119 Kittrell Street, Hohenwald, TN 38462 · Lewis County · (931) 796-3233
131 certified beds, about 81 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445430 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 20, 2025, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 28 health citations since June 2023, 9 were rated as actual harm or immediate jeopardy to residents (9 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.57 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
34.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
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.
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 28 health citations on file.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure that residents received the necessary treatment and services consistent with professional standards of practice to promote healing when the facility failed to stage a pressure wound upon discovery, perform weekly wound assessments, and when wound care treatments were not performed for 2 of 3 (Residents #6 and #79) sampled residents reviewed for pressure ulcers.
Inspectors wroteBased on policy review, resident trust accounts review, medical record review, and interview, the facility failed to refund the resident's funds within 30 days of death or discharge for 1 of 2 (Resident #78) sampled residents reviewed for personal trust fund account.
Inspectors wroteBased on the Resident Assessment Instrument (RAI) User's Manual review, medical record review, and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were signed by a Registered Nurse for 7 of 18 (Resident #1, #6, #13, #23, #31, #40, and #73) sampled residents reviewed.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure monitoring was conducted according to the physician's order for 1 of 5 (Resident #31) sampled residents reviewed for unnecessary medications.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure the prevention and spread of infection when 1 of 17 staff (Certified Nursing Assistant (CNA) C) failed to use appropriate Personal Protective Equipment (PPE) during dining for 2 of 2 (Resident #25 and #33) sampled residents in transmission based precautions (TBP) and when 2 of 17 staff (CNA E and CNA F) failed to perform hand hygiene for 2 of 18 (Resident #6 and #40) residents observed for dining in the dining room.
Inspectors wroteBased on policy review, Centers for Medicare & Medicaid Services guidelines, Infection Prevention Control Officer Training certificate review, and interview, the facility failed to ensure employment of a qualified Infection Control Preventionist to monitor and maintain the facility's Infection Prevention and Control Program. This could have affected 71 out of 71 residents residing in the facility.
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 6 of 6 sampled residents (#4, #42, #51, #66, #78 and #134) reviewed for enhanced barrier precautions and for 1 of 9 Certified Nursing Assistant (CNA) F failed to remove a urinal filled with urine from Resident #63's overbed table during dining.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide information regarding residents' right to formulate an Advanced Directive for 5 of 24 sampled residents (Resident #1, #15, #22, #34, and #39) reviewed for Advanced Directives.
Inspectors wroteBased on facility policy review, Post-Acute Care Network Participation Agreement review, Virtual Rapid Response Telecommunication (VRRT- a teleconference between the facility and hospital about a resident's status) Recommendation Standard Operating Procedure (SOP) review, facility protocol review, medical record review, and interview, the facility failed to ensure residents' right to be free from neglect for 1 of 3 (Resident #1) sampled residents reviewed for abuse/neglect. The facility's failure to ensure a resident's right to be free from neglect resulted in Immediate Jeopardy (IJ) when on [DATE], Resident #1 developed a temperature of 106.7 degrees Fahrenheit (Hyperpyrexia- a fever above 106.0 and is considered a medical emergency), a heart rate of 131, a blood glucose of 600 (normal 70 -100). [...]
Inspectors wroteBased on facility policy review, Post-Acute Care Network Participation Agreement review, Virtual Rapid Response Telecommunication (VRRT) Recommendation Standard Operating Procedure (SOP) review, facility protocol review, medical record review, TN Board of Nursing Position Statements and interview, the facility failed to ensure residents received treatment and care based on assessments, in accordance with policies, and protocols/agreements, and failed to promptly intervene for an acute change in a resident's condition for 1 of 3 (Resident #1) sampled residents reviewed for quality of care. [...]
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to revise care plans for 10 of 17 (Resident #1, #2, #3, #5, #7, #8, #9, #10, #14 and #17) residents reviewed for advanced directives, behaviors, and wounds.
Inspectors wroteBased on facility orientation and competency assessment review, facility employee file review, medical record review, and interview, the facility failed to ensure the licensed nurses had the competencies and skill sets necessary to document assessments and administer intravenous medications for 1 of 3 Licensed Practical Nurses (LPN #2) for 1 of 1 sampled resident (Resident #1) receiving antibiotic therapy via peripherally inserted central catheter.
