Humphreys County Care and Rehabilitation
104 Fort Hill Road, Waverly, TN 37185 · Humphreys County · (931) 296-2532
91 certified beds, about 70 residents a day · Non profit - Other · Medicare and Medicaid since 2009
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445489 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 12 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 25 health citations since July 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $14,013 in the last three years; the largest was $10,868, and the latest is dated September 4, 2025.
Nurses and nurse aides worked 4.28 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
48.4% 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.
307/22
1006/24
1209/25
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
2E
2F
Potential for minimal harm
0A
0B
0C
September 4, 2025Standard inspection · 12 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide care to ensure acceptable parameters of nutritional status were maintained for 2 of 2 (Resident #31 and #75) sampled residents reviewed for weight loss. This resulted in actual harm when the facility failed to implement interventions following a significant weight loss for Resident #31 and #75.
- F Have enough backup water supply for essential areas of the nursing home.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure a sufficient emergency water supply was available. This had the potential to affect all 76 residents residing in the facility.
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on job description review, observation, and interview, the facility failed to maintain qualified dietary staff for 76 of 76 residents residing in the facility.
- 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, medical record review, observation, and interview the facility failed to maintain dignity and respect during dining when 1 of 15 (Registered Nurse (RN)) PP staff members failed to use courtesy titles when addressing residents (Resident #69) and when 2 of 15 staff (Certified Nursing Assistant (CNA) Y and QQ) served meals in the hall to 3 of 3 (Resident #31, #51, and #75) residents observed for dining. Based on policy review, medical record review, observation, and interview the facility failed to maintain dignity and respect during dining when 1 of 15 (Registered Nurse (RN)) PP staff members failed to use courtesy titles when addressing residents (Resident #69) and when 2 of 15 staff (Certified Nursing Assistant (CNA) Y and QQ) served meals in the hall to 3 of 3 (Resident #31, #51, and #75) residents observed for dining.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide written information on how to formulate an Advance Directive for 9 of 24 (Residents #1, #6, #7, #22, #31, #49, # 54, #55, and #83) sampled residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure residents were free from misappropriation of resident property when staff did not report an allegation of missing money for 1 of 4 (Resident #2) sampled residents reviewed for abuse, neglect, and misappropriation.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on policy review, facility investigation review, medical record review, and interview, the facility failed to perform a thorough investigation for misappropriation of resident property for 1 of 4 (Resident #2) sampled residents reviewed for abuse, neglect, and misappropriation.
- D 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 develop and implement a comprehensive person-centered care plan for 2 out of 18 (Residents #36 and #61) sample 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, and interview, the facility failed to update or revise care plans for 2 of 18 (Resident #3 and #5) sampled residents.
- 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, observation, and interview, the facility failed to ensure the environment was free from accident hazards when unsecure sharps and cleaning chemicals were in 5 of 76 (Residents #11, #18, #65, #66, and #83) sampled residents' rooms.
- 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, Daily Refrigerator Temperature Monitor log review, observation and interview, the facility failed to ensure medications were properly stored when medications were unsecure in 2 of 76 (Resident #22 and #55) resident rooms, and when 1 of 12 ( 100 Hall Med Cart ) medication storage areas were left unlocked and unattended, and when staff failed to complete temperature logs for 2 of 6 ( 200 hall and 700 hall ) medication refrigerators.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when 1 of 15 staff (Certified Nursing Assistant (CNA) NN) failed to perform hand hygiene during dining for 5 of 5 (Residents #15, #42, #43, #44, and #49) residents reviewed for dining, and when staff failed to properly store soiled linens for 1 of 76 (Resident #65) sampled residents.
June 5, 2024Standard inspection · 10 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation and interview the facility failed to ensure food was protected from contamination when 2 of 20 staff members (Certified Nursing Assistant (CNA) C and Admissions Coordinator ) touched the food with their bare hands, when 3 of 20 staff members (CNA C, and D, and the Admissions Coordinator) failed to perform hand hygiene, when 1 of 20 staff members (CNA B) placed a dirty meal tray back on a clean cart with clean trays, failed to ensure 2 of 2 ice machines were clean, and open and undated food in 1 of 1 pantry refrigerators.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of the facility policy, observation, and interview the facility failed to provide a private space that prevented interference for the resident group meeting when 1 of 1 (Resident Council) sampled group was reviewed.
- D 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 facility policy review, medical record review, observation, and interview, the facility failed to implement Comprehensive Care Plans for 2 of 20 sample resident (Resident #33 and #46) reviewed for care planning.
- 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 1 of 20 sampled resident (Resident #29) reviewed for falls.
