580 W Main Street Po Box 367, Alamo, TN 38001 · Crockett County · (731) 696-4541
121 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445467 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 11, 2026, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 17 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $12,542 in the last three years; the largest was $12,542, and the latest is dated March 15, 2024.
Nurses and nurse aides worked 4.96 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
43.8% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure that residents received the necessary treatment and services consistent with professional standards of practice to promote healing when the facility failed to document wound care treatments for 1 of 2 (Resident #6) sampled residents reviewed for pressure ulcers.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to identify and eliminate all known and foreseeable accident hazards in the resident's environment for 1 of 3 (Resident #62) sampled residents reviewed for smoking.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored when medications were unsecure at the resident's bedside for 1 of 52 (Resident #52 ) and when 2 of 3 (South Hall and Central Supply) medication storage rooms had opened, undated, and expired medications in the medication storage rooms.
Inspectors wroteBased on policy review, review of Center for Disease Control (CDC) guidelines, medical record review, observation, and interview, the facility failed to ensure the prevention and spread of infection during wound care and medication administration for 2 of 2 (Resident #6 and #14) sampled residents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure a medication administration rate of less than 5% (percent) when 1 of 4 nurses (Licensed Practical Nurse (LPN) B ) failed to sign out 19 out of 25 medications after administration for 2 of 2 sampled residents (Resident #30 and #39) observed during medication administration. This resulted in a medication administration error rate of 76%.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure Activities of Daily Living (ADL) assistance was provided related to showering for 2 of 2 sampled residents (Resident #39 and #114) reviewed for ADLs.?
Inspectors wroteBased on policy review, medical record review, observation, and interview the facility failed to ensure a resident was provided Oxygen consistent with professional standards of practice when the facility failed ensure an order for the continued use of Oxygen and failed to monitor and document the effectiveness of the Oxygen, for 1 of 2 resident (Resident #41) sampled for Oxygen.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure that medication records were in order and that an account of all controlled medications were maintained and reconciled for 1 of 3 Medication Carts (North Medication Cart) medication carts.
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to ensure a resident's medication regimen was free of unnecessary medications when the facility failed to ensure as needed (prn) psychotropic medications were discontinued after 14 days, failed to ensure monitoring related to the use of an anticoagulant (blood thinner), and failed to follow a provider's order for 1 of 5 residents (Resident #6) sampled for unnecessary meds.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly and securely stored when a medication was left unattended in a resident's room for 1 of 1 sampled residents (Resident #37).
Inspectors wroteBased on Centers for Disease Control guidelines, policy review, record review, observation, and interview, the facility failed to ensure infection control practices to prevent the spread of infection when 1 of 4 (Licensed Practical Nurse (LPN) A) staff failed to perform hand hygiene during medication administration and when 2 of 2 (Certified Nurse Assistants (CNA) D and (CNA) E) failed to wear Personal Protective Equipment (PPE) during a transfer of a resident on Enhanced Barrier Precautions.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure fall interventions were implemented for 1 of 4 (Resident #7) sampled residents reviewed for accidents. The facility's failure to implement a fall intervention resulted in Actual Harm when Resident #7 had a fall that resulted in a head laceration [a deep cut] and was sent to the Emergency Room.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to honor a resident's preferences for bathing for 1 of 1 sampled resident (Resident #35) reviewed for choices.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to convey the funds to the estate of a deceased resident within the 30 days requirement for 1 of 2 (Resident #322) residents reviewed for personal funds account.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide information regarding residents' right to formulate an advanced directive for 6 of 24 (Resident #22, #28, #29, #52, #62 and #270) sampled residents reviewed for advance directives.
Inspectors wroteBased on facility policy review, observation and interview the facility failed to meet Professional Standards of Quality when Registered Nurse (RN #1) prepared medications for administration and Licensed Practical Nurse (LPN #1) administered the medications to the residents.
Inspectors wroteBased on policy review, medical record review and observation, the facility failed to ensure a medication administration error rate of less than 5 percent (%) when 1 of 6 nurses (Licensed Practical Nurse (LPN) #1) failed to properly administer medications for 1 of 6 (Resident #37) sampled residents observed during medication administration with 12 errors out of 33 opportunities. This resulted in a medication administration error rate of 36.36 %.
2 fire safety citations on file: 2 on March 15, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 15, 2024 | Fine | $12,542 |
| March 15, 2024 | Payment Denial | 24 days from April 12, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.96 | 3.80 | 3.86 |
| Registered nurses | 0.40 | 0.60 | 0.69 |
| All nursing staff on weekends | 4.08 | 3.31 | 3.42 |
| Nurse aides | 2.72 | ||
| Licensed practical nurses | 1.84 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 48.9% | 45.8% |
| Registered nurse turnover | 40.0% | 43.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.31 on weekdays and 4.08 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.48 in April to June 2025 to 4.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.96 | 0.40 | 5.31 | 4.08 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 4.67 | 0.36 | 4.93 | 4.02 | 0.0% | 0 of 92 | 57 |
| Jul to Sep 2025 | 4.51 | 0.36 | 4.72 | 3.96 | 0.0% | 0 of 92 | 57 |
| Apr to Jun 2025 | 4.48 | 0.43 | 4.74 | 3.85 | 0.0% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.5 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 40.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.2 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Alamo Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.0% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 33 eligible stays.
11.0% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 32 eligible stays.
6.6% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.
27.3% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
0.0% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 29 residents counted.
3.2% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 29 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CROCKETT COUNTY NURSING HOME, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mann, Joy | Direct ownership interest | Individual | 11/01/2023 | |
| Mann, Joy | Corporate officer | Individual | 11/01/2023 | |
| Blankenship, Monica | Operational/managerial control | Individual | 05/01/2025 | |
| Blankenship, Monica | Adp of the SNF | Individual | 05/01/2025 | |
| Mann, Joy | Adp of the SNF | Individual | 11/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.