and major depressive disorder, reported an incident involving rough handling by three CNAs during a catheter adjustment. The CNAs were suspended and removed from the facility, but the care plan for Resident #4 was not updated to reflect this employee-to-resident abuse. Interviews with facility staff, including the MDS Coordinator and the Social Service Director, confirmed that the care plans should have been updated following these incidents, but this was not done.
Failure to Provide Scheduled Showers and Baths
Penalty
Summary
The facility failed to ensure that two residents received their scheduled showers and baths, as evidenced by the review of facility policies, medical records, observations, and interviews. Resident #1, who was admitted with multiple diagnoses including Atherosclerotic Heart Disease and Type 2 Diabetes Mellitus, was scheduled to receive showers three times a week. However, documentation revealed significant gaps in bathing care, with Resident #1 missing scheduled showers and bed baths for multiple consecutive days across several months. Interviews with Resident #1 and family members highlighted ongoing issues with personal hygiene care, including infrequent showers and inadequate assistance with shaving. Resident #14, diagnosed with conditions such as Cerebral Infarction and Vascular Dementia, was also scheduled for regular showers. However, the documentation showed that Resident #14 received no showers for extended periods, relying instead on bed baths. Observations noted that Resident #14 appeared unkempt, with disheveled hair and dirty nails, indicating a lack of proper hygiene care. Interviews with family members and staff further corroborated the inconsistency in providing scheduled bathing care. The facility's failure to provide scheduled showers and baths was attributed to staffing issues, including high turnover and reliance on agency staff, which affected the continuity of care. Interviews with various staff members, including the Director of Nursing and the Quality Assurance nurse, acknowledged the challenges in maintaining consistent bathing schedules and documentation. Despite recognizing the issue, there was a lack of documented follow-up or corrective actions to address the deficiency in providing adequate personal hygiene care to the residents.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 35 citations issued within 25 miles in the last 12 months — including the 4 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
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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) |
|---|---|---|---|---|
| Stones River Manor, Inc | 1.4 mi | ★★★★★ | 0 | 0 |
| Adamsplace, Llc | 2.3 mi | ★★★★★ | 7 | 0 |
| Stone River Post Acute | 2.7 mi | ★★★★★ | 4 | 0 |
| Nhc Healthcare, Murfreesboro | 4.3 mi | ★★★★★ | 5 | 0 |
| The Waters Of Smyrna, Llc | 8.5 mi | ★★★★★ | 0 | 0 |
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