- 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, observation, and interview, the facility failed to ensure for resident was free from accident hazards for 1 of 3 (Resident #65) reviewed for accident hazards.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on facility policy review, medical record review, observations, and interview the facility failed to provide appropriate indwelling urinary catheter (a tube in the bladder that drains the urine) care for 2 of 2 sampled residents (Resident #45 and Resident #56) reviewed for catheter care.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to provide ongoing communication of care with the dialysis center for 1 of 1 sampled resident (Resident #64) reviewed for dialysis.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on policy review, medical records review and interview the facility failed to ensure residents were free from significant medication errors for 1 of 5 sampled residents (Resident #3) reviewed for unnecessary medications.
- 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 stored appropriately when unsecured and unattended medication for 2 of 67 sampled residents (Resident #3 and #65) were found at the bedside and at the nursing station.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained for 5 of 7 sampled residents (#9, #39, #45, #56, and #319) reviewed for enhanced barrier precautions.
July 28, 2022Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions, when opened and undated food items, soiled serving bowls, unclean storage carts and storage bins were in the Kitchen, and when bleach wipes were stored near food in the Kitchen. The facility had a census of 67 with 67 of those residents receiving a meal from the Kitchen.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure restraint assessments were completed for 1 of 1 sampled residents (Resident #9) reviewed for restraints.
- 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 ensure fall risk assessments were completed for 1 of 2 sampled residents (Resident #20) reviewed for falls.
Fire safety inspections
9 fire safety citations on file: 4 on June 5, 2024, 3 on July 28, 2022, 2 on December 11, 2019.
Every fire safety citation9 citations
- D Conduct risk assessment and an All-Hazards approach.
- D Conduct testing and exercise requirements.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure proper usage of power strips and extension cords.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that testing and maintenance of electrical equipment is performed.
- F Have simulated fire drills held at unexpected times.
- D Address subsistence needs for staff and patients.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 4, 2025 | Fine | $10,868 |
| October 2, 2023 | Fine | $3,145 |
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) | 4.28 | 3.80 | 3.86 |
| Registered nurses | 0.64 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.31 | 3.42 |
| Nurse aides | 2.82 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 48.4% | 48.9% | 45.8% |
| Registered nurse turnover | 23.1% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.36 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 4.47 on weekdays and 3.81 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.95 in April to June 2025 to 4.28 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 | 4.28 | 0.64 | 4.47 | 3.81 | 0.2% | 0 of 90 | 70 |
| Oct to Dec 2025 | 4.84 | 0.59 | 5.14 | 4.08 | 0.0% | 0 of 92 | 71 |
| Jul to Sep 2025 | 4.14 | 0.60 | 4.27 | 3.83 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.95 | 0.70 | 5.24 | 4.22 | 4.2% | 0 of 91 | 70 |
| 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 | 31.9 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 36.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.6 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 1.6 | 1.8 |
Owners and operators
Legal business name: HUMPHREYS COUNTY CARE AND REHABILITATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Humphreys County Care and Rehabilitation | Direct ownership interest | Organization | 06/06/2019 | |
| Pulley, Janet | Corporate director | Individual | 06/01/2024 | |
| Humphreys County Care and Rehabilitation | Operational/managerial control | Organization | 06/06/2019 | |
| Pulley, Janet | Operational/managerial control | Individual | 06/01/2024 | |
| Humphreys County Care and Rehabilitation | Adp of the SNF | Organization | 06/06/2019 | |
| Pulley, Janet | Adp of the SNF | Individual | 06/01/2024 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on September 4, 2025: "Provide enough food/fluids to maintain a resident's health."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 4, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on September 4, 2025: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on September 4, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Waverly Hills Post Acute Waverly, 1.8 mi · 1 of 5 stars · 23 citations
- Signature Healthcare of Erin Erin, 16.8 mi · 1 of 5 stars · 9 citations
- Camden Healthcare & Rehab Center Camden, 17.7 mi · 1 of 5 stars · 11 citations
- NHC Healthcare, Dickson Dickson, 23.1 mi · 5 of 5 stars · 6 citations
- Dickson Health and Rehab Dickson, 23.1 mi · 1 of 5 stars · 29 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 Humphreys County Care and Rehabilitation's Medicare star rating?
- CMS rates Humphreys County Care and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Humphreys County Care and Rehabilitation get at its last inspection?
- 12 health deficiencies at the standard inspection on September 4, 2025. The Tennessee average is 4.4.
- Has Humphreys County Care and Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $14,013 in the last three years.
- Does Humphreys County Care and Rehabilitation 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 Humphreys County Care and Rehabilitation?
- CMS lists 6 owners and managers. Legal business name: HUMPHREYS COUNTY CARE AND REHABILITATION.
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.