Cycle 1
Health 2025-02-12 · Fire 2025-02-12
6 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Alamo, TN
Alamo Nursing And Rehabilitation Center
3-star overall rating with 3-star inspections with $12,542 in total fines with 6 recent health deficiencies
580 W Main Street, Alamo, TN
(731) 696-4541
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-10-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.36
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.60
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.96
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,139
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9880
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.36
Baseline 21.95% · Performance 20.05% · Measure score 3.36 · Achievement 2.98 · Improvement 3.36
Healthcare-associated infections
5.45
Baseline 9.04% · Performance 6.63% · Measure score 5.45 · Achievement 4.03 · Improvement 5.45
Total nurse turnover
0
Baseline 55.06% · Performance 66.34% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.74
Baseline 3.25 hours · Performance 4.43 hours · Measure score 4.74 · Achievement 4.74 · Improvement 4.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.03% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 15.63% · Lower 95% interval 7.62% |
| Discharge to community | 46.04% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 33.33% · Lower 95% interval 30.32% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 60% |
95.27%
35.3 pts worse
|
Numerator 15 · Denominator 25 |
| Falls with major injury | 4% |
0.77%
3.2 pts worse
|
Numerator 1 · Denominator 25 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 1 · Denominator 25 · Adjusted rate 3.96% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.49% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 143 |
| Staff flu vaccination coverage | 31.13% |
42%
10.9 pts worse
|
Numerator 47 · Denominator 151 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0 |
1.6
1.6 pts better
|
1.9
1.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.1% |
89.9%
13.8 pts worse
|
93.4%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.7% · Q2 73.7% · Q3 74.1% · Q4 77.8% · 4Q avg 76.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.5%
2.3 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.6%
1.4 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 1.7% · Q4 3.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
11.8%
8.5 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.8% · Q3 1.9% · Q4 2.1% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 12.4% |
6.2%
6.2 pts worse
|
5.4%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 18.5% · Q3 20.0% · Q4 5.9% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 45.8% |
32.2%
13.6 pts worse
|
19.6%
26.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.4% · Q2 48.1% · Q3 45.5% · Q4 42.0% · 4Q avg 45.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.6% |
18.1%
17.5 pts worse
|
16.7%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 31.8% · Q3 34.1% · Q4 42.5% · 4Q avg 35.6% · 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 | 38.6% |
19.9%
18.7 pts worse
|
16.3%
22.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q3 57.9% · 4Q avg 38.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.5% |
15.3%
11.2 pts worse
|
14.9%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 34.0% · Q3 19.0% · Q4 26.7% · 4Q avg 26.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.3% |
0.9%
3.4 pts worse
|
1.0%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.6% · Q3 3.4% · Q4 5.1% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.9%
0.7 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 0.0% · Q3 1.7% · Q4 1.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
20.2%
3.6 pts worse
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 28.4% · Q3 20.6% · Q4 21.6% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.4%
1.1 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.4% · Q3 5.4% · Q4 6.6% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.6% |
79.6%
7 pts worse
|
81.7%
9.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 80.6% · Q3 80.8% · Q4 60.0% · 4Q avg 72.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.2%
3 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.1% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.1% |
1.6%
4.5 pts worse
|
1.6%
4.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.9% |
79.8%
7.9 pts worse
|
79.7%
7.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.5% |
22.2%
6.7 pts better
|
23.9%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 18.2% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-15 · Fire 2024-03-15
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2022-02-08 · Fire 2022-02-08
7 health deficiencies
Top issue: Administration (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-03-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-22
D · Potential for more than minimal harm
2024-03-15
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 2024-04-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-12
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-12
D · Potential for more than minimal harm
2025-02-12
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 2025-03-12
D · Potential for more than minimal harm
2025-02-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-12
D · Potential for more than minimal harm
2025-02-12
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-12
D · Potential for more than minimal harm
2025-02-12
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-03-12
D · Potential for more than minimal harm
2025-02-12
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 2025-03-12
D · Potential for more than minimal harm
2025-02-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-12
G · Actual harm
2024-03-15
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 2024-05-06
D · Potential for more than minimal harm
2024-03-15
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-15
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-15
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 2024-05-06
D · Potential for more than minimal harm
2024-03-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-15
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-06
L · Immediate jeopardy
2022-02-08
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-03-24
L · Immediate jeopardy
2022-02-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-03-24
L · Immediate jeopardy
2022-02-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-24
F · Potential for more than minimal harm
2022-02-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-08
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 2022-03-24
D · Potential for more than minimal harm
2022-02-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-08
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-24
Penalties and ownership
What sits behind the stars
$12,542
2024-03-15
Fine
Fine · fine $12,542
Fine
$0
2024-03-15
Payment Denial
Payment Denial · denial start 2024-04-12 · 24 days
24 day denial
Ownership
Mann, Joy
5% Or Greater Direct Ownership Interest · Individual
Blankenship, Monica
Operational/Managerial Control · Individual
Mann, Joy
Corporate Officer · Individual
Nearby options
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2-star overall rating with 2-star inspections with 11 recent health deficiencies
#3
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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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