Inspectors wroteBased on facility policy review, employee file review, medical record review, observation, and interview, the facility failed to provide treatment and services for 1 of 3 (Resident #5) sampled residents reviewed for behaviors.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure infection control practices to prevent the spread of infection were used when 2 of 2 (Treatment Nurse and Certified Nursing Assistant (CNA) #1) staff members failed to clean a treatment cart and replace contaminated oxygen tubing.
Inspectors wroteBased on the facility Pest Control Contract, Pest Control Invoices, medical record review, and interview, the facility failed to maintain an effective pest control program and prevent parasites or possible maggots for 1 of 3 (Resident #9) residents reviewed for wounds.
Inspectors wroteBased on policy review, personnel file review, medical record review, observation and interview, the facility failed to ensure residents were not physically abused for 2 of 4 sampled residents (Resident #1 and #2) reviewed for abuse. The facility's failure to ensure a resident's right to be free from abuse resulted in Immediate Jeopardy when Registered Nurse (RN) #1 physically struck Resident #1 and forcefully took him down to the ground, and Resident #3 physically struck Resident #2 multiple times in the jaw and neck resulting in a lacerated lip. On 8/13/2023, Resident #3, with a diagnosis of Traumatic Brain Injury, physically struck Resident #2, a wheelchair bound and incomplete quadriplegic, three times in the face and neck, resulting in jeopardy with harm when Resident #2 sustained a laceration injury to his lip. [...]
Inspectors wroteBased on policy review, job description review, facility assessment review, medical record review, observation, and interview, the facility failed to ensure staff had specific knowledge, sufficient competencies and skill sets necessary to provide appropriate care and services to 3 of 4 sampled residents (Resident #1, #2 and #3) with behavioral and mental health needs. Fourteen (14) facility staff including Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPN), Housekeeping Personnel, and a Registered Nurse failed to demonstrate appropriate interventions were implemented to prevent ongoing altercations between Resident #2 and #3, with a history of verbal and physical altercations. On 8/13/2023 at 12:58 PM, and at 5:00 PM, Residents #2 and #3 had verbal altercations, the staff separated the residents, and then left them unsupervised. [...]
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure residents' right to be free from verbal, physical, and sexual abuse for 3 of 12 sampled residents (Resident #14, #60, and #71) reviewed for abuse. The facility's failure to ensure a resident's right to be free from abuse resulted in Immediate Jeopardy when the facility failed to identify an incident of resident-to-resident verbal abuse (Resident #269 and Resident #60), an incident of resident to resident sexual/physical abuse (Resident #269 and Resident #14), an incident of resident to resident physical abuse (Resident #269 and Resident #60), and an allegation of resident to resident sexual/physical abuse (Resident #269 and Resident #71). [...]
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to report allegations of abuse for 3 of 12 (Resident #14, #60, and #71) sampled residents reviewed for abuse. The facility's failure to report allegations of sexual, physical, and verbal abuse to the State Survey Agency, law enforcement and Adult Protective Services (APS) which resulted in Immediate Jeopardy when on 8/20/2022, Resident #14 reported to staff Resident #269 ejaculated semen on his wheelchair and shirt. On 11/10/2022, Resident #60 was found by staff in a trash can in the back dining room. Resident #60 reported to staff, Resident #269 put her in the trash can. Resident #269 confirmed to staff that he put Resident #60 in the trash can. On 11/20/2022, staff witnessed Resident #269 throw a cup at Resident #60 that hit her in the face. [...]
Inspectors wroteBased on policy review, medical record review and interview the facility failed to thoroughly investigate 4 incidents of abuse for 3 of 12 sampled residents (Residents #14, #60, and #71) reviewed for physical, verbal and sexual abuse. The facility's failure to thoroughly investigate incidents of sexual and physical abuse resulted in Immediate Jeopardy when on 8/20/2022, Resident #14 reported to Licensed Practical Nurse (LPN) #3 that his roommate (Resident #269) had ejaculated on his wheelchair and shirt. The facility did not investigate or complete an incident note. On 11/10/2022, Resident #269 admitted to physical abuse by placing Resident #60 in a trash can. The facility did not thoroughly investigate by failing to interview other staff or resident to substantiated it was horseplay. On 11/20/2022, staff witnessed Resident #269 throw a cup hitting Resident #60 in the face. [...]
