Decatur Wellness and Rehabilitation Center
332 River Road, Decatur, TN 37322 · Meigs County · (423) 334-3002
88 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445529 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 9 health citations since September 2019 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 3.52 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
58.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Ahava Healthcare, an affiliated group of 16 nursing homes.
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 9 health citations on file.
April 15, 2026Standard inspection · 3 citations
- 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 facility policy review, observations, and interviews, the facility failed to maintain a safe, clean, and homelike environment for 3 of 32 rooms observed and failed to provide a safe, clean, and homelike environment for 1 resident (Resident #40) of 64 residents observed for safe, clean, homelike environment.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record reviews, and interviews, the facility failed to accurately assess residents on the Minimum Data Set (MDS) assessment for a Level II Pre-admission Screening and Resident Review (PASARR) with a serious mental illness for 2 residents (Residents #45 and #5) of 5 residents reviewed for MDS accuracy.
- 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 facility policy review, observations, and interviews, the facility failed to ensure medications were securely stored in 1 medication cart (100-hall) of 2 medication carts reviewed, and 1 of 1 treatment carts reviewed.
January 17, 2024Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of a facility policy, facility investigation, medical record review and interview, the facility failed to report an allegation of abuse for 1 Resident (#5) of 7 residents reviewed for abuse within the required timeframe.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of a facility policy, medical record review and interview, the facility failed to investigate an allegation of abuse for 1 Resident (#5) of 7 residents reviewed for abuse.
November 9, 2023Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of a facility policy, medical record review, and interviews the facility failed to protect the residents' right to be free from physical of abuse a resident for 3 residents (Residents #5, #7, #9) of 14 residents reviewed.
August 30, 2022Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to maintain an accurate medical record for 1 resident (#31) of 24 residents reviewed for medical records.
September 24, 2019Standard inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, facility investigation, observation, and interview, the facility failed to ensure the safety of 1 resident (#10) of 5 residents for accidents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to obtain a Physician's Order for the use of oxygen for 1 resident (#4) of 6 residents reviewed for respiratory care.
Fire safety inspections
6 fire safety citations on file: 3 on August 30, 2022, 3 on September 24, 2019.
Every fire safety citation6 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Provide properly protected cooking facilities.
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) | 3.52 | 3.80 | 3.86 |
| Registered nurses | 0.29 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.31 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 58.6% | 48.9% | 45.8% |
| Registered nurse turnover | 62.5% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 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 3.66 on weekdays and 3.17 on weekends, 13% 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 4.57 in April to June 2025 to 3.52 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 | 3.52 | 0.29 | 3.66 | 3.17 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.73 | 0.37 | 3.84 | 3.46 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.85 | 0.37 | 3.98 | 3.52 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 4.57 | 0.43 | 4.76 | 4.10 | 0.0% | 0 of 91 | 40 |
| 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 | 12.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 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 | 13.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.5 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.6 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.2 | 11.2 | 12.0 |
Owners and operators
Legal business name: DECATUR OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Decatur Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2019 |
| Bdv Inv Holdco, LLC | 5% or greater indirect ownership interest | Organization | 10% | 11/26/2024 |
| Ecm Holdings LLC | 5% or greater indirect ownership interest | Organization | 10% | 06/01/2019 |
| Niederman, Anshel | Managing control - governing body | Individual | 06/01/2019 | |
| Niederman, Anshel | Corporate officer | Individual | 06/01/2019 | |
| Hawkins, Cassidy | Operational/managerial control | Individual | 10/04/2021 | |
| Wakham, Mancel | Operational/managerial control | Individual | 11/01/2023 | |
| Eisen, Menashe | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Philipson, Gabrielle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Philipson, Raquel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Hawkins, Cassidy | Adp of the SNF | Individual | 03/27/2025 | |
| Wakham, Mancel | Adp of the SNF | Individual | 03/27/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- 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 17, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 24, 2019: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Life Care Center of Rhea County Dayton, 10.4 mi · 4 of 5 stars · 16 citations
- NHC Healthcare, Athens Athens, 11.7 mi · 5 of 5 stars · 8 citations
- Spring City Care and Rehabilitation Center Spring City, 11.7 mi · 4 of 5 stars · 15 citations
- Life Care Center of Athens Athens, 12.3 mi · 2 of 5 stars · 16 citations
- Waters of Sweetwater a Rehabilitation & Nursing Sweetwater, 17.7 mi · 2 of 5 stars · 19 citations
- Laurelbrook Nursing Home Dayton, 18.1 mi · 4 of 5 stars · 16 citations
- Starr Regional Health & Rehabilitation Etowah, 19.1 mi · 5 of 5 stars · 11 citations
- Wood Village Sweetwater, 19.4 mi · 4 of 5 stars · 4 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 Decatur Wellness and Rehabilitation Center's Medicare star rating?
- CMS rates Decatur Wellness and Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Decatur Wellness and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on April 15, 2026. The Tennessee average is 4.4.
- Has Decatur Wellness and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Decatur Wellness and Rehabilitation Center 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 Decatur Wellness and Rehabilitation Center?
- CMS lists 12 owners and managers, and links the home to Ahava Healthcare. Legal business name: DECATUR OPERATING GROUP LLC.
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.