Hohenwald, TN

Ahc Lewis County

1-star overall rating with 1-star inspections with $396,269 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

119 Kittrell Street, Hohenwald, TN

(931) 796-3233

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

131

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Health Communities

Operator or chain grouping

Approved since

2002-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

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

0.34

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.38

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.97

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.72

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.28

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.13

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

3.30

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,239

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 17.43% · Performance 23.25% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.26% · Performance 10.38% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.99

Baseline 63.64% · Performance 55.56% · Measure score 1.99 · Achievement 1.99 · Improvement 1.58

Adjusted total nurse staffing

5.04

Baseline 2.7 hours · Performance 4.41 hours · Measure score 5.04 · Achievement 4.67 · Improvement 5.04

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.86%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 9.3% · Lower 95% interval 6.98%
Discharge to community	51.75%	50.57% 1.2 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 47.37% · Lower 95% interval 39.47%
Medicare spending per beneficiary	1.16	1.02 0.1 pts worse
Drug regimen review with follow-up	96.15%	95.27% 0.9 pts better	Numerator 50 · Denominator 52
Falls with major injury	5.77%	0.77% 5 pts worse	Numerator 3 · Denominator 52
Discharge self-care score	38.89%	53.69% 14.8 pts worse	Numerator 14 · Denominator 36
Discharge mobility score	33.33%	50.94% 17.6 pts worse	Numerator 12 · Denominator 36
Pressure ulcers or injuries, new or worsened	1.92%	2.29% 0.4 pts better	Numerator 1 · Denominator 52 · Adjusted rate 2.3%
Healthcare-associated infections requiring hospitalization	10.38%	7.12% 3.3 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 20.51% · Lower 95% interval 5.72%
Staff COVID-19 vaccination coverage	2.19%	8.2% 6 pts worse	Numerator 3 · Denominator 137
Staff flu vaccination coverage	20.44%	42% 21.6 pts worse	Numerator 28 · Denominator 137
Discharge function score	27.78%	56.45% 28.7 pts worse	Numerator 10 · Denominator 36
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	96%	96.28% 0.3 pts worse	Numerator 24 · Denominator 25
Resident COVID-19 vaccinations up to date	21.43%	25.2% 3.8 pts worse	Numerator 6 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.6 0.6 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.5 · Expected 3.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.6 0.7 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.1 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	24.8%	89.9% 65.1 pts worse	93.4% 68.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 7.0% · Q3 1.5% · Q4 81.4% · 4Q avg 24.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.9%	94.5% 8.6 pts worse	95.5% 9.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.6% 1.3 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	29.7%	11.8% 17.9 pts worse	11.4% 18.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 8.3% · Q3 22.4% · Q4 76.8% · 4Q avg 29.7%
Percentage of long-stay residents who lose too much weight	1.7%	6.2% 4.5 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.7% · Q4 2.0% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.5%	32.2% 1.3 pts worse	19.6% 13.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 31.8% · Q3 30.6% · Q4 28.8% · 4Q avg 33.5%
Percentage of long-stay residents who received an antipsychotic medication	45.0%	18.1% 26.9 pts worse	16.7% 28.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 54.3% · Q3 35.7% · Q4 41.0% · 4Q avg 45.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.0%	19.9% 4.9 pts better	16.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q4 9.9% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.8%	15.3% 7.5 pts worse	14.9% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 36.5% · Q3 29.2% · Q4 4.5% · 4Q avg 22.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	0.9% 0.6 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.0% · Q3 1.2% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	1.9% 0.8 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.4%	20.2% 3.2 pts worse	19.8% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 23.5% · Q3 28.8% · Q4 9.3% · 4Q avg 23.4%
Percentage of long-stay residents with pressure ulcers	4.4%	5.4% 1 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.4% · Q3 2.3% · Q4 2.5% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	29.4%	79.6% 50.2 pts worse	81.7% 52.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 23.5% · Q3 8.8% · Q4 61.7% · 4Q avg 29.4%
Percentage of short-stay residents who had an outpatient emergency department visit	18.3%	11.2% 7.1 pts worse	12.0% 6.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 14.8% · Expected 9.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.6% 1 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	21.7%	79.8% 58.1 pts worse	79.7% 58 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 21.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.6%	22.2% 7.4 pts worse	23.9% 5.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 24.1% · Expected 19.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2024-06-06 · Fire 2024-06-06

2 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-06-01 · Fire 2023-06-01

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-08-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-08-20

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-08-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-29

D · Potential for more than minimal harm 2024-06-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-06-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-03

D · Potential for more than minimal harm 2023-06-01

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 2023-05-02

D · Potential for more than minimal harm 2023-06-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-06-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-02

D · Potential for more than minimal harm 2023-06-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-06-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-08-20

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-08-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-08-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-08-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-08-20

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-12-30

E · Potential for more than minimal harm 2024-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-06-06

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-30

J · Immediate jeopardy 2023-11-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-30

J · Immediate jeopardy 2023-11-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-30

E · Potential for more than minimal harm 2023-11-15

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 2023-11-30

D · Potential for more than minimal harm 2023-11-15

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-15

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-15

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-11-30

J · Immediate jeopardy 2023-09-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-30

J · Immediate jeopardy 2023-09-26

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2023-11-30

J · Immediate jeopardy 2023-06-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-21

J · Immediate jeopardy 2023-06-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-30

J · Immediate jeopardy 2023-06-01

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-11-30

J · Immediate jeopardy 2023-06-01

F742 · Quality of Life and Care Deficiencies

Health

Corrected 2023-06-21

J · Immediate jeopardy 2023-06-01

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-06-21

E · Potential for more than minimal harm 2023-06-01

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-06-01

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-06-01

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-06-01

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 2023-06-21

D · Potential for more than minimal harm 2023-06-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-06-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-06-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-21

Penalties and ownership

What sits behind the stars

$396,269 2023-06-01

Fine

Fine · fine $396,269

Fine

$0 2023-06-01

Payment Denial

Payment Denial · denial start 2023-06-04 · 179 days

179 day denial

Ownership

Nearby options

Other facilities in reach

Mt Pleasant Healthcare And Rehabilitation

Mount Pleasant, TN

3-star overall rating with 3-star inspections with $7,443 in total fines with 7 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 3 / 5
Staffing: 2 / 5
Fines: $7,443