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Vanayer Senior Living and Rehabilitation

460 Hannings Lane, Martin, TN 38237 · Weakley County · (731) 587-3193

91 certified beds, about 67 residents a day · For profit - Individual · Medicare and Medicaid since 2000

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445423 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 21, 2025, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 9 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,589 in the last three years; the largest was $8,589, and the latest is dated February 11, 2025.

Nurses and nurse aides worked 3.49 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

50.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to The Ensign Group, an affiliated group of 344 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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
November 21, 2025Standard inspection · 4 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure that resident medication was administered as ordered when 1 of 1 (Resident #70) random residents observed self-administered a nebulizer treatment without staff present.
  2. 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) January 5, 2026
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to implement care plan interventions for 1 of 2 (Resident #3) sampled residents reviewed for falls.
  3. 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) January 5, 2026
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure care and services were provided when the use of a Percutaneous Endoscopic Gastrostomy (PEG) tube (a tube inserted into the stomach to administer medications and food supplements) was documented inaccurately in the medical record for 1 of 1 sampled resident (Resident #6) reviewed for enteral feedings.
  4. 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) January 5, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when 1 of 2 Nurses (Licensed Practical Nurse (LPN) A ) failed to perform hand hygiene during wound care for 1 of 2 sampled residents (Resident #2) were reviewed for wounds, and when 1 of 11 staff members (Certified Nursing Assistant (CNA) B) failed to wear gloves when handling food for 1 of 58 sampled residents (Resident #15) reviewed during dining.
February 11, 2025Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, medical record review, facility investigation, Quality Assurance and Performance Improvement (QAPI) Committee documentation review, and interview, the facility failed to provide adequate assistance and supervision to prevent falls for 1 of 12 (Resident #1) sampled residents reviewed for accident hazards. Resident #1, who was dependent on staff for bed mobility, fell from her bed on 1/14/2025 when Certified Nursing Assistant (CNA) A rolled the resident on her side then CNA A turned her back on the resident during incontinence care. Resident #1 sustained a right distal femoral shaft fracture (break in the lower part of the thighbone, just above the knee joint), left distal femoral shaft fracture, and left proximal tibia fracture (break in the upper part of the shinbone near the knee joint) from the fall, which resulted in actual HARM to the resident. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure medications were stored appropriately when an unsecured medication was observed in 1 of 38 resident rooms (Resident #4's room) which could have potentially affected the 4 identified wandering residents (Resident #11, #12, #13, and #14) in the facility.
July 28, 2021Standard inspection · 2 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) September 10, 2021
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored under sanitary conditions as evidenced by carbon build-up on pots and pans, expired food items in the Kitchen, open and undated food items in the Kitchen, dirty equipment in the Kitchen, staff failed to clean the thermometer during tray line temperature checks, and 5 of 10 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #4, and #5) placed contaminated cups back onto a clean dining cart, entered a droplet isolation room without the proper Personal Protective Equipment (PPE), and failed to perform hand hygiene during dining observations. The facility had a census of 59 with 59 of those residents receiving a meal tray from the kitchen.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2021
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to properly store respiratory equipment and failed to follow physician's orders for changing oxygen tubing and humidifier bottles for 3 of 5 sampled residents (Resident #25, #35, and #163) reviewed for Respiratory Care.
December 11, 2019Standard inspection · 1 citation
  1. 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) January 25, 2020
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to implement fall interventions for 1 of 1 (Resident #17) sampled residents reviewed for falls.

Fines and payment denials

DatePenaltyAmount or length
February 11, 2025Fine $8,589

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.493.803.86
Registered nurses0.590.600.69
All nursing staff on weekends2.863.313.42
Nurse aides1.80
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)50.0%48.9%45.8%
Registered nurse turnover28.6%43.2%42.9%
Administrators who left1

CMS expects 4.26 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 2.86 on weekends, 24% 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 3.86 in April to June 2025 to 3.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.490.593.752.86 0.0%0 of 9067
Oct to Dec 20253.540.553.762.98 0.0%0 of 9263
Jul to Sep 20253.540.593.772.95 0.0%0 of 9262
Apr to Jun 20253.860.574.232.94 0.0%0 of 9163
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
18.414.013.9
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
2.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.53.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.517.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.95.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.416.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.822.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.61.8

Owners and operators

Legal business name: CANE CREEK HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Rocky Top Healthcare LLC5% or greater direct ownership interestOrganization100%08/09/2024
Albrechtsen, TylerCorporate directorIndividual08/09/2024
Burnam, SoonCorporate officerIndividual08/09/2024
Burton, SpencerCorporate officerIndividual08/09/2024
Port, BarryCorporate officerIndividual08/09/2024
Sato, AmiCorporate officerIndividual09/09/2024
Snapper, SuzanneCorporate officerIndividual08/09/2024
Thatcher, BrentCorporate officerIndividual08/09/2024
Swindell, BettyOperational/managerial controlIndividual01/01/2025
Carr, KennethAdp of the SNFIndividual01/08/2025

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. 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 November 21, 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."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 21, 2025: "Allow residents to self-administer drugs if determined clinically appropriate."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 21, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 21, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.86 hours per resident per day, below the Tennessee average of 3.31.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Vanayer Senior Living and Rehabilitation's Medicare star rating?
CMS rates Vanayer Senior Living and Rehabilitation 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 Vanayer Senior Living and Rehabilitation get at its last inspection?
4 health deficiencies at the standard inspection on November 21, 2025. The Tennessee average is 4.4.
Has Vanayer Senior Living and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $8,589 in the last three years.
Does Vanayer Senior Living and Rehabilitation 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 Vanayer Senior Living and Rehabilitation?
CMS lists 10 owners and managers, and links the home to The Ensign Group. Legal business name: CANE CREEK HEALTHCARE, INC..

Sources

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