Christian Care Center of Medina
401 Promise Way Lane, Medina, TN 38355 · Gibson County · (731) 462-0020
66 certified beds, about 61 residents a day · Non profit - Corporation · Medicare and Medicaid since 2022
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445539 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 14, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 28 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 3 fines totaling $15,592 in the last three years; the largest was $5,198, and the latest is dated January 2, 2024.
Nurses and nurse aides worked 3.35 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
70.6% 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.
1701/24
903/25
201/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 28 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
4J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
5E
0F
Potential for minimal harm
0A
0B
0C
January 14, 2026Standard inspection · 2 citations
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, observation and interview the facility failed to ensure medications were properly stored when medications were unsecure and unlabeled in 1 of 3 (200 Hall Cart) medication storage carts.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when unlabeled, undated, and expired food items were stored. The facility had a census of 59 and 59 of the residents were served from the Kitchen.
March 12, 2025Standard inspection, Complaint inspection · 9 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on medical record review, and interview, the facility failed to develop an accurate baseline care plan within 48 hours for 2 of 17 (Resident #47 and #412) sampled residents reviewed for baseline care plans.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to timely notify the physician and failed to reassess pain for a resident with a fall that resulted in a fracture for 1 of 4 (Resident #212) sampled residents reviewed for falls.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to follow physician orders and to monitor the oxygen flow rate for 2 of 2 (Resident #59 and #412) sampled residents reviewed for respiratory therapy.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure a resident's medication regimen was free from unnecessary medications in excessive dosages for 1 of 6 residents (Resident #33) sampled 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 policy review, medical record review, and interview the facility failed to ensure residents' medication regimen was free of unnecessary medications when the facility failed to provide evaluation and rationale for continued orders for (PRN) as needed psychotropic medications for 2 of 6 (Resident #19 and Resident #412) sampled residents reviewed for unnecessary medications.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on review of rosemontpharma.com, Medlineplus.gov, policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 6 (Licensed Practical Nurse (LPN) F and LPN C) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 28 opportunities, resulting in a medication error rate of 7.14%.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of rosemontpharma.com, Medlineplus.gov, policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 6 (Licensed Practical Nurse (LPN) F and LPN C) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 28 opportunities, resulting in a medication error rate of 7.14%.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on policy review, medical record review, observation, and interview the facility failed to ensure medications were properly and securely stored when 2 medications were left unattended in a resident's room for 1 of 1 (Resident #22) sampled residents and when 1 of 4 nurses (License Practical Nurse (LPN) A left medications unsecured and unattended at the bedside of Resident #48 during medication administration.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure practices to prevent the potential spread of infection were maintained when 2 of 6 nurses (Licensed Practical Nurse (LPN A) failed to clean reusable equipment before and after use, and failed to wear Personal Protective Equipment (PPE) in an enhanced barrier precautions room, and when LPN C failed to properly dispose of sharps.
January 2, 2024Standard inspection, Complaint inspection · 17 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on policy review, facility investigation forms, medical record review, and interview, the facility failed to ensure residents' right to be free from abuse for 4 of 20 (Resident #20, #24, #40, and #307) sampled residents reviewed for abuse. The facility's failure to ensure residents' right to be free from abuse resulted in Immediate Jeopardy (IJ) when on 7/20/2023, Resident #307 who's a severely cognitively impaired resident was observed in the Day Room rubbing the exposed breast of Resident #24, on 7/21/2022, when Resident #24 who's a moderately cognitively impaired resident was observed in the Day Room with her hand in the front of Resident #307's pants where other residents were present, and on 8/27/2023, when Residents #307 and #24 were observed with their hands in each other's pants with this incident captured on camera. [...]
- J Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on policy review, job description review, medical record review, and interview, the facility failed to report allegations of abuse to the appropriate agencies for 4 of 20 (Residents #307, #24, #40, and #20) sampled residents reviewed for abuse. The facility's failure to report incidents of abuse to the State Survey Agency resulted in Immediate Jeopardy (IJ) when the facility failed to report allegations of sexual abuse between Resident #24 and Resident #307, and between Resident #20 and Resident #40. Incidents of abuse between Resident #307, who's severely cognitively impaired, and Resident #24, who's moderately cognitively impaired, occurred on 7/20/2023, 7/21/2023 and 8/27/2023. Resident #40, who's severely cognitively impaired, had a history of sexual behaviors towards staff on 10/25/2023 and 10/30/2023. [...]
- J Respond appropriately to all alleged violations.
Inspectors wroteBased on policy review, medical record review, facility investigation review, and interview, the facility failed to provide evidence that a thorough investigation was conducted related to abuse for 4 of 20 (Resident #24, #307, #40, and #20) sampled residents reviewed for abuse. The facility's failure to thoroughly investigate allegations of abuse resulted in Immediate Jeopardy (IJ) related to Residents #24, #307, #40, and #20. [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on policy review, job description review, and interview, the facility Administration failed to provide oversight to ensure all residents were free of abuse, failed to conduct thorough investigations related to abuse incidents, failed to report abuse to appropriate state agencies, and failed to ensure the Quality Assurance Performance Improvement (QAPI) program included ongoing problems with resident safety to prevent, identify, report, and thoroughly investigate, allegations of abuse. The Administration's failure to ensure all residents were free of abuse resulted in Immediate Jeopardy for Residents ##307, #24, #20, and #40. On 7/20/2023, Resident #307, a severely cognitively impaired resident, was observed rubbing the exposed breast of Resident #24; [...]
