Cycle 1
Health 2025-12-11 · Fire 2025-12-11
3 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dyersburg, TN
Dyersburg Health And Rehabilitation Center
2-star overall rating with 4-star inspections with 3 recent health deficiencies
350 East Tickle Street, Dyersburg, TN
(731) 285-9710
Overall
2 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
123
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Champion Care
Operator or chain grouping
Approved since
2009-11-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.56
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
1.87
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
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
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.07
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,077
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.17
Baseline 22.21% · Performance 19.79% · Measure score 4.17 · Achievement 3.53 · Improvement 4.17
Healthcare-associated infections
2.02
Baseline 8.33% · Performance 7.49% · Measure score 2.02 · Achievement 1.16 · Improvement 2.02
Total nurse turnover
2.41
Baseline 87.61% · Performance 69.32% · Measure score 2.41 · Achievement 0 · Improvement 2.41
Adjusted total nurse staffing
0
Baseline 2.56 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.34% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 18.82% · Lower 95% interval 8.8% |
| Discharge to community | 44.17% |
50.57%
6.4 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 32.31% · Lower 95% interval 34.44% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 96.97% |
95.27%
1.7 pts better
|
Numerator 64 · Denominator 66 |
| Falls with major injury | 6.06% |
0.77%
5.3 pts worse
|
Numerator 4 · Denominator 66 |
| Discharge self-care score | 34.15% |
53.69%
19.5 pts worse
|
Numerator 14 · Denominator 41 |
| Discharge mobility score | 24.39% |
50.94%
26.5 pts worse
|
Numerator 10 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 2 · Denominator 66 · Adjusted rate 3.11% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 9.09% · Lower 95% interval 3.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 12.94% |
42%
29.1 pts worse
|
Numerator 11 · Denominator 85 |
| Discharge function score | 29.27% |
56.45%
27.2 pts worse
|
Numerator 12 · Denominator 41 |
| Transfer of health information to provider | 73.91% |
95.95%
22 pts worse
|
Numerator 17 · Denominator 23 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
1.6
1.7 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.9% |
89.9%
9 pts worse
|
93.4%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.8% · Q2 64.6% · Q3 92.3% · Q4 98.3% · 4Q avg 80.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.1% |
94.5%
0.4 pts worse
|
95.5%
1.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.6%
About the same
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.1% · Q3 4.6% · Q4 1.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 80.5% |
11.8%
68.7 pts worse
|
11.4%
69.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.6% · Q3 67.3% · Q4 54.9% · 4Q avg 80.5% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.2%
2.6 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 5.3% · Q4 5.9% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 53.9% |
32.2%
21.7 pts worse
|
19.6%
34.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.9% · Q2 55.9% · Q3 54.2% · Q4 48.1% · 4Q avg 53.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.7% |
18.1%
14.6 pts worse
|
16.7%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 33.3% · Q3 32.6% · Q4 31.6% · 4Q avg 32.7% · 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 | 17.6% |
19.9%
2.3 pts better
|
16.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q3 18.8% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
15.3%
0.9 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 22.6% · Q3 13.2% · Q4 6.1% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.9%
0.2 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.9%
0.2 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.3% · Q3 0.0% · Q4 1.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.6% |
20.2%
3.6 pts better
|
19.8%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 17.8% · Q3 14.8% · Q4 21.7% · 4Q avg 16.6% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
5.4%
2.9 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 15.7% · Q3 4.2% · Q4 3.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.3% |
79.6%
0.3 pts worse
|
81.7%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.4% · Q2 72.6% · Q3 80.9% · Q4 91.5% · 4Q avg 79.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
11.2%
0.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.5% · Expected 12.9% · 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 3.4% · Q2 2.6% · Q3 2.4% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% |
79.8%
2.9 pts better
|
79.7%
3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
22.2%
1.2 pts worse
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 28.1% · Expected 28.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-30 · Fire 2021-06-30
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2020-01-22 · Fire 2020-01-22
14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-06-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-13
D · Potential for more than minimal harm
2020-01-22
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-02-14
D · Potential for more than minimal harm
2020-01-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-01-13
D · Potential for more than minimal harm
2020-01-22
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-01-13
D · Potential for more than minimal harm
2020-01-22
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2020-02-06
D · Potential for more than minimal harm
2020-01-22
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 2020-02-11
D · Potential for more than minimal harm
2020-01-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-19
D · Potential for more than minimal harm
2020-01-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-18
D · Potential for more than minimal harm
2020-01-22
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-02-12
D · Potential for more than minimal harm
2020-01-22
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-11
D · Potential for more than minimal harm
2020-01-22
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-02-03
D · Potential for more than minimal harm
2020-01-22
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-02-19
D · Potential for more than minimal harm
2020-01-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-19
C · Minimal harm
2020-01-22
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 2020-02-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-11
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 2025-12-26
D · Potential for more than minimal harm
2025-12-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-26
D · Potential for more than minimal harm
2025-11-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-05
E · Potential for more than minimal harm
2021-06-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-08-13
L · Immediate jeopardy
2020-01-22
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 2020-03-07
L · Immediate jeopardy
2020-01-22
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2020-03-07
L · Immediate jeopardy
2020-01-22
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2020-03-07
J · Immediate jeopardy
2020-01-22
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 2020-03-07
J · Immediate jeopardy
2020-01-22
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2020-03-07
J · Immediate jeopardy
2020-01-22
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 2020-03-07
G · Actual harm
2020-01-22
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 2020-03-07
G · Actual harm
2020-01-22
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-03-07
E · Potential for more than minimal harm
2020-01-22
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 2020-03-07
E · Potential for more than minimal harm
2020-01-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-07
E · Potential for more than minimal harm
2020-01-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-03-07
E · Potential for more than minimal harm
2020-01-22
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2020-03-07
D · Potential for more than minimal harm
2020-01-22
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2020-03-07
D · Potential for more than minimal harm
2020-01-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-07
Penalties and ownership
What sits behind the stars
Ownership
The Bay At Highlands Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Bl Capital Group Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Champion Care LLC
Operational/Managerial Control · Organization
Landa, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Legacy SNF Opco Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Legacy SNF Opco Holdings Trust
5% Or Greater Indirect Ownership Interest · Organization
Mcgovern, Benjamin
W-2 Managing Employee · Individual
Ruvel, Menachem
5% Or Greater Indirect Ownership Interest · Individual
Ruvel, Menachem
Operational/Managerial Control · Individual
Ruvel, Menachem
Corporate Officer · Individual
Tn2 Opco Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Weinberg, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Weinberg, Yisroel
Operational/Managerial Control · Individual
Weinberg, Yisroel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Oakwood Community Living Center
Dyersburg, TN
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Okeena Health And Rehabilitation Center LLC
Dyersburg, TN
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Signature Healthcare Of Ridgely Rehab&Wellness Ctr
Ridgely, TN
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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