Home / Tennessee / Westmoreland
Westmoreland Care & Rehab Ctr
1559 New Highway 52, Westmoreland, TN 37186 · Sumner County · (615) 644-5111
100 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445342 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 11 health citations since May 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 3.13 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
38.7% 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 11 health citations on file.
March 26, 2026Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure staff changed the central line dressing as ordered by the physician for 1 (Resident #84) of 5 sampled residents reviewed for medication regime review.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff completed and accurately documented the status of resident care to be provided for 2 (Resident #59 and Resident #84) of 21 sampled residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure staff wore a gown and gloves when they provided care to residents on enhanced barrier precautions (EBP) for 2 (Resident #23 and Resident #84) of 5 sampled residents reviewed for infection control.
March 2, 2022Standard inspection · 8 citations
- F 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, facility documentation review, observations, and interview, the facility failed to store food at the proper temperature, prevent contamination of food, and ensure the Dietary Department was maintained in a sanitary manner, affecting 89 of 93 residents in the facility.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to keep 1 of 93 sampled residents (Resident #8) who was wearing only a brief, covered, and the facility failed to ensure 3 of 7 sampled residents (Resident #33, #43 and #54) indwelling urinary catheter drainage bags were covered with a privacy cover.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to have a call light in reach for 1 of 93 sampled residents (Resident #27) observed.
- 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 implement a person-centered care plan for 3 of 93 sampled residents (Resident #14, #43, and #50) for respiratory care for Resident #14, anticoagulant for Resident #43, and elopement for Resident #50.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to revise a care plan for 1 of 93 sampled residents (Resident #8) reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure 1 of 93 sampled residents (Resident #63) had clean and groomed fingernails.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow Physician's Orders for 3 of 93 sampled residents (Resident #38, #43, and #59) reviewed regarding wound dressing changes for Resident #38, Midline dressing changes for Resident #43, and medication administration for Resident #59.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to prevent the spread of infection for 2 of 93 sampled residents (Resident #54 and #60) reviewed, regarding indwelling urinary catheter drainage bag and tubing was laying in the floor for Resident #54, oxygen tubing was touching the floor for Resident #60. The facility also failed to ensure staff donned appropriate Personal Protective Equipment (PPE) prior to entering a Transmission Based Precaution (TBP) room.
May 8, 2019Standard inspection · 0 citations
Fire safety inspections
10 fire safety citations on file: 6 on March 26, 2026, 1 on March 2, 2022, 3 on May 8, 2019.
Every fire safety citation10 citations
- 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 simulated fire drills held at unexpected times.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- D Ensure that testing and maintenance of electrical equipment is performed.
- 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 Inspect, test, and maintain automatic sprinkler systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Meet requirements for the use of electrical equipment.
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) | 3.13 | 3.80 | 3.86 |
| Registered nurses | 0.35 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.74 | 3.31 | 3.42 |
| Nurse aides | 1.67 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 38.7% | 48.9% | 45.8% |
| Registered nurse turnover | 50.0% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.89 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 3.29 on weekdays and 2.74 on weekends, 17% 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 3.38 in April to June 2025 to 3.13 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 | 3.13 | 0.35 | 3.29 | 2.74 | 0.0% | 1 of 90 | 86 |
| Oct to Dec 2025 | 3.41 | 0.42 | 3.57 | 2.99 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.65 | 0.39 | 3.86 | 3.12 | 0.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.38 | 0.37 | 3.57 | 2.88 | 0.0% | 0 of 91 | 81 |
| 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 | 11.2 | 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 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 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: LP WESTMORELAND 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 | |
| Spears, Lashell | W-2 managing employee | Individual | 07/08/2016 | |
| Harrison, John | Corporate officer | Individual | 08/20/2007 | |
| Spears, Lashell | Operational/managerial control | Individual | 07/08/2016 |
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 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, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 26, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 March 26, 2026: "Provide and implement an infection prevention and control program."
- 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 March 2, 2022: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.74 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Hartsville Convalescent Center Hartsville, 13.4 mi · 1 of 5 stars · 27 citations
- Knollwood Manor Lafayette, 13.4 mi · 1 of 5 stars · 18 citations
- Signature Health of Portland Rehab & Wellness Cent Portland, 13.6 mi · 1 of 5 stars · 24 citations
- Cal Turner Rehab and Specialty Care Scottsville, 14 mi · 5 of 5 stars · 9 citations
- The Waters of Gallatin Gallatin, 15.4 mi · 2 of 5 stars · 12 citations
- Gallatin Center for Rehabilitation and Healing Gallatin, 15.6 mi · 4 of 5 stars · 25 citations
- Franklin-Simpson Nursing and Rehabilitation Center Franklin, 20.1 mi · 3 of 5 stars · 15 citations
- NHC Place Sumner Gallatin, 20.2 mi · 5 of 5 stars · 7 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 Westmoreland Care & Rehab Ctr's Medicare star rating?
- CMS rates Westmoreland Care & Rehab Ctr 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westmoreland Care & Rehab Ctr get at its last inspection?
- 3 health deficiencies at the standard inspection on March 26, 2026. The Tennessee average is 4.4.
- Has Westmoreland Care & Rehab Ctr been fined?
- CMS lists no fines in the last three years.
- Does Westmoreland Care & Rehab Ctr 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 Westmoreland Care & Rehab Ctr?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP WESTMORELAND 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.