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Life Care Center of Bruceton-Hollow Rock

105 Rowland, Bruceton, TN 38317 · Carroll County · (731) 586-2061

130 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445326 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 7, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

None of its 14 health citations since August 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 3.69 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

35.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Life Care Centers of America, an affiliated group of 194 nursing homes.

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
0F
Potential for minimal harm
0A
0B
0C
January 7, 2026Standard inspection · 1 citation
  1. 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) February 25, 2026
    Inspectors wroteBased on policy review, control drug record review, and interview, the facility failed to properly document the disposal of controlled medications for 5 of 5 (Resident #41, #72, #74, #75, and #76) sampled residents reviewed for controlled medication disposition.
July 25, 2024Standard 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 · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on policy review, medical record review, observation, and interview the facility failed to ensure that medications were properly and securely stored when medications were left in a resident's room for 1 of 71 (Resident #60) sampled residents.
  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) August 23, 2024
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure 1 of 4 (Licensed Practical Nurse [LPN] A) nurses followed proper infection control measures to prevent the potential spread of infection and cross contamination while performing blood glucose monitoring during Medication Administration.
August 31, 2023Standard inspection · 11 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when 2 of 18 staff members (Activity Assistant and Certified Nursing Assistant (CNA) #9) failed to perform proper hand hygiene during meal service and failed to ensure temperatures for the nutrition freezers were documented daily in 2 of 2 nutrition refrigerators observed in the facility's Nutrition Rooms.
  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) October 6, 2023
    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 4 of 5 (Licensed Practical Nurses (LPN) #1, #9, #10, and Registered Nurses (RN) #1) nurses failed to perform hand hygiene during medication administration.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteAmended 9/24/2023 Based on policy review, medical record review, observation, and interview, the facility failed to ensure all residents' right to be treated with dignity and respect when 1 of 6 staff member (Licensed Practical Nurse (LPN) #9) failed to provide privacy for Resident #225 during administration of medication through a Percutaneous Endoscopic Gastrostomy tube.
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure residents' right to be free from verbal and physical abuse for 1 of 7 (Resident #39) sampled residents reviewed for an allegation of abuse.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report an allegation of abuse for 1 of 4 (Resident #39) sampled residents reviewed for allegation of abuse.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to thoroughly investigate an allegation of abuse for 1 of 4 (Resident #39) sampled residents reviewed for allegation of abuse.
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to conduct Care Plan meetings which included the Interdisciplinary Team (IDT) for 1 of 3 sample resident (Resident #35) reviewed for care plan meetings.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to administer medications as prescribed by the physician and as recommended for 1 of 3 (Resident #52) sampled residents reviewed for medication administration.
  9. 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) October 6, 2023
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure that medication records were in order and that an account of all controlled medications were maintained and reconciled for 1 of 6 (Registered Nurse (RN) #1) nurses for 5 of 7 (Resident #14, #34, #35, #63, and #71) residents.
  10. 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) October 6, 2023
    Inspectors wroteBased on policy review, observation and interview, the facility failed to ensure medications were properly stored when opened and undated medications and expired formula were observed in 2 of 5 (D Hall Medication Storage Room and D Hall Medication Cart) medication storage areas.
  11. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to maintain an effective pest control program in 3 of 60 (Resident #7, Resident #13, and Resident #35) resident rooms, failed to prevent parasites or possible maggots for Resident #22, and 1 of 4 (C Hall) Halls on 3 of 4 (8/29/2023, 8/30/2023, and 8/31/2023) days of onsite observations.

Fire safety inspections

16 fire safety citations on file: 2 on January 7, 2026, 7 on July 25, 2024, 7 on August 31, 2023.

Every fire safety citation16 citations
  1. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 7, 2026 · Corrected (the home has a date of correction)
  2. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 7, 2026 · Corrected (the home has a date of correction)
  3. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 25, 2024 · Corrected (the home has a date of correction)
  4. 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 · July 25, 2024 · Corrected (the home has a date of correction)
  5. D
    Have properly located and lighted "Exit" signs.
    K 293 · July 25, 2024 · Corrected (the home has a date of correction)
  6. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 25, 2024 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 25, 2024 · Corrected (the home has a date of correction)
  8. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 25, 2024 · Corrected (the home has a date of correction)
  9. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 25, 2024 · Corrected (the home has a date of correction)
  10. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 31, 2023 · Corrected (the home has a date of correction)
  11. 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 31, 2023 · Corrected (the home has a date of correction)
  12. D
    Provide properly protected cooking facilities.
    K 324 · August 31, 2023 · Corrected (the home has a date of correction)
  13. D
    Install an approved automatic sprinkler system.
    K 351 · August 31, 2023 · Corrected (the home has a date of correction)
  14. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 31, 2023 · Corrected (the home has a date of correction)
  15. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 31, 2023 · Corrected (the home has a date of correction)
  16. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 31, 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)3.693.803.86
Registered nurses0.410.600.69
All nursing staff on weekends3.273.313.42
Nurse aides2.15
Licensed practical nurses1.13
Nursing staff turnover (share who left in a year)35.5%48.9%45.8%
Registered nurse turnover16.7%43.2%42.9%
Administrators who left0

CMS expects 4.39 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 3.86 on weekdays and 3.27 on weekends, 15% 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 3.50 in April to June 2025 to 3.69 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.690.413.863.27 0.0%0 of 9056
Oct to Dec 20253.700.443.873.26 0.0%0 of 9257
Jul to Sep 20253.560.433.713.19 0.0%0 of 9266
Apr to Jun 20253.500.413.643.14 0.0%0 of 9164
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
7.714.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.517.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.65.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.316.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.922.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.61.8

Owners and operators

Legal business name: MILFORD MEDICAL INVESTORS LIMITED PARTNERSHIP. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Davis, DarethW-2 managing employeeIndividual02/06/2013
Cross, CindyCorporate officerIndividual02/03/1994
Thurmond, JoanCorporate officerIndividual09/21/2000
Life Care Centers of America, Inc.Operational/managerial controlOrganization09/08/1993
Developers Investment Company IncGeneral partnership interestOrganization02/03/1992
Preston, ForrestLimited partnership interestIndividual02/03/1992

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 4 problems in this area, most recently on January 7, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on August 31, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  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 July 25, 2024: "Provide and implement an infection prevention and control program."
  4. 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 August 31, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Tennessee average of 3.31.

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 Life Care Center of Bruceton-Hollow Rock's Medicare star rating?
CMS rates Life Care Center of Bruceton-Hollow Rock 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Bruceton-Hollow Rock get at its last inspection?
1 health deficiency at the standard inspection on January 7, 2026. The Tennessee average is 4.4.
Has Life Care Center of Bruceton-Hollow Rock been fined?
CMS lists no fines in the last three years.
Does Life Care Center of Bruceton-Hollow Rock 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 Life Care Center of Bruceton-Hollow Rock?
CMS lists 6 owners and managers, and links the home to Life Care Centers of America. Legal business name: MILFORD MEDICAL INVESTORS LIMITED PARTNERSHIP.

Sources

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