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Harbert Hills Academy N H

3575 Lonesome Pine Road, Savannah, TN 38372 · Hardin County · (731) 925-5495

49 certified beds, about 48 residents a day · Non profit - Corporation · Medicare and Medicaid since 2016

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445527 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 11, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

None of its 13 health citations since October 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 4.88 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

50.8% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
0F
Potential for minimal harm
0A
0B
0C
March 11, 2026Standard inspection · 1 citation
  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 · Corrected (the home has a date of correction) April 3, 2026
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored for 1 of 3 (Resident # 47) residents.
April 9, 2025Standard inspection · 5 citations
  1. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on facility policy, medical record review, observation and interview the facility failed to complete assessments before or during use of a specialized harness (a chest harness connected to his wheelchair that pulled over his shoulders on both sides and snaped on both sides above his waste) for 1 of 1 (Resident #24) sampled residents reviewed for physical restraints.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on policy review, medical record review, observation, and interview the facility failed to develop a person-centered comprehensive care plans for 4 of 15 residents (#9, #34, #38, #42) sampled residents.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on policy review, Pharmacy Services Agreement review, medical record review, and interview the facility failed to provide pharmaceutical services that assure a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate account of medication destruction for 5 of 5 (Resident #3, #6, #15, #29, and #36) sampled residents reviewed for drug destruction.
  4. D
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on review of federal regulations, Quarterly Payroll Based Journal (PBJ), and interview, the facility failed to report PBJ for Quarter 2 in 2024 (January 1-March 31).
  5. 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) May 5, 2025
    Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to implement appropriate infection prevention and control practices for 1 of 1 sampled resident (Resident #22) who required enhanced barrier precautions (EBP an infection control strategy that uses gloves and gowns to reduce the spread of multidrug resistant organisms (MDRO microorganisms that are resistant to at least one class of antimicrobial (substance that kills bacteria) agents) in nursing homes during medication administration.
October 11, 2023Standard inspection · 7 citations
  1. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on the policy review, medical record review, and interview, the facility failed to resubmit a PASRR [Preadmission Screening and Resident Review] after the resident had the addition of a new antipsychotic medication and a new mental health diagnosis for 4 of 5 sampled residents (Resident #5, #13, #18, and #34) reviewed for PASRR.
  2. 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) November 29, 2023
    Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 3 of 3 nurses (Licensed Practical Nurses (LPN) #1, LPN #3, and LPN #4) failed to perform hand hygiene and to clean equipment during medication administration.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to implement Comprehensive Care Plans for 2 of 13 (Resident #13 and #34) sampled residents reviewed for care planning.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to perform complete neurological (neuro) checks, revise the Care Plan, implement appropriate fall interventions, and notify the provider for 3 of 3 (Resident #15, #22, and #28) sampled residents reviewed for accidents.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on interview, and observations, the facility failed to ensure narcotics were not expired on the medication cart, the drug destruction sheets were accurately documented and signed by the pharmacist and Director of Nursing (DON) and failed double lock and secure accurate inventories of controlled substances on 2 of 2 medication carts (Medication Cart #1 and Medication cart #2).
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure a medication administration rate of less than 5 percent (%) when 1 of 3 nurses (Licensed Practical Nurse (LPN) #1) failed to properly administer medications for 1 of 7 (Resident #23) sampled residents observed during medication administration. This resulted in a medication administration error rate of 7.41%.
  7. 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) November 29, 2023
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 2 of 4 medication storage areas (Medication Storage Room, Medication Cart #1, and Medication Cart #2) when the facility had opened, undated, and expired medications, and controlled substances that were not secured behind two locks on the medication cart.

Fire safety inspections

9 fire safety citations on file: 3 on March 11, 2026, 4 on April 9, 2025, 2 on October 11, 2023.

Every fire safety citation9 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · March 11, 2026 · Corrected (the home has a date of correction)
  2. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 11, 2026 · Corrected (the home has a date of correction)
  3. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 11, 2026 · Corrected (the home has a date of correction)
  4. D
    Include a process for Emergency Preparedness collaboration.
    E 9 · April 9, 2025 · Corrected (the home has a date of correction)
  5. D
    Conduct testing and exercise requirements.
    E 39 · April 9, 2025 · Corrected (the home has a date of correction)
  6. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 9, 2025 · Corrected (the home has a date of correction)
  7. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 9, 2025 · Corrected (the home has a date of correction)
  8. F
    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 · October 11, 2023 · Corrected (the home has a date of correction)
  9. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 11, 2023 · 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)4.883.803.86
Registered nurses0.490.600.69
All nursing staff on weekends4.033.313.42
Nurse aides3.41
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)50.8%48.9%45.8%
Registered nurse turnovernot reported43.2%42.9%
Administrators who left0

CMS expects 3.43 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 5.23 on weekdays and 4.03 on weekends, 23% 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 5.10 in April to June 2025 to 4.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.880.495.234.03 0.0%0 of 9048
Oct to Dec 20254.930.425.244.13 0.0%1 of 9247
Jul to Sep 20255.270.365.484.74 0.0%0 of 9243
Apr to Jun 20255.100.345.454.24 0.0%1 of 9142
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
18.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.43.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.017.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.05.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
47.916.915.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.71.61.8

Owners and operators

Legal business name: RURAL LIFE FOUNDATION INC..

NameRoleTypeShareSince
Moon, KathyW-2 managing employeeIndividual04/15/2020
Cantarutti, AltonCorporate directorIndividual02/22/2009
Clark, ChesterCorporate directorIndividual09/24/2000
Dickman, StephenCorporate directorIndividual09/23/1990
Grabiner, StevenCorporate directorIndividual09/12/2008
Johnson, JohnCorporate directorIndividual09/27/1998
Moon, KathyCorporate directorIndividual01/26/1999
Moon, WilliamCorporate directorIndividual09/22/2002
Palmer, BrendaCorporate directorIndividual09/26/2010
Schelles, DennisCorporate directorIndividual09/25/2011
Simpson, JoeCorporate directorIndividual09/22/1996
Traxler, BrianCorporate directorIndividual09/24/2008
Dickman, StephenCorporate officerIndividual09/23/1990
Simpson, JoeCorporate officerIndividual09/22/1996

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. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on March 11, 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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 9, 2025: "Provide and implement an infection prevention and control program."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 9, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."

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 Harbert Hills Academy N H's Medicare star rating?
CMS rates Harbert Hills Academy N H 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Harbert Hills Academy N H get at its last inspection?
1 health deficiency at the standard inspection on March 11, 2026. The Tennessee average is 4.4.
Has Harbert Hills Academy N H been fined?
CMS lists no fines in the last three years.
Does Harbert Hills Academy N H 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 Harbert Hills Academy N H?
CMS lists 14 owners and managers. Legal business name: RURAL LIFE FOUNDATION INC..

Sources

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