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to implement comprehensive care plans for 8 of 13 sampled residents (Resident #1, #6, #17, #29, #38, #306, #307, and #354) reviewed for care planning.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure residents were free of accident hazards when the facility failed to ensure fall intervnetions were implemented for 2 of 4 (Resident #17 and Resident #305) reviewed for falls.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, record review, observation, and interview, the facility failed to ensure proper infection control practices were followed in the laundry room on 2 of 2 (12/18/2023 and 12/19/2023) days observed, failed to ensure infection control practices to prevent the spread of infection when 4 of 6 (Licensed Practical Nurse (LPN) #1, #2, #6 and #7) failed to perform hand hygiene during medication administration and 2 of 8 (Certified Nursing Assistants (CNA) #3, #9 and #16) failed to perform proper hand hygeine during dining.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on policy review, observation, and interview, the facility ensure residents were treated with dignity and respect during dining when 2 of 8 staff members (Certified Nursing Assistant (CNA) #3 and #15) stood to assist 2 of 20 sampled residents (Residents #25 and #32) with meals.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to notify the responsible party (RP) for 2 of 8 (Resident #6 and #305) sampled residents reviewed for behaviors and falls.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to provide effective housekeeping to maintain a clean and sanitary environment for 5 of 24 (Resident #9, #17, #24, #25, and #48) resident bathrooms and for 2 of 3 (100-Hall and 200-Hall) hallways.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on policy review, job description, medical record review, observation, and interview, the facility failed to conduct Care Plan meetings for 4 of 14 sampled residents (Resident #12, #14, #36, and #43) and failed to revise the Care Plan for 4 of 18 sampled residents (Resident #20, #24, #40, and #304) reviewed for care planning.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure behavioral health care needs were met for 1 of 10 sampled residents (Residents #6) exhibiting the behaviors of wandering, verbal/physical aggression, and behaviors due to cognitive decline.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 (Medication Cart #2).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure residents were free from significant medication errors for 3 of 6 sampled residents (Residents #1, #306, and #354) reviewed for medication administration.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 6 sampled residents (Resident #19) and when an open and undated medication was observed in 1 of 6 (Treatment Cart) medication storage areas.
- D Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspectors wroteBased on review of the Medical Director Agreement, policy review, medical record review and interview, the Medical Director failed to ensure resident care policies were implemented to use resources effectively and efficiently to attain and maintain the highest practicable well-being of all residents and failed to ensure an effective and appropriate plan to ensure residents rights to be free from allegation of abuse for 2 of 20 residents (Residents #24 and #307) reviewed for abuse.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on policy review, job description review, and interview, the facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) program that recognized ongoing problems with resident safety to prevent, identify, report, and thoroughly investigate, allegations of abuse. The QAPI committee failed to assure the facility was administered in a manner to use its resources effectively and efficiently, and that the Regional Client Operation Consultant assisted the facility with identifying, evaluating, addressing clinical concerns, coordinating the care, and providing clinical guidance and oversight. The QAPI committee program failed to identify the root cause to prevent abuse.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 2, 2024 | Fine | $5,197 |
| January 2, 2024 | Fine | $5,197 |
| January 2, 2024 | Fine | $5,198 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.35 | 3.80 | 3.86 |
| Registered nurses | 0.36 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.93 | 3.31 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 70.6% | 48.9% | 45.8% |
| Registered nurse turnover | 80.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.02 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 3.52 on weekdays and 2.93 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 3.18 in April to June 2025 to 3.35 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 | 3.35 | 0.36 | 3.52 | 2.93 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.16 | 0.36 | 3.29 | 2.82 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 3.39 | 0.39 | 3.52 | 3.05 | 0.1% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.18 | 0.30 | 3.28 | 2.92 | 0.3% | 0 of 91 | 63 |
| 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 | 15.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.3 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.6 | 1.8 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on January 14, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 12, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 2, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Maplewood Health Care Center Jackson, 6.2 mi · 1 of 5 stars · 26 citations
- Northbrooke Post Acute Jackson, 6.5 mi · 1 of 5 stars · 32 citations
- W D Bill Manning Tennessee State Veterans Home Humboldt, 7.5 mi · 5 of 5 stars · 8 citations
- Avondale Health and Rehabilitation Center, LLC Humboldt, 8.9 mi · 2 of 5 stars · 19 citations
- West Tennessee Post Acute Jackson, 9.1 mi · 4 of 5 stars · 12 citations
- Cypress Grove Post Acute Jackson, 9.2 mi · 4 of 5 stars · 20 citations
- Mission Convalescent Home Jackson, 9.3 mi · 3 of 5 stars · 20 citations
- NHC Healthcare, Milan Milan, 9.6 mi · 4 of 5 stars · 13 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 Christian Care Center of Medina's Medicare star rating?
- CMS rates Christian Care Center of Medina 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Christian Care Center of Medina get at its last inspection?
- 2 health deficiencies at the standard inspection on January 14, 2026. The Tennessee average is 4.4.
- Has Christian Care Center of Medina been fined?
- Yes. CMS lists 3 fines totaling $15,592 in the last three years.
- Does Christian Care Center of Medina accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Christian Care Center of Medina?
- 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.