What is Stones River Manor, Inc's Medicare star rating?

CMS rates Stones River Manor, Inc 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Stones River Manor, Inc get at its last inspection?

3 health deficiencies at the standard inspection on July 1, 2025. The Tennessee average is 4.4.

Has Stones River Manor, Inc been fined?

CMS lists no fines in the last three years.

Does Stones River Manor, Inc 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 Stones River Manor, Inc?

CMS lists 11 owners and managers. Legal business name: STONES RIVER MANOR, INC..

Stones River Manor, Inc: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 1, 2025, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 15 health citations since July 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 6.19 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.

28.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

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.

807/19

310/22

109/24

307/25

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 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

July 1, 2025Standard inspection · 3 citations

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) July 23, 2025

Inspectors wroteBased on policy review, kitchen sanitation logs, refrigerator and dishwasher temperature logs, observation, and interview, the facility failed to ensure food was served under sanitary conditions when the kitchen floor was dirty with a black sticky substance, the deep fryer had thick sticky yellow dried coating on the outside, the steam table had dried brown streaks, the ice machine had a black dried substance on the inside, and undated items were in the refrigerator. The facility had a census of 27 with 26 of those residents receiving a tray from the kitchen.
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.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 23, 2025

Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure care and services were provided when a Percutaneous Endoscopic Gastrostomy (PEG) tube (a tube inserted into the stomach to administer medications and food supplements through) dressing change was not completed as ordered for 1 of 1 (Resident #20) resident reviewed for the use of an enteral feeding.
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) July 23, 2025

Inspectors wroteBased on policy review, the facility's Infection Control documents, and interview, the facility failed to follow Infection Control practices when they failed to track pathogens (a bacteria, virus, or other microorganism that can cause disease) in the monthly .Infection Control 2025 report which could potentially affect 27 out of 27 Residents.

September 18, 2024Complaint inspection · 1 citation

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 · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024

Inspectors wrote483.12(c)(1) Based on facility policy review, Facility Reported Investigation (FRI) review, medical record review, and interview, the facility failed to report allegations of abuse within 2 hours for 1 (Resident #5) of 3 sampled residents reviewed for abuse.

October 26, 2022Standard inspection · 3 citations

D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to complete and submit a discharge Minimum Data Set for 1 of 15 sampled residents (Resident #3) reviewed.
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) December 12, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to obtain orders for ice/cold therapy treatments for 2 of 2 sampled residents (Resident #25 and Resident #27) reviewed.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2022

Inspectors wroteBased on facility policy review, manufacturer's guidelines review, medical record review, observation, and interview, the facility failed to prevent a potential accident for 2 of 2 sampled residents (Resident #25 and Resident #27) reviewed.

July 31, 2019Standard inspection · 8 citations

D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to develop a baseline care plan for 3 (#24 #25 and #74) of 19 residents reviewed.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteMedical record review revealed Resident #5 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's disease and General Anxiety Disorder. Medical record review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #8 had a Brief Interview for Mental Status (BIMS) Score of 99 which indicated resident was unable to complete interview. Further review revealed Resident #8 receiving Hospice services. Medical record review of the care plan dated 5/21/19 revealed no hospice services and no interventions for psychotropic medications. Interview with MDS Coordinator on 7/31/19 at 9:14 AM in her office when asked what interventions were missing from Resident #5's Comprehensive Care Plan confirmed hospice services and interventions for psychotropic medications is missing from Resident #5's Comprehensive care plan. [...]
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) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to update/revise care plans for 4 (#7, #8, #17, #21) of 19 residents reviewed.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to document weekly skin assessments related to a pressure ulcer for 1 (#8) of 3 residents reviewed.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to have a stop date of 14 days for a PRN (as needed) antipsychotic and psychotropic medication for 1 (#5) of 17 resident reviewed.
D