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to provide treatment and services to effectively manage behaviors and attain the highest practicable mental and psychosocial well-being for 1 of 10 (Resident #269) sampled residents exhibiting behaviors that included sexual, verbal, and physical behaviors. Resident #269 ejaculated on Resident #14's wheelchair and shirt, openly masturbated in common spaces in the facility, openly urinated in public common spaces in front of staff and residents, had sexual relations in room with roommate present and without privacy, touched staff inappropriately, used verbally abusive language, yelled and threw things, shoved staff against the wall, kissed staff, threw a cup hitting Resident #60 in the face, and placed Resident #60 in a trash can. [...]
Inspectors wroteBased on review of the Board of Examiners of Nursing Home Administrators (BENHA) Form, the Administrator job description, the Director of Nursing Job Description, and the Assistant Director of Nursing job description, policy review, and interview, the facility Administration failed to provide oversight to ensure systems and processes were consistently followed, failed to implement policies and procedures to ensure residents were free from verbal, physical, and sexual abuse, failed to report and investigate all allegations of abuse, and failed to provide appropriate treatment and services for resident behaviors. [...]
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to inform of and provide written information regarding residents' rights to formulate an advanced directive for 11 of 20 residents (Residents #8, #22, #24, #43, #47, #54, #57, #60, #79, #259, and #260) sampled for advanced directives.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to provide effective housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable environment as evidenced by the odor of urine in the 500 Hall hallway and rusty and dirty over bed tables in 1 of 5 hallways (Hallway 500) observed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure the Activities of Daily Living (ADL) for incontinent care, nail care, and bathing were provided for 2 of 20 sampled residents (Resident #57 and #266) reviewed for ADL care.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure a laboratory test and medication order was implemented for 2 of 5 (Resident #24 and Resident #57) sampled residents during review for unnecessary medications.
Inspectors wroteBased on policy review, medical record review, facility investigation review, observations, and interview, the facility failed to ensure a safe environment, provide supervision, and oversight to prevent potential accidents and injuries for 4 cognitively impaired residents who reside on the secure unit and who were assessed for having wandering behaviors (Resident #83, #7, #71, and #94) when a white substance identified as methamphetamine (a highly addictive illegal drug) was found by facility staff in Resident #83's room on 6/24/2023 and again on 6/28/2023. On 6/24/2023 at approximately 11:00 AM, the Director of Nursing (DON) was cleaning and found a crystallized white powdery substance rolled up in a $1 dollar bill, later identified as methamphetamine, in the closet of the unoccupied side of Resident #83's room. [...]
Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure practices to prevent the potential spread of infection were maintained when 2 of 6 staff members (Registered Nurse (RN #1) and Licensed Practical Nurse (LPN #1) failed to perform hand hygiene. RN #1 failed to perform hand hygiene after providing incontinent care and before medication administration. LPN #1 failed to perform hand hygiene after the disposal of bloody biohazard products.
10 fire safety citations on file: 4 on August 20, 2025, 2 on June 6, 2024, 4 on June 1, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.57 | 3.80 | 3.86 |
| Registered nurses | 0.33 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.31 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 1.28 | ||
| Nursing staff turnover (share who left in a year) | 34.6% | 48.9% | 45.8% |
| Registered nurse turnover | 57.1% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.80 on weekdays and 3.01 on weekends, 21% 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 4.16 in April to June 2025 to 3.57 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 | 3.57 | 0.33 | 3.80 | 3.01 | 0.0% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.64 | 0.29 | 3.87 | 3.06 | 0.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.97 | 0.34 | 4.25 | 3.28 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 4.16 | 0.31 | 4.43 | 3.48 | 0.0% | 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.
Staff pay reports
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.
| 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.
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 | 9.7 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 12.1 | 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 | 35.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lewis Park Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.8% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.
10.9% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.
10.4% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 39 eligible stays.
47.5% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 40 residents counted.
1.8% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.
1.9% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 55 residents counted.
96.4% this home
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
Chosen from this home's own inspection record.
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