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The Preserve at Fairfield Glade

100 Samaritan Way, Crossville, TN 38558 · Cumberland County · (931) 456-1576

60 certified beds, about 52 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2011

Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445506 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 3, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

None of its 12 health citations since November 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 3.82 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

65.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Liberty Senior Living, an affiliated group of 37 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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
0F
Potential for minimal harm
0A
0B
1C
June 3, 2026Standard inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2026
    Inspectors wroteBased on facility policy review, Lippincott Nursing Center website review, medical record review, and interviews, the facility failed to ensure basic nursing standards for the rights of medication administration and physician's orders were followed for 1 resident (Resident #26) of 7 residents reviewed for medication administration.
October 7, 2024Complaint inspection · 1 citation
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on the Resident Assessment Instrument (RAI) Manual 3.0 review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #7) of 13 residents reviewed.
May 3, 2023Standard inspection · 8 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) June 6, 2023
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to develop and implement a comprehensive person-centered care plan to address end of life care for 6 residents (Residents #20, #9, #13, #16, #27, and #34) and hearing loss for 1 resident (Resident #34) of 17 residents reviewed.
  2. 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) June 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure a privacy cover was maintained for a urinary catheter drainage bag for 1 resident (Resident #34) of 5 residents reviewed for urinary catheters, and failed to provide assistance to maintain desired physical appearance for 1 resident (Resident #34) of 46 residents reviewed for dignity.
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure medical information was not visible for 1 resident (Resident #27) of 46 residents reviewed for dignity.
  4. 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) June 6, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure an allegation of employee to resident abuse was reported immediately to the facility administration and to the State Agency (SA) within two hours, in accordance with Federal Law, for 1 resident (#147) of 25 residents reviewed for abuse.
  5. 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) June 6, 2023
    Inspectors wroteBased on the facility policy review, medical record review, and interviews, the facility failed to investigate an allegation of abuse timely for 1 resident (#147) of 25 residents reviewed for abuse.
  6. 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) June 6, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to implement a wound care intervention for 1 resident (Resident #7) of 3 residents reviewed for wounds.
  7. 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) June 6, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to implement interventions to prevent accidents for 1 resident (Resident #20) of 3 residents reviewed for accidents.
  8. 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) June 6, 2023
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure medications were secured in 1 of 4 medication carts and in 1 of 4 treatment carts observed.
November 14, 2019Standard inspection · 2 citations
  1. 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) December 2, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to adequately monitor and report an irregularity to the physician for 1 resident (#27) of 6 residents reviewed for unnecessary medications.
  2. C
    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 minimal harm, widespread · Corrected (the home has a date of correction) December 2, 2019
    Inspectors wroteBased on medical record review and interview the facility failed to provide evidence of documentation in the medical record indicating a Baseline Care Plan summary was given to the resident and/or resident representative for 6 Residents (#1, #16, #21, #22, #34, and #195) and failed to develop a Baseline Care Plan timely for 1 Resident (#16) of 6 residents reviewed for Baseline Care Plans.

Fire safety inspections

10 fire safety citations on file: 8 on May 3, 2023, 2 on November 14, 2019.

Every fire safety citation10 citations
  1. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 3, 2023 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 3, 2023 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 3, 2023 · Corrected (the home has a date of correction)
  4. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 3, 2023 · Corrected (the home has a date of correction)
  5. E
    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 · May 3, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · May 3, 2023 · Corrected (the home has a date of correction)
  7. D
    Have elevators that firefighters can control in the event of a fire.
    K 531 · May 3, 2023 · Corrected (the home has a date of correction)
  8. D
    Have simulated fire drills held at unexpected times.
    K 712 · May 3, 2023 · Corrected (the home has a date of correction)
  9. D
    Include a process for Emergency Preparedness collaboration.
    E 9 · November 14, 2019 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 14, 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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.823.803.86
Registered nurses0.660.600.69
All nursing staff on weekends3.503.313.42
Nurse aides2.04
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)65.0%48.9%45.8%
Registered nurse turnover58.3%43.2%42.9%
Administrators who left0

CMS expects 3.66 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 3.94 on weekdays and 3.50 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.31 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.663.943.50 10.3%0 of 9052
Oct to Dec 20253.620.783.753.29 9.7%0 of 9252
Jul to Sep 20254.191.044.443.53 8.5%0 of 9253
Apr to Jun 20254.311.134.563.67 9.1%0 of 9152
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
33.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.93.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
43.917.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.65.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.616.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.61.8

Owners and operators

Legal business name: FAIRFIELD GLADE OF TENNESSEE, LLC. CMS links this home to Liberty Senior Living, a group of 37 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Liberty Senior Living LLC5% or greater direct ownership interestOrganization100%10/01/2025
Bork, MatthewCorporate officerIndividual10/01/2025
Purvis, WilliamCorporate officerIndividual10/01/2025
Cotton, BarryOperational/managerial controlIndividual10/01/2025
Cox, MichaelOperational/managerial controlIndividual10/01/2025
McNeill, RobertIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
Oliver, AnnaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/05/2026
Purvis, JennyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/05/2026
John a McNeill Jr 2014 Irrevocable TrustAdp of the SNFOrganization10/01/2025
Ldp Properties I LLCAdp of the SNFOrganization10/01/2025
Liberty Living Management LLCAdp of the SNFOrganization10/01/2025
Liberty Properties of Fairfield Glade, LLCAdp of the SNFOrganization10/01/2025
Ronald B and Cynthia J McNeil 2014 Irrevocable TrustAdp of the SNFOrganization10/01/2025
Bork, MatthewAdp of the SNFIndividual10/01/2025
Cotton, BarryAdp of the SNFIndividual10/01/2025
Cox, MichaelAdp of the SNFIndividual10/01/2025
McNeill, JohnAdp of the SNFIndividual10/01/2025
McNeill, RonaldAdp of the SNFIndividual10/01/2025
Purvis, WilliamAdp of the SNFIndividual10/01/2025
Wilson, JeffreyAdp of the SNFIndividual10/01/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 3, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 3, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on May 3, 2023: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 3, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."

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 The Preserve at Fairfield Glade's Medicare star rating?
CMS rates The Preserve at Fairfield Glade 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Preserve at Fairfield Glade get at its last inspection?
1 health deficiency at the standard inspection on June 3, 2026. The Tennessee average is 4.4.
Has The Preserve at Fairfield Glade been fined?
CMS lists no fines in the last three years.
Does The Preserve at Fairfield Glade 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 The Preserve at Fairfield Glade?
CMS lists 20 owners and managers, and links the home to Liberty Senior Living. Legal business name: FAIRFIELD GLADE OF TENNESSEE, LLC.

Sources

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