Pine Meadows Health Care
700 Nuckolls Road Po Box a, Bolivar, TN 38008 · Hardeman County · (731) 658-4707
134 certified beds, about 99 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445232 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 10, 2021, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 6 health citations since April 2019 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 3.22 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
36.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Prestige Administrative Services, an affiliated group of 9 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.
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 6 health citations on file.
June 10, 2021Standard inspection · 5 citations
- 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 resident dignity and respect during dining when 2 of 28 staff members (Certified Nursing Assistant (CNA) #1 and Activities Assistant) stood to assist residents (Resident #65 and #37) with their meal.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure abuse policies were implemented and followed when facility staff to report allegations of abuse to the Administrator immediately for 1 of 5 sampled residents (Resident #85) reviewed for alleged abuse.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of the Geriatric Medication Handbook, policy review, medical record review, observation, and interview, the facility failed to ensure a resident was free from a significant medication error when 1 of 2 nurses (Licensed Practical Nurse (LPN) #2) failed to administer insulin within the proper time frame related to meals for Resident #61. The failure to provide a substantial meal or snack within 15 minutes of insulin administration resulted in a significant medication error.
- D 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, 1 of 28 staff members (Certified Nursing Assistant (CNA) #2) failed to distribute and serve food in a sanitary manner during dining when the staff touched food with their bare hands.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure appropriate infection control measures were followed during medication administration when 2 of 4 nurses (Licensed Practical Nurse (LPN) #1 and 2) touched medication with their bare hands and failed to rinse a disposable piston syringe after medication administration through a Percutaneous Endoscopic Gastrostomy (PEG) (a tube placed in the stomach for nutrition).
March 12, 2020Standard inspection · 0 citations
April 11, 2019Standard inspection · 1 citation
- D 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 follow infection control procedures to prevent the potential spread of infection when 1 of 20 (Certified Nursing Assistant (CNA) #1) staff members failed to perform appropriate hand hygiene and placed a dirty plate lid cover on a clean meal cart.
Fire safety inspections
3 fire safety citations on file: 1 on March 12, 2020, 2 on April 11, 2019.
Every fire safety citation3 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
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.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.80 | 3.86 |
| Registered nurses | 0.55 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.71 | 3.31 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 36.1% | 48.9% | 45.8% |
| Registered nurse turnover | 46.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.00 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 3.43 on weekdays and 2.71 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 3.57 in April to June 2025 to 3.22 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 | 3.22 | 0.55 | 3.43 | 2.71 | 0.0% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.73 | 0.59 | 3.94 | 3.19 | 0.0% | 0 of 92 | 88 |
| Jul to Sep 2025 | 3.70 | 0.62 | 3.92 | 3.12 | 0.0% | 0 of 92 | 84 |
| Apr to Jun 2025 | 3.57 | 0.63 | 3.75 | 3.10 | 0.0% | 0 of 91 | 86 |
| 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 | 13.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 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 | 13.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.3 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 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: BOLIVAR OPERATOR LLC. CMS links this home to Prestige Administrative Services, a group of 9 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| B&y Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| Cody Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Norcross, Robert | Contracted managing employee | Individual | 01/01/2014 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/30/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 01/01/2018 | |
| Flashner, Craig | Corporate director | Individual | 12/31/2019 | |
| Northpoint Regional LLC | Operational/managerial control | Organization | 02/01/2007 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 12/31/2019 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 12/31/2019 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 10, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 10, 2021: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 June 10, 2021: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 10, 2021: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.71 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Bolivar Health & Rehabilitation LLC Bolivar, 0 mi · 5 of 5 stars · 8 citations
- NHC Healthcare, Somerville Somerville, 20.3 mi · 5 of 5 stars · 5 citations
- Henderson Health and Rehabilitation Center Henderson, 22.6 mi · 1 of 5 stars · 16 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 Pine Meadows Health Care's Medicare star rating?
- CMS rates Pine Meadows Health Care 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pine Meadows Health Care get at its last inspection?
- 5 health deficiencies at the standard inspection on June 10, 2021. The Tennessee average is 4.4.
- Has Pine Meadows Health Care been fined?
- CMS lists no fines in the last three years.
- Does Pine Meadows Health Care 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 Pine Meadows Health Care?
- CMS lists 12 owners and managers, and links the home to Prestige Administrative Services. Legal business name: BOLIVAR OPERATOR LLC.
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.