Standing Stone Care and Rehab
410 W Crawford Avenue, Monterey, TN 38574 · Putnam County · (931) 839-2244
115 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445363 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
None of its 9 health citations since September 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 3.58 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
43.9% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Signature Healthcare, an affiliated group of 67 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 9 health citations on file.
May 14, 2026Standard inspection · 1 citation
- 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 observation, interview, and facility policy review, the facility failed to ensure 1 of 2 medication carts observed was free of loose pills.
March 4, 2025Standard inspection · 3 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASRR) to include an active mental health condition present upon admission for 1 resident (Resident #22) of 4 residents reviewed for PASRR.
- 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, and interview, the facility failed to develop a comprehensive person-centered care plan related to Post Traumatic-Stress Disorder (PTSD) for 1 resident (Resident #25) of 2 residents reviewed for PTSD.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to label a tube feeding formula appropriately for 1 resident (Resident #80) of 1 resident sampled for tube feeding.
January 15, 2025Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, facility investigation documentation review, medical record review, observations, and interviews the facility failed to protect the residents' right to be free from physical abuse by another resident for 8 residents (Residents #5, #6, #7, #8, #10, #11, #14, and #15) of 14 residents reviewed for abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview, the facility's direct care staff failed to immediately report allegations of staff on resident abuse which resulted in a delay of reporting abuse to the State Designated Authority for 1 resident (Resident #3) of 14 residents reviewed for abuse. The facility was cited at F-609 at a scope and severity of D as past noncompliance. Noncompliance began on 5/13/2024 and ended on 5/21/2024. The facility is not required to submit a Plan of Correction for F-609.
September 24, 2019Standard inspection · 3 citations
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on facility policy review and interview, the facility failed to implement an Antibiotic Stewardship program for 67 of 67 residents residing in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policy, review of a facility investigation, medical record review, and interviews, the facility failed to report an allegation of abuse timely to the State Survey Agency for 1 resident (#23) of 3 residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy, review of a facility investigation, medical record review, review of employee time sheets, and interview, the facility failed to suspend an employee during an investigation of an allegation of abuse for 1 resident (#23) of 3 residents reviewed for abuse.
Fire safety inspections
22 fire safety citations on file: 2 on May 14, 2026, 16 on March 4, 2025, 4 on September 24, 2019.
Every fire safety citation22 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Conduct risk assessment and an All-Hazards approach.
- D Address subsistence needs for staff and patients.
- D Establish policies and procedures for sheltering.
- D Establish roles under a Waiver declared by secretary.
- D Establish emergency prep training and testing.
- D Conduct testing and exercise requirements.
- 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.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Have exits that are accessible at all times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Ensure that testing and maintenance of electrical equipment is performed.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
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) | 3.58 | 3.80 | 3.86 |
| Registered nurses | 0.67 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.31 | 3.42 |
| Nurse aides | 2.08 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 43.9% | 48.9% | 45.8% |
| Registered nurse turnover | 41.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.41 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 3.75 on weekdays and 3.15 on weekends, 16% 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 3.65 in April to June 2025 to 3.58 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 | 3.58 | 0.67 | 3.75 | 3.15 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.47 | 0.58 | 3.67 | 2.97 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.48 | 0.71 | 3.66 | 3.02 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.65 | 0.65 | 3.87 | 3.11 | 0.0% | 0 of 91 | 77 |
| 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
Staff pay at this home
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.
Official wage estimates for Tennessee
| 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.
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 | 6.0 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.6 | 1.8 |
Owners and operators
Legal business name: LP MONTEREY LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| LP Cr Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2007 |
| Agemo Holdings LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Lpsnf II LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 11/01/2007 | |
| Clabeuax, Dawn | W-2 managing employee | Individual | 12/29/2022 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on January 15, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 4, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 14, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 4, 2025: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Signature Healthcare of Putnam County Cookeville, 10.4 mi · 2 of 5 stars · 15 citations
- Grandview Post Acute Cookeville, 11.3 mi · 1 of 5 stars · 37 citations
- Wharton Nursing Home Pleasant Hill, 12.6 mi · 1 of 5 stars · 18 citations
- NHC Healthcare, Cookeville Cookeville, 13.4 mi · 5 of 5 stars · 5 citations
- Overton County Health and Rehab Center Livingston, 16.4 mi · 4 of 5 stars · 5 citations
- Life Care Center of Sparta Sparta, 18.3 mi · 5 of 5 stars · 5 citations
- NHC Healthcare, Sparta Sparta, 18.9 mi · 3 of 5 stars · 7 citations
- Wyndridge Health and Rehab Ctr Crossville, 19.2 mi · 2 of 5 stars · 11 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 Standing Stone Care and Rehab's Medicare star rating?
- CMS rates Standing Stone Care and Rehab 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 Standing Stone Care and Rehab get at its last inspection?
- 1 health deficiency at the standard inspection on May 14, 2026. The Tennessee average is 4.4.
- Has Standing Stone Care and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Standing Stone Care and Rehab 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 Standing Stone Care and Rehab?
- CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP MONTEREY 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.