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, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteBased on facility policy review, observation and interview the facility failed to maintain a portable ice storage container and an ice maker machine in a sanitary manner. The findings inclued: Facility policy review, Ice Machines and Ice Storage Chests, revised January 2012 revealed .Ice machines and ice storage/distribution containers will be used and maintained to assure a safe and sanitary supply of ice .Ice-making machines, ice storage chests/containers, and ice can all become contaminated by: Unsanitary manipulation by employees, residents, and visitors .improper storage or handling of ice .to help prevent contamination of ice machines, ice storage chests/containers or ice, staff shall follow these precautions: c. [...]
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to maintain an accurate and complete record for 2 (#17 and #173) of 19 residents reviewed related to Resident #17's and Resident #173's Order Summary Reports and the Physician Orders for Scope of Treatment (POST) forms not matching.
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) September 14, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview the facility failed to label and date a Peripherally Inserted Central Catheter (PICC) line dressing for 1 (#21) of 2 residents reviewed receiving intravenous therapy.

Fire safety inspections

10 fire safety citations on file: 7 on July 1, 2025, 2 on October 26, 2022, 1 on July 31, 2019.

Every fire safety citation10 citations

D
Conduct risk assessment and an All-Hazards approach.

E 6 · July 1, 2025 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · July 1, 2025 · Corrected (the home has a date of correction)
D
Establish staff and initial training requirements.

E 37 · July 1, 2025 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · July 1, 2025 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · July 1, 2025 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · July 1, 2025 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · July 1, 2025 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · October 26, 2022 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · October 26, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 31, 2019 · 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.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	6.19	3.80	3.86
Registered nurses	0.98	0.60	0.69
All nursing staff on weekends	4.90	3.31	3.42
Nurse aides	3.11
Licensed practical nurses	2.10
Nursing staff turnover (share who left in a year)	28.6%	48.9%	45.8%
Registered nurse turnover	16.7%	43.2%	42.9%
Administrators who left	0

CMS expects 3.74 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 6.71 on weekdays and 4.90 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.27 in April to June 2025 to 6.19 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	6.19	0.98	6.71	4.90	17.8%	0 of 90	26
Oct to Dec 2025	6.52	1.14	6.95	5.40	12.6%	0 of 92	26
Jul to Sep 2025	6.23	1.00	6.69	5.03	19.7%	0 of 92	27
Apr to Jun 2025	6.27	1.08	6.69	5.20	16.3%	0 of 91	27
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	38.5	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	2.4	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	1.3	1.7	1.6
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.4	5.0	4.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	27.5	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.3	11.2	12.0

Owners and operators

Legal business name: STONES RIVER MANOR, INC..

Name	Role	Type	Since
First Bank	5% or greater mortgage interest	Organization	08/16/2020
Knox, Heather	Corporate director	Individual	05/27/2022
Adcock, Jeffrey	Corporate officer	Individual	05/28/2021
King, Roger	Corporate officer	Individual	05/17/2023
Minatra, Clay	Corporate officer	Individual	05/19/2017
Whitworth, Marvin	Corporate officer	Individual	05/21/1999
Mason, Kirkland	Operational/managerial control	Individual	05/24/2018
Pullias, Amanda	Operational/managerial control	Individual	10/03/2017
Vollmer, Donald	Operational/managerial control	Individual	04/19/2021
Pullias, Amanda	Adp of the SNF	Individual	10/03/2017
Vollmer, Donald	Adp of the SNF	Individual	03/24/2025

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 5 problems in this area, most recently on October 26, 2022: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 1, 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."
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 July 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
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 1, 2025: "Provide and implement an infection prevention and control program."

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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 Stones River Manor, Inc's Medicare star rating?: CMS rates Stones River Manor, Inc 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Stones River Manor, Inc get at its last inspection?: 3 health deficiencies at the standard inspection on July 1, 2025. The Tennessee average is 4.4.
Has Stones River Manor, Inc been fined?: CMS lists no fines in the last three years.
Does Stones River Manor, Inc 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 Stones River Manor, Inc?: CMS lists 11 owners and managers. Legal business name: STONES RIVER MANOR, INC..

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.