Bledsoe County Nursing Home
107 Wheelertown Avenue, Pikeville, TN 37367 · Bledsoe County · (423) 447-6811
50 certified beds, about 34 residents a day · Government - County · Medicaid since 2023
CMS Care Compare ratings, data as of September 1, 2026 · CCN 44E480 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 6 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.26 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
46.2% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
Health inspections
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.
Where its citations fall on CMS's grid
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 6 health citations on file.
May 7, 2026Standard inspection · 2 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for 4 (Residents #3, #6, #12, and #23) of 4 sampled residents reviewed for resident assessment.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure there was a physician's order and a care plan for dialysis for 1 (Resident #18) of 1 sampled resident reviewed for dialysis.
August 8, 2023Standard inspection · 4 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) after a new mental health diagnosis for 1 resident (#15) of 3 residents reviewed for PASARR.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure the Physician reviewed and acted upon irregularities identified by the Consultant Pharmacist for 2 residents (#30 an #32) of 5 residents reviewed for unnecessary medications.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure a PRN (as needed) anti-psychotic medication was not used beyond 14 days without a rationale and without documentation of duration for 1 resident (Resident #15) of 5 residents reviewed for unnecessary medications.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to ensure laboratory (lab) tests were obtained for 1 resident (Resident #33) of 16 residents reviewed for laboratory results.
Fire safety inspections
10 fire safety citations on file: 5 on May 7, 2026, 5 on August 8, 2023.
Every fire safety citation10 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Conduct testing and exercise requirements.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Conduct testing and exercise requirements.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- D Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.26 | 3.80 | 3.86 |
| Registered nurses | 0.37 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.87 | 3.31 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 46.2% | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.63 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.42 on weekdays and 2.87 on weekends, 16% 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 3.68 in April to June 2025 to 3.26 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 | 3.26 | 0.37 | 3.42 | 2.87 | 0.0% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.41 | 0.32 | 3.53 | 3.11 | 0.0% | 1 of 92 | 36 |
| Jul to Sep 2025 | 3.57 | 0.39 | 3.73 | 3.16 | 0.0% | 0 of 92 | 33 |
| Apr to Jun 2025 | 3.68 | 0.28 | 3.77 | 3.46 | 0.0% | 6 of 91 | 33 |
| 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.
Quality measures
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 | 24.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.5 | 16.9 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 8, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 8, 2023: "Provide timely, quality laboratory services/tests to meet the needs of residents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Laurelbrook Nursing Home Dayton, 9.9 mi · 4 of 5 stars · 16 citations
- Life Care Center of Rhea County Dayton, 13.5 mi · 4 of 5 stars · 16 citations
- Generations Center of Spencer Spencer, 17.8 mi · 3 of 5 stars · 9 citations
- Spring City Care and Rehabilitation Center Spring City, 18.6 mi · 4 of 5 stars · 15 citations
- NHC Healthcare, Sequatchie Dunlap, 20.7 mi · 5 of 5 stars · 7 citations
- Decatur Wellness and Rehabilitation Center Decatur, 23.5 mi · 3 of 5 stars · 9 citations
- Life Care Center of Crossville Crossville, 23.6 mi · 4 of 5 stars · 17 citations
- Wharton Nursing Home Pleasant Hill, 24.6 mi · 1 of 5 stars · 18 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Bledsoe County Nursing Home's Medicare star rating?
- CMS rates Bledsoe County Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bledsoe County Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on May 7, 2026. The Tennessee average is 4.4.
- Has Bledsoe County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Bledsoe County Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bledsoe County Nursing Home?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.