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Dyer Nursing and Rehabilitation Center

1124 North Main Street Po Box 160, Dyer, TN 38330 · Gibson County · (731) 692-4545

120 certified beds, about 63 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445468 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 27, 2025, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 9 health citations since July 2021 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 5.13 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.

38.2% 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.

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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
0F
Potential for minimal harm
0A
0B
0C
August 27, 2025Standard inspection · 0 citations
December 18, 2024Complaint inspection · 2 citations
  1. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 2 of 5 medication storage areas (North Back Medication Cart and South Middle Hall Medication Cart) that were left unlocked and unattended, and when 1 of 1 nurses (Licensed Practical Nurse (LPN) #A) failed to ensure medications were not left unattended.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure proper infection control practices for 1 of 3 (Resident #7) residents reviewed for Tuberculosis (TB) Two Step Mantoux Test Results. The facility had a census of 63.
June 13, 2024Standard inspection · 2 citations
  1. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure enteral feedings were labeled and dated for 1of 1 (Resident #55) sampled residents reviewed for enteral feeding.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 1 Licensed Practical Nurse (LPN #A) failed to follow Enhanced Barrier Precautions in a resident's room while giving care.
July 29, 2021Standard inspection · 5 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 19, 2021
    Inspectors wroteBased on the Centers for Disease Control and Prevention (CDC) guidelines, Time Detail Reports, COVID-19 Daily Employee Screening Logs, and interview, the facility failed to follow CDC Infection Control guidelines to ensure all staff who enter facility completed the screening process for the prevention or spread COVID-19 when 30 of 108 staff members (Nurses Aide (NA) #1, #2, #3, #4, #5, #6, and #7, Certified Nurse Aide (CNA) #1, #2, #3, #4, #5, and #6, Licensed Practical Nurse (LPN) #1, #2, #3, #4, #5, #6, #7, #8, and #9, Registered Nurse (RN) #1, Dietary Staff #1, #2, and #3, Housekeeping Staff #2 and #3, and Physical Therapy (PT) Staff #1 and #3) failed to complete screenings for COVID-19 prior to working for 8 of 8 days (7/10/2021-7/17/2021) reviewed.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2021
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to assess 1 of 1 sampled resident (Resident #57) reviewed for self-administration of medication.
  3. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2021
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to acknowledge a resident's self-determination of food choices when 2 of 20 staff members(Certified Nursing Assistant (CNA) #7 and Nurse Aide (NA) #4) failed to offer an alternative food item when a resident (Resident #12) voiced her dislike and smell of food.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2021
    Inspectors wroteBased on medical review, observation, and interview, the facility failed to follow Physician's Orders for the use of oxygen and failed to ensure oxygen supplies were labeled for 2 of 4 sampled residents (Resident #17 and #27) reviewed for respiratory care.
  5. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2021
    Inspectors wroteBased on Consumer Medicine Information review, policy review, observation, and interview, the facility failed to ensure medications were not stored past their expiration date and opened medications were properly labeled and dated in 2 of 8 medication storage areas (South Hall Medication Cart and North Hall Medication Cart).

Fire safety inspections

8 fire safety citations on file: 4 on August 27, 2025, 1 on June 13, 2024, 3 on July 29, 2021.

Every fire safety citation8 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · August 27, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 27, 2025 · Corrected (the home has a date of correction)
  3. D
    Have restrictions on the use of portable space heaters.
    K 781 · August 27, 2025 · Corrected (the home has a date of correction)
  4. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 27, 2025 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · June 13, 2024 · Corrected (the home has a date of correction)
  6. D
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · July 29, 2021 · Corrected (the home has a date of correction)
  7. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 29, 2021 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 29, 2021 · Corrected (the home has a date of correction)

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)5.133.803.86
Registered nurses0.500.600.69
All nursing staff on weekends3.923.313.42
Nurse aides2.95
Licensed practical nurses1.67
Nursing staff turnover (share who left in a year)38.2%48.9%45.8%
Registered nurse turnover33.3%43.2%42.9%
Administrators who left0

CMS expects 3.70 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 5.61 on weekdays and 3.92 on weekends, 30% 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 5.14 in April to June 2025 to 5.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.130.505.613.92 0.0%0 of 9063
Oct to Dec 20255.300.535.843.93 0.0%0 of 9263
Jul to Sep 20254.940.525.493.52 0.0%0 of 9265
Apr to Jun 20255.140.485.703.73 0.0%0 of 9165
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
28.514.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.73.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
43.817.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.35.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.816.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.422.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.61.8

Owners and operators

Legal business name: DYER NURSING HOME, INC..

NameRoleTypeShareSince
Dyer Nursing Home, Inc.5% or greater direct ownership interestOrganization100%06/16/1994
Mann, JoyDirect ownership interestIndividual11/01/2023
Croom, RitaCorporate directorIndividual01/27/2025
Mann, JoyCorporate officerIndividual11/01/2023
McCartney, GlendaOperational/managerial controlIndividual10/18/2021
Croom, RitaAdp of the SNFIndividual01/27/2025
Mann, JoyAdp of the SNFIndividual11/01/2023
McCartney, GlendaAdp of the SNFIndividual10/18/2021
Nelson, ThomasAdp of the SNFIndividual09/05/2025

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.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 18, 2024: "Provide and implement an infection prevention and control program."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 18, 2024: "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."
  3. 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 June 13, 2024: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 29, 2021: "Allow residents to self-administer drugs if determined clinically appropriate."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Dyer Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Dyer Nursing and Rehabilitation Center 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Dyer Nursing and Rehabilitation Center get at its last inspection?
0 health deficiencies at the standard inspection on August 27, 2025. The Tennessee average is 4.4.
Has Dyer Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Dyer Nursing 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 Dyer Nursing and Rehabilitation Center?
CMS lists 9 owners and managers. Legal business name: DYER NURSING HOME, INC..

Sources

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