Federal inspection record · CMS data as of October 1, 2026
Grandview Post Acute
444 One Eleven Place, Cookeville, TN · (931) 525-6655
- Certified beds
- 120
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 13, 2001
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Grandview Post Acute carries 71 inspection points. That is fewer than 14% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6F
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- F
Keep residents' personal and medical records private and confidential.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning5D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services3F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental1F
- F
Keep all essential equipment working safely.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2025-05-06
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-03-31
18 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-06-12
8 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 29 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
4 h 29 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.5 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 89.8% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts worse | 90.7% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts worse | 6.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms63.9 pts worse | 78.8% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 8.8% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24.9 pts worse | 56.6% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts better | 12.1% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better | 11.0% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 12.1% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts better | 9.5% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.6% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts better | 96.7% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse | 12.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.7% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.2 pts better | 94.4% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts worse | 23.9% | 22.6% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pacs Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 20 facilities |
| 444 One Eleven Place Tn, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 444 One Eleven Place Tn, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Apt, Frederick | Corporate Officer · Individual | 0% | 258 facilities |
| Bell, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bertram, Amber | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bowman, Uriah | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bowman, Uriah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bowman, Uriah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Branch Banking & Trust Company | 5% Or Greater Security Interest · Organization | 0% | 13 facilities |
| Cox, Michael | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Cox, Michael | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Cox, Michael | Adp Of The SNF · Individual | 0% | 3 facilities |
| Jergensen, Joshua | Corporate Officer · Individual | 0% | 262 facilities |
| Mitchell, John | Corporate Officer · Individual | 0% | 276 facilities |
| Providence Administrative Consulting Services Inc | Adp Of The SNF · Organization | 0% | 71 facilities |
| Sparks, Alivia | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
| Wade, Edna | Managing Control - Governing Body · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness5D
- D
List the names and contact information of those in the facility.
- D
Conduct testing and exercise requirements.
- D
Address subsistence needs for staff and patients.
- D
Establish emergency prep training and testing.
- D
Conduct testing and exercise requirements.
Smoke5D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Egress1D
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
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Other homes nearby
-
Nhc Healthcare, Cookeville
Cookeville, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Signature Healthcare Of Putnam County
Cookeville, TN · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Standing Stone Care And Rehab
Monterey, TN · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0