2031 Avondale Street Po Box 446, Humboldt, TN 38343 · Gibson County · (731) 784-3655
89 certified beds, about 67 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445454 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 9, 2025, inspectors cited 11 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 19 health citations since June 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
56.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Champion Care, an affiliated group of 22 nursing homes.
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 19 health citations on file.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to report an allegation of abuse for 1 of 3 (Resident #2) sampled residents reviewed for abuse.
Inspectors wroteBased on policy review, record review, and interview, the facility failed to post the total number of staff, and actual hours worked by the licensed and unlicensed staff responsible for resident care on the facility's Daily Nurse Staffing form for 31 of 31 sampled days.
Inspectors wroteBased on job description review, and interview, the facility failed to ensure a full-time or part-time Registered Dietitian (RD), or a qualified Dietary Manager (DM) was employed to provide oversight of the kitchen, kitchen staff competencies, residents' prescribed diets, and meals served in a timely manner. This had the potential to affect 55 of 55 residents who received a tray from the kitchen.
Inspectors wroteBased on policy review, document review, observation, and interview, the facility failed to provide sufficient staff with competencies and skill sets to carry out the functions of the food and nutrition services for 4 of 4 staff members (Dietary [NAME] C, D, F, and Dietary Supervisor) working in the kitchen. The facility had a census of 55, with 55 of those residents receiving a meal tray from the kitchen.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions when for 2 of 4 (Dietary [NAME] C and Dietary [NAME] D) dietary staff failed to perform hand hygiene, and when 1 of 4 (Dietary [NAME] D) failed to test the sanitation of the 3 compartment sink prior to use, when unlabeled, undated, and expired foods were stored in the kitchen. The facility had a census of 55 with 55 of those residents receiving a tray from the kitchen.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure infection control practices were followed during medication administration when 1 of 4 (Licensed Practical Nurse (LPN G)) staff were observed during medication administration, when 1 of 1 (LPN A) LPN failed to follow Enhanced Barrier Precautions when administering PEG (percutaneous endoscopic gastrostomy) tube medications, during dining when the facility failed to follow transmission based precautions for 1 of 1 (Resident #159) reviewed for isolation, and when a random observation revealed LPN H failed to perform proper hand hygiene and failed to clean reusable medical equipment.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to revise a person-centered care plan for 1 of 15 (Resident #25) residents reviewed for weight gain and weight loss.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to follow the physician orders for 2 of 15 (Resident #31 and Resident #159) sampled residents reviewed.
Inspectors wroteBased on observation, medical record review, and interview, the facility failed to ensure a resident's dignity for 1 of 3 (Resident #13) residents reviewed for the use of an indwelling urinary catheter.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide care to ensure that acceptable parameters of nutritional status were maintained for 1 of 15 (Resident #25) reviewed for weight gain and loss.
Inspectors wroteBased on policy review, record review, and interview, the facility failed to reassess the effectiveness of pain medication for 1 of 15 (Resident #41) sampled residents reviewed for pain management.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 1 of 4 (Medication Room) medication storage areas, when internal medications were stored with external medications and when nasal spray was stored with ear drops.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 3 of 11 staff members (Certified Nursing Assistant (CNA) #1, CNA #2, and CNA #3) observed during dining failed to knock and/or announce herself before entering a room, failed to use courtesy titles, and referred to residents as feeders.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to provide privacy during 1 of 1 meeting with active Resident Council members.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure activities of daily living assistance was provided related to good grooming, personal hygiene, and nail care for 3 of 4 (Resident #3, #6, and #42) sampled residents reviewed for activities of daily living.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure medications were available for administration for 1 of 4 (Resident #22) sampled residents observed during medication administration.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 2 of 2 staff members (Licensed Practical Nurse (LPN) #1 and Registered Nurse (RN) #1) left the medications unattended and unsecured, and when external and internal (oral) medications were stored together in the medication cart.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 4 of 39 (Resident #3, #6, #12, ,and #42) resident rooms.
Inspectors wroteBased on National Pressure Ulcer Advisory Panel (NPUAP) quick reference guide, policy review, medical record review, observation, and interview, the facility failed to identify a pressure ulcer and obtain a physician's order for the treatment of the pressure ulcer before it deteriorated to a Stage 3 pressure ulcer for 1 of 5 (Resident #1) sampled residents reviewed for pressure ulcers. The failure of the facility to perform a skin assessment, identify a pressure ulcer, and obtain a physician's order before the pressure ulcer progressed to a Stage 3 pressure ulcer resulted in actual Harm for Resident #1.
3 fire safety citations on file: 3 on September 22, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.31 | 3.80 | 3.86 |
| Registered nurses | 0.47 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.31 | 3.42 |
| Nurse aides | 1.66 | ||
| Licensed practical nurses | 1.18 | ||
| Nursing staff turnover (share who left in a year) | 56.3% | 48.9% | 45.8% |
| Registered nurse turnover | 16.7% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.32 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 3.48 on weekdays and 2.90 on weekends, 17% 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 3.89 in April to June 2025 to 3.31 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 | 3.31 | 0.47 | 3.48 | 2.90 | 0.0% | 1 of 90 | 67 |
| Oct to Dec 2025 | 3.63 | 0.51 | 3.78 | 3.26 | 0.2% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.80 | 0.50 | 3.99 | 3.32 | 4.3% | 1 of 92 | 62 |
| Apr to Jun 2025 | 3.89 | 0.50 | 4.07 | 3.43 | 15.3% | 0 of 91 | 62 |
| 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 | 7.5 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 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 | 15.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.1 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.3 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Avondale Health and Rehabilitation Center, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.8% 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. 66 eligible stays.
9.4% 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. 79 eligible stays.
7.4% 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. 49 eligible stays.
51.3% 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. 39 residents counted.
1.7% 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. 59 residents counted.
1.4% 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. 59 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. 19 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: AVONDALE HEALTH AND REHABILITATION CENTER LLC. CMS links this home to Champion Care, a group of 22 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tn3 Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2025 |
| Fink, Ephraim | 5% or greater indirect ownership interest | Individual | 6% | 01/01/2025 |
| Arinze, Festus | Operational/managerial control | Individual | 01/01/2025 | |
| Moore, Charles | Operational/managerial control | Individual | 01/01/2025 | |
| Arinze, Festus | Adp of the SNF | Individual | 01/01/2025 | |
| Moore, Charles | Adp of the SNF | Individual | 01/01/2025 | |
| Ruvel, Menachem | Adp of the SNF | Individual | 01/10/2025 | |
| Weinberg, Yisroel | Adp of the SNF | Individual | 01/10/2025 |
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.