Cycle 1
Health 2026-01-14 · Fire 2026-01-14
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Medina, TN
Christian Care Center Of Medina
1-star overall rating with 1-star inspections with $15,592 in total fines with 2 recent health deficiencies
401 Promise Way Lane, Medina, TN
(731) 462-0020
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
66
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-06-29
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
0.39
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.06
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,032
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.64
Performance 18.35% · Measure score 6.64 · Achievement 6.64 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.56
Performance 6.47% · Measure score 4.56 · Achievement 4.56 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 69.64% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Performance 3.12 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.63% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 8.39% · Lower 95% interval 6.96% |
| Discharge to community | 72.7% |
50.57%
22.1 pts better
|
Better than the National Rate · Eligible stays 133 · Observed rate 65.41% · Lower 95% interval 64.48% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 65 · Denominator 65 |
| Falls with major injury | 1.54% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 65 |
| Discharge self-care score | 30.77% |
53.69%
22.9 pts worse
|
Numerator 16 · Denominator 52 |
| Discharge mobility score | 15.38% |
50.94%
35.6 pts worse
|
Numerator 8 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 10.77% |
2.29%
8.5 pts worse
|
Numerator 7 · Denominator 65 · Adjusted rate 10% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 4.84% · Lower 95% interval 3.2% |
| Staff COVID-19 vaccination coverage | 14.08% |
8.2%
5.9 pts better
|
Numerator 10 · Denominator 71 |
| Staff flu vaccination coverage | 21.7% |
42%
20.3 pts worse
|
Numerator 23 · Denominator 106 |
| Discharge function score | 26.92% |
56.45%
29.5 pts worse
|
Numerator 14 · Denominator 52 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 4 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
89.9%
7.7 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.0% · Q3 96.4% · Q4 98.1% · 4Q avg 97.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.6% |
3.6%
3 pts worse
|
3.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.9% · Q3 10.7% · Q4 5.6% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.6% |
11.8%
1.2 pts better
|
11.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 16.0% · Q3 7.5% · Q4 15.1% · 4Q avg 10.6% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.2%
0.4 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 4.5% · Q3 4.3% · Q4 4.7% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.8% |
32.2%
0.4 pts better
|
19.6%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 34.1% · Q3 36.2% · Q4 27.3% · 4Q avg 31.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
18.1%
2.5 pts better
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 14.7% · Q3 15.2% · Q4 14.3% · 4Q avg 15.6% · 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 | 19.9% |
19.9%
About the same
|
16.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% |
15.3%
0.2 pts worse
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 10.8% · Q3 15.0% · Q4 18.4% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.9%
1.7 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 4.2% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.0% |
1.9%
8.1 pts worse
|
1.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 11.8% · Q3 9.1% · Q4 9.4% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
20.2%
2.6 pts worse
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 11.3% · Q3 19.7% · Q4 32.4% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.4%
3 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 1.4% · Q4 5.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
79.6%
8.5 pts better
|
81.7%
6.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 89.7% · Q3 84.0% · Q4 88.7% · 4Q avg 88.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
11.2%
3.4 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.5% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.6%
0.3 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 4.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
79.8%
9.9 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% |
22.2%
6.4 pts better
|
23.9%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 15.1% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-03-12 · Fire 2025-03-12
9 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-01-02 · Fire 2024-01-02
17 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-14
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 2026-02-12
E · Potential for more than minimal harm
2026-01-14
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 2026-02-12
D · Potential for more than minimal harm
2025-03-12
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-12
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 2025-04-22
D · Potential for more than minimal harm
2025-03-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-12
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-12
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 2025-04-22
D · Potential for more than minimal harm
2025-03-12
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-03-12
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 2025-04-22
D · Potential for more than minimal harm
2025-03-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-22
J · Immediate jeopardy
2024-01-02
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 2024-01-30
J · Immediate jeopardy
2024-01-02
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 2024-01-30
J · Immediate jeopardy
2024-01-02
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-30
J · Immediate jeopardy
2024-01-02
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-01-30
E · Potential for more than minimal harm
2024-01-02
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 2024-01-30
E · Potential for more than minimal harm
2024-01-02
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 2024-01-30
E · Potential for more than minimal harm
2024-01-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
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 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
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 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
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 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F841 · Nursing and Physician Services Deficiencies
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-02
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-01-30
Penalties and ownership
What sits behind the stars
$5,197
2024-01-02
Fine
Fine · fine $5,197
Fine
$5,197
2024-01-02
Fine
Fine · fine $5,197
Fine
$5,198
2024-01-02
Fine
Fine · fine $5,198
Fine
Ownership
Nearby options
Other facilities in reach
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1-star overall rating with 1-star inspections with abuse icon flag with $144,120 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Northbrooke Post Acute
Jackson, TN
1-star overall rating with 2-star inspections with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
W D Bill Manning Tennessee State Veterans Home
Humboldt, TN
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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