Ripley Healthcare and Rehab Center
118 Halliburton Drive, Ripley, TN 38063 · Lauderdale County · (731) 635-5180
144 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445492 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 6, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 11 health citations since March 2020, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $66,472 in the last three years; the largest was $66,472, and the latest is dated June 5, 2025.
Nurses and nurse aides worked 4.09 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
45.7% 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 11 health citations on file.
May 6, 2026Standard inspection · 2 citations
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure care plan conference meetings were held quarterly for 2 of 2 (Resident #5 and #10) sampled residents reviewed for care plan meetings.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on policy review, Centers for Medicare & Medicaid Services (CMS) manual, medical record review, observation, and interview, the facility failed to complete an accurate Minimum Data Set (MDS) assessment for 3 of 12 (Resident #12, #31 and #32) residents reviewed for MDS discrepancies.
June 5, 2025Complaint inspection · 1 citation
- J Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on the National Pressure Injury Advisory Panel (NPIAP) pressure injury staging review, policy review, medical record review, hospital record review, and interview, the facility failed to notify the provider of an acquired pressure ulcer, failed to correctly identify the pressure ulcer location, failed to properly stage the pressure ulcer, failed to schedule wound care appointments for 12 working days, failed to notify the provider of missed wound care appointments, and failed to notify the provider of the wound deterioration for 1 of 3 (Resident #99) sampled residents reviewed. [...]
August 4, 2021Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on the Centers for Disease Control and Prevention (CDC) guidelines, Time Detail Reports, Staff-Surveyor/Vendor Vitals Log, staffing schedules, and interview, the facility failed to follow CDC Infection Control guidelines to ensure all staff who enter the facility completed the screening process for the prevention and potential spread of COVID 19 when 11 of 65 staff members (Housekeeping Staff #1, #2, #3, and #4, Dietary Staff #1, Certified Nurse Aide (CNA) #1, #2, #3, #4, and #5, and Licensed Practical Nurse (LPN) #2) failed to complete screenings logs prior to working for 6 of 15 days (7/17/2021, 7/20/2021, 7/21/2021, 7/22/2021, 7/27/2021, and 7/31/2021) reviewed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical review, observation, and interview, the facility failed to ensure an accurate Minimum Data Set (MDS) assessment was completed for 3 of 15 sampled residents (Resident #27, #37, and #41) reviewed for MDS assessments.
- 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 revise a Care Plan related to the use of a Broda chair (a chair used for positioning and comfort for an individual) for 1 of 1 sampled resident (Resident #37) reviewed for position and mobility.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to implement a brace for 1 of 1 sampled resident (Resident #37) reviewed with limited range of motion.
- 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 to ensure food was distributed and served in a sanitary manner when 2 of 10 staff members (Certified Nursing Assistant (CNA) #6 and #7) turned off the water faucet with their bare hand after washing and drying their hands during dining observations.
March 11, 2020Standard inspection · 3 citations
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on Dialysis Transfer Agreement, facility policy review, facility Diet and Nutrition Care Manual, medical record review, observation, and interview, the facility failed to provide appropriate care and services related to transportation and dietary communication for 3 of 3 sampled residents (Resident #19, #32, and #52) reviewed receiving dialysis.
- 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 review, observation, and interview, the facility failed to ensure food was stored and served under sanitary conditions as evidenced by expired, opened, undated, and unlabeled foods in 1 of 1 nourishment refrigerators (Nourishment Room Refrigerator) and 1 of 10 staff members (Certified Nursing Assistant (CNA) #1) inappropriately handled food during dining observations for 4 of 21 residents (Resident #5, #13, #29, and #7) on the 100 Hall.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were followed when 3 of 5 nurses (Licensed Practical Nurse (LPN) #1, #2, and #3) failed to perform hand hygiene for 5 of 9 sampled residents (Resident #22, #29, #153, #5, and #25) during medication administration.
Fire safety inspections
4 fire safety citations on file: 1 on May 6, 2026, 1 on August 4, 2021, 2 on March 11, 2020.
Every fire safety citation4 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 5, 2025 | Fine | $66,472 |
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) | 4.09 | 3.80 | 3.86 |
| Registered nurses | 0.58 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.31 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 48.9% | 45.8% |
| Registered nurse turnover | 44.4% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.28 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 3.17 on weekends, 29% 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 3.64 in April to June 2025 to 4.09 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 | 4.09 | 0.58 | 4.47 | 3.17 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 4.06 | 0.51 | 4.33 | 3.36 | 0.0% | 0 of 92 | 52 |
| Jul to Sep 2025 | 3.82 | 0.46 | 4.01 | 3.33 | 0.0% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.64 | 0.44 | 3.85 | 3.12 | 0.0% | 0 of 91 | 56 |
| 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 | 22.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 40.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.2 | 16.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 1.6 | 1.8 |
Owners and operators
Legal business name: RIPLEY 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 | 12/31/2018 | |
| Flashner, Craig | Corporate director | Individual | 12/31/2019 | |
| Northpoint Regional LLC | Operational/managerial control | Organization | 10/01/2007 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 12/31/2019 | |
| 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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 6, 2026: "Ensure each resident receives an accurate assessment."
- 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 June 5, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 August 4, 2021: "Provide and implement an infection prevention and control program."
- 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 August 4, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Lauderdale Community Living Center Ripley, 0.7 mi · 1 of 5 stars · 30 citations
- Haywood Post Acute Brownsville, 11.6 mi · 3 of 5 stars · 16 citations
- Covington Post Acute Covington, 13.5 mi · 4 of 5 stars · 11 citations
- Magnolia Creek Nursing and Rehabilitation Covington, 15.4 mi · 1 of 5 stars · 28 citations
- Dyersburg Health and Rehabilitation Center Dyersburg, 23.9 mi · 4 of 5 stars · 18 citations
- Oakwood Community Living Center Dyersburg, 24 mi · 3 of 5 stars · 13 citations
- Okeena Health and Rehabilitation Center LLC Dyersburg, 24.1 mi · 4 of 5 stars · 20 citations
- Alamo Nursing and Rehabilitation Center Alamo, 24.5 mi · 4 of 5 stars · 17 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 Ripley Healthcare and Rehab Center's Medicare star rating?
- CMS rates Ripley Healthcare and Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ripley Healthcare and Rehab Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 6, 2026. The Tennessee average is 4.4.
- Has Ripley Healthcare and Rehab Center been fined?
- Yes. CMS lists 1 fine totaling $66,472 in the last three years.
- Does Ripley Healthcare and Rehab Center 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 Ripley Healthcare and Rehab Center?
- CMS lists 12 owners and managers, and links the home to Prestige Administrative Services. Legal business name: RIPLEY 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.