Cycle 1
Health 2025-12-17 · Fire 2025-12-17
6 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Murfreesboro, TN
Adamsplace, LLC
3-star overall rating with 2-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1927 Memorial Boulevard, Murfreesboro, TN
(615) 904-9111
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
40
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1997-04-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.82
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.08
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.59
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.10
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.50
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.39
CMS adjusted RN staffing hours
Adjusted total hours
3.89
CMS adjusted total nurse staffing hours
Case-mix index
1.79
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,727
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.42
Composite VBP score used to determine payment impact.
Payment multiplier
1.0093
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.04% · Performance 16.68% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
6
Baseline 4.78% · Performance 6.04% · Measure score 6 · Achievement 6 · Improvement 0
Total nurse turnover
3.36
Baseline 77.78% · Performance 57.35% · Measure score 3.36 · Achievement 1.55 · Improvement 3.36
Adjusted total nurse staffing
2.41
Baseline 6.38 hours · Performance 3.76 hours · Measure score 2.41 · Achievement 2.41 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 660 · Observed rate 7.27% · Lower 95% interval 7.34% |
| Discharge to community | 71.35% |
50.57%
20.8 pts better
|
Better than the National Rate · Eligible stays 657 · Observed rate 70.62% · Lower 95% interval 67.75% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 392 · Denominator 392 |
| Falls with major injury | 0.26% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 392 |
| Discharge self-care score | 68.28% |
53.69%
14.6 pts better
|
Numerator 155 · Denominator 227 |
| Discharge mobility score | 77.97% |
50.94%
27 pts better
|
Numerator 177 · Denominator 227 |
| Pressure ulcers or injuries, new or worsened | 0.26% |
2.29%
2 pts better
|
Numerator 1 · Denominator 392 · Adjusted rate 0.29% |
| Healthcare-associated infections requiring hospitalization | 6.04% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 382 · Observed rate 4.45% · Lower 95% interval 4.37% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 158 |
| Staff flu vaccination coverage | 13.57% |
42%
28.4 pts worse
|
Numerator 30 · Denominator 221 |
| Discharge function score | 77.97% |
56.45%
21.5 pts better
|
Numerator 177 · Denominator 227 |
| Transfer of health information to provider | 97.89% |
95.95%
1.9 pts better
|
Numerator 93 · Denominator 95 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 290 · Denominator 290 |
| Resident COVID-19 vaccinations up to date | 34.33% |
25.2%
9.1 pts better
|
Numerator 69 · Denominator 201 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
79.6%
12.3 pts better
|
81.7%
10.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.6% · Q2 91.8% · Q3 94.0% · Q4 97.0% · 4Q avg 91.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
11.2%
4.8 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 5.3% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.6% · Q3 1.1% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.2% |
79.8%
19.4 pts better
|
79.7%
19.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
22.2%
2.5 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 16.5% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-16 · Fire 2021-06-16
3 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-06-26 · Fire 2019-06-26
0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-17
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2026-01-31
D · Potential for more than minimal harm
2021-06-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-07-12
D · Potential for more than minimal harm
2021-06-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-07-30
D · Potential for more than minimal harm
2021-06-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-07-12
F · Potential for more than minimal harm
2019-06-26
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-08-10
D · Potential for more than minimal harm
2019-06-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-08-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-31
F · Potential for more than minimal harm
2025-12-17
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-01-31
D · Potential for more than minimal harm
2025-12-17
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-31
D · Potential for more than minimal harm
2025-12-17
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-31
D · Potential for more than minimal harm
2025-12-17
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-31
D · Potential for more than minimal harm
2025-12-17
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2026-01-31
D · Potential for more than minimal harm
2021-06-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-05
D · Potential for more than minimal harm
2021-06-16
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-05
D · Potential for more than minimal harm
2021-06-16
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-08-05
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Bidwell, Gregory
Operational/Managerial Control · Individual
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Coleman, Sarah
Operational/Managerial Control · Individual
Dieringer, Nicholas
Operational/Managerial Control · Individual
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Winfree, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Stone River Post Acute
Murfreesboro, TN
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Stones River Manor, Inc
Murfreesboro, TN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Nhc Healthcare, Murfreesboro
Murfreesboro, TN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out