Hardin County Nh
935 Wayne Road, Savannah, TN 38372 · Hardin County · (731) 925-4954
73 certified beds, about 37 residents a day · Government - County · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445372 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 11 health citations since February 2024, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $67,490 in the last three years; the largest was $52,985, and the latest is dated January 23, 2025.
Nurses and nurse aides worked 4.77 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
44.2% 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 11 health citations on file.
February 19, 2026Standard inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to resubmit a Preadmission Screening and Resident Review (PASRR) after the addition of a new mental illness diagnosis for 2 of 2 (Resident #17 and #21) sampled residents reviewed for PASRR.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure staff were administering medications per Physician's Orders for 1 of 5 (Resident #5) sampled residents reviewed for unnecessary medications.
January 23, 2025Standard inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, facility investigation, observation, and interview, the facility failed to provide adequate supervision and assistance to prevent fall accidents for 1 of 8 residents (Resident #3) reviewed for falls and failed to perform fall assessments per facility policy for 6 of 8 residents (Resident #5, #12, #14, #22, #26, and #187) reviewed for falls. [...]
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on review of facility policy, Quarterly Payroll Based Journal (PBJ) review and interview, the facility failed to report PBJ for Quarter 1 of 2024 (October 1, 2024- December 31, 2024).
- 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, observations, and interviews, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions when 1 of 6 (Dietary [NAME] B) dietary staff failed to sanitize the thermometer after each use, and when the facility failed to ensure the deep fryer and the cooking stove eyes were clean. The facility had a census of 39 with 39 of those residents receiving a tray from the kitchen.
- 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, medical record review, and interview, the facility failed to conduct care plan conference with the resident and/or family representative for 1 of 12 (Resident #28) sampled residents reviewed for care plan conferences.
February 14, 2024Standard inspection, Complaint inspection · 5 citations
- J 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, facility investigation review, observations, and interview, the facility failed to ensure each resident's environment was safe and each resident received adequate supervision to prevent accidents and hazards for 1 of 1 (Resident #8) residents reviewed for smoking, and 1 of 5 (Resident #98) reviewed for wandering and elopement. On 2/7/2024 Resident #8, a moderately cognitively impaired, legally blind resident, was observed to be smoking unsupervised in the smoking area. Resident #8 had a lit cigarette and burn marks on his clothing. [...]
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of the Blood Glucose Monitoring User Guide, policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when multi-use blood glucose meters (a device used to check blood sugar levels with the use of a blood sample) were not cleaned and disinfected with facility required bleach cleansing wipes to prevent cross-contamination of bloodborne pathogens for 4 of 5 sampled residents (Residents #1, #14, #25, and #33) reviewed for blood glucose monitoring. [...]
- 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 failed to maintain or enhance residents' dignity and respect during dining when 5 of 11 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #6, and Licensed Practical Nurse (LPN) #5) failed to knock and/or announce themselves before entering a resident's room during dining, stood to assist with dining, and failed to use courtesy titles when addressing residents.
- 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, medical record review, observation, and interview, the facility failed to update and revise the Care Plan for Physical Restraints, Smoking Safety Screen, and Wandering Risk Assessments for 1 of 1 sampled resident (Resident #8) reviewed.
- 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 stored and labeled when expired medications were observed in 1 of 1(Hall 1 Medication Cart) medication storage areas.
Fire safety inspections
9 fire safety citations on file: 3 on February 19, 2026, 2 on January 23, 2025, 4 on February 14, 2024.
Every fire safety citation9 citations
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Conduct testing and exercise requirements.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- 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.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 23, 2025 | Fine | $14,505 |
| February 14, 2024 | Fine | $52,985 |
| February 14, 2024 | Payment Denial | 52 days from February 18, 2024 |
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) | 4.77 | 3.80 | 3.86 |
| Registered nurses | 0.68 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.96 | 3.31 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 1.62 | ||
| Nursing staff turnover (share who left in a year) | 44.2% | 48.9% | 45.8% |
| Registered nurse turnover | 50.0% | 43.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.97 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 5.10 on weekdays and 3.96 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.09 in April to June 2025 to 4.77 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 | 4.77 | 0.68 | 5.10 | 3.96 | 4.4% | 0 of 90 | 37 |
| Oct to Dec 2025 | 5.10 | 0.71 | 5.39 | 4.35 | 10.7% | 0 of 92 | 36 |
| Jul to Sep 2025 | 4.66 | 0.53 | 4.92 | 4.01 | 9.5% | 1 of 92 | 36 |
| Apr to Jun 2025 | 5.09 | 0.79 | 5.42 | 4.27 | 4.6% | 2 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 25.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.5 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.6 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: HARDIN COUNTY GENERAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hardin County General Hospital | 5% or greater direct ownership interest | Organization | 100% | 04/02/1952 |
| Edmondson, James | W-2 managing employee | Individual | 10/18/2021 | |
| Hughes, Leigh Ann | W-2 managing employee | Individual | 07/01/2005 | |
| Edmondson, James | Corporate officer | Individual | 10/18/2021 |
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 3 problems in this area, most recently on February 19, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 January 23, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Hardin Home Savannah, 0.6 mi · 4 of 5 stars · 8 citations
- Park Rest Hardin County Health Center Savannah, 0.6 mi · 4 of 5 stars · 10 citations
- Savannah Nursing and Rehabilitation Savannah, 1.9 mi · 4 of 5 stars · 10 citations
- Adamsville Healthcare and Rehabilitation Center Adamsville, 8.6 mi · 4 of 5 stars · 20 citations
- Harbert Hills Academy N H Savannah, 9.5 mi · 5 of 5 stars · 13 citations
- Selmer Post Acute Selmer, 19.6 mi · 4 of 5 stars · 11 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 Hardin County Nh's Medicare star rating?
- CMS rates Hardin County Nh 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hardin County Nh get at its last inspection?
- 2 health deficiencies at the standard inspection on February 19, 2026. The Tennessee average is 4.4.
- Has Hardin County Nh been fined?
- Yes. CMS lists 2 fines totaling $67,490 in the last three years.
- Does Hardin County Nh 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 Hardin County Nh?
- CMS lists 4 owners and managers. Legal business name: HARDIN COUNTY GENERAL HOSPITAL.
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.