Towne Square Care of Puryear
220 College Street, Puryear, TN 38251 · Henry County · (731) 247-3205
32 certified beds, about 25 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445470 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 19, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 16 health citations since April 2024 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 4.29 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
22.7% 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.
504/24
803/25
305/26
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
3E
0F
Potential for minimal harm
0A
0B
0C
May 19, 2026Standard inspection · 3 citations
- 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, prepared, and served under sanitary conditions when undated, unlabeled food items were found stored in the kitchen. The facility had a census of 24 and 24 of the residents were served from the Kitchen.
- 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 facility policy review, medical record, observation, and interview, the facility failed to ensure medications were properly stored when 2 of 2 medication storage carts (Hall 1 and Hall 2) had expired and outdated medications.
- D Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on policy review, Centers for Medicare & [and] Medicaid Services Electronic Staffing Data Submission Payroll-Based Journal Long-Term Care Facility Policy Manual review, Quarterly Payroll Based Journal (PBJ) review, facility staffing information review, and interview, the facility failed to submit accurate staffing data for Quarter 1 for PBJ 2026 (October 1, 2025- December 31, 2025) reviewed for staffing data.
March 26, 2025Standard inspection · 8 citations
- E 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 maintain a sanitary kitchen when 1 of 1 ice machines was observed to have a dark slimy build up and when 1 of 1 nourishment refrigerator had a yellow sticky substance in the freezer and refrigerator.
- 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 policy review, medical record review, and interview, the facility failed to develop am elopement risk care plan for 1 of 12 (Resident #4) sampled residents reviewed for care plans.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, named Hospice agreement review, medical record review, and interview, the facility failed to provide a communication process, including how the communication will be documented between the Long-term Care facility and the hospice provider to ensure resident needs are addressed and met for 1 of 12 (Resident #7) sampled residents and failed to follow Physician Orders for 1 of 12 (Resident #16) sampled residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure a safe and secure environment when hazards items were found in 2 of 18 (Resident #18 and #22) resident rooms reviewed for accidents.
- D Post nurse staffing information every day.
Inspectors wroteBased on policy review, daily staff posting review, and interview, the facility failed to post the total number of staff, and actual hours worked by the licensed staff responsible for resident care on the facility's Daily Staff Posting form for 20 of 24 sampled days.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure 1 of 2 (Registered Nurse (RN) A) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 26 opportunities, resulting in a medication error rate of 7.69%.
- 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 policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 3 (Short Hall Medication Cart) medication storage areas was found unsecured and unattended when medications were found unsecured and unattended in 1 of 18 (Resident #22) resident occupied rooms.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation and interview, the facility failed to ensure proper infection control practices were followed during medication administration when 1 of 2 nurses (Licensed Practical Nurse (LPN) C) picked items out of trash and failed to change gloves and/or use hand hygiene, when 1 of 1 (Registered Nurse (RN) A) failed to clean reusable resident equipment in between resident use, and when 1 of 2 (RN A) nurses administered medication to a resident after dropping the medication on the resident's person.
April 3, 2024Standard inspection, Complaint inspection · 5 citations
- E 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, Job Description, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by dirty trash can, carbon build-up on the pans, dirty equipment, the deep fryer with carbon build-up with food particles, carbon build-up on the flat grill, and large amount of greasy dark stain on the floor beside and behind the deep fryer, kitchen cabinets with large amount of peeling Formica laminate on the doors and drawer, cabinet under the sink with dark furry substance with an old stained cloth and the cabinet underneath in disrepair. The facility had a census of 25 with 25 of those residents receiving a meal tray from the kitchen.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on policy review, medical record review, facility investigation review, and interview, the facility failed to report allegations of abuse to Adult Protection Service (APS) and Long-Term Care Ombudsman for 1 of 3 (Resident #177) sampled residents reviewed for abuse, failed to report an allegation of abuse to local law enforcement, and failed to complete a 5 day follow-up report to the state agency for 3 of 3 (Resident #8, #17, and #177) sampled residents reviewed for allegations of abuse.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure neurological (neuro) checks were obtained after an unwitnessed fall with a head injury for 1 of 2 (Resident #127) reviewed for accident hazards.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on policy review, nurse schedules, facility group hours report, facility time sheets, and interview, the facility failed to ensure there was a Registered Nurse (RN) on duty for 8 consecutive hours a day, 7 days a week for 4 of 29 days (10/8/2023, 11/5/202, 11/11/2023, and 11/26/2023) reviewed for RN coverage.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain an adequate supply of over-the-counter medications for 3 of 3 (Medication Cart #1, Medication Cart #2, and Medication Storage Room) medication carts reviewed for medication storage.
Fire safety inspections
6 fire safety citations on file: 3 on May 19, 2026, 3 on March 26, 2025.
Every fire safety citation6 citations
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have properly located and lighted "Exit" signs.
- D Have generator or other power source capable of supplying service within 10 seconds.
- 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) | 4.29 | 3.80 | 3.86 |
| Registered nurses | 0.52 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.83 | 3.31 | 3.42 |
| Nurse aides | 3.03 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 22.7% | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.30 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 4.88 on weekdays and 2.83 on weekends, 42% 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 3.72 in April to June 2025 to 4.29 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 | 4.29 | 0.52 | 4.88 | 2.83 | 0.0% | 9 of 90 | 25 |
| Oct to Dec 2025 | 3.36 | 0.54 | 3.66 | 2.60 | 0.0% | 11 of 92 | 26 |
| Jul to Sep 2025 | 3.45 | 0.70 | 3.84 | 2.44 | 0.0% | 7 of 92 | 27 |
| Apr to Jun 2025 | 3.72 | 0.60 | 3.90 | 3.25 | 0.0% | 13 of 91 | 26 |
| 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 | 24.5 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 16.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: TOWNE SQUARE CARE MGT OF PURYEAR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| White, Patrick | 5% or greater direct ownership interest | Individual | 100% | 02/01/2017 |
| Bell, Zachary | W-2 managing employee | Individual | 10/23/2018 | |
| White, Patrick | Corporate director | Individual | 06/30/2021 | |
| White, Patrick | Operational/managerial control | Individual | 06/30/2021 |
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 medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 19, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on May 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on March 26, 2025: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.83 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Henry County Health and Rehabilitation Paris, 10.2 mi · 5 of 5 stars · 9 citations
- Spring Creek Post-Acute Rehabilitation Center Murray, 10.2 mi · 1 of 5 stars · 25 citations
- Patriot Health and Rehabilitation Center Paris, 10.6 mi · 4 of 5 stars · 17 citations
- Hillview Community Living Center Dresden, 22.5 mi · 4 of 5 stars · 11 citations
- AHC McKenzie Mc Kenzie, 22.6 mi · 4 of 5 stars · 3 citations
- Weakley Rehabilitation and Nursing Center Dresden, 22.8 mi · 1 of 5 stars · 27 citations
- Waters of McKenzie a Rehabilitation & Nursing Ctr Mc Kenzie, 24.9 mi · 2 of 5 stars · 13 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 Towne Square Care of Puryear's Medicare star rating?
- CMS rates Towne Square Care of Puryear 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Towne Square Care of Puryear get at its last inspection?
- 3 health deficiencies at the standard inspection on May 19, 2026. The Tennessee average is 4.4.
- Has Towne Square Care of Puryear been fined?
- CMS lists no fines in the last three years.
- Does Towne Square Care of Puryear 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 Towne Square Care of Puryear?
- CMS lists 4 owners and managers. Legal business name: TOWNE SQUARE CARE MGT OF PURYEAR 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.