Savannah, TN

Harbert Hills Academy N H

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

3575 Lonesome Pine Road, Savannah, TN

(731) 925-5495

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

49

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2016-08-18

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

1.10

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

3.80

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

5.27

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

4.74

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

5.88

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

715

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

Performance score

64.99

Composite VBP score used to determine payment impact.

Payment multiplier

1.0193

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.63

Baseline 41.67% · Performance 36.59% · Measure score 6.63 · Achievement 6.63 · Improvement 2.52

Adjusted total nurse staffing

6.37

Baseline 4.65 hours · Performance 4.89 hours · Measure score 6.37 · Achievement 6.37 · Improvement 1.59

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	No data were submitted for this measure.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	51.2%	8.2% 43 pts better	Numerator 64 · Denominator 125
Staff flu vaccination coverage	34.35%	42% 7.6 pts worse	Numerator 45 · Denominator 131
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	1.6 1.2 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 1.7 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.7	1.6 2.1 pts worse	1.8 1.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 2.8 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.3%	89.9% 3.6 pts worse	93.4% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.5% · Q2 90.5% · Q3 90.9% · Q4 90.5% · 4Q avg 86.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	94.5% 3.2 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.2%	3.6% 2.4 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 2.4% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	11.8% 11.8 pts better	11.4% 11.4 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 who lose too much weight	3.4%	6.2% 2.8 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.4% · Q3 5.6% · Q4 0.0% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	55.8%	32.2% 23.6 pts worse	19.6% 36.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 55.0% · Q2 59.5% · Q3 52.8% · Q4 55.9% · 4Q avg 55.8%
Percentage of long-stay residents who received an antipsychotic medication	53.2%	18.1% 35.1 pts worse	16.7% 36.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 63.0% · Q2 47.8% · Q3 57.1% · Q4 43.5% · 4Q avg 53.2% · 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	26.9%	19.9% 7 pts worse	16.3% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.4%	15.3% 9.1 pts worse	14.9% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 38.7% · Q3 17.2% · Q4 11.1% · 4Q avg 24.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.9% 1.9 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.0%	20.2% 8.2 pts better	19.8% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 14.0% · Q3 19.1% · Q4 2.3% · 4Q avg 12.0%
Percentage of long-stay residents with pressure ulcers	0.0%	5.4% 5.4 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

5 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2023-10-11 · Fire 2023-10-11

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-07-29 · Fire 2021-07-29

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-04-09

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-04-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-04-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-11

F · Potential for more than minimal harm 2023-10-11

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-10-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-11

D · Potential for more than minimal harm 2021-07-29

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-08-04

D · Potential for more than minimal harm 2021-07-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-08-13

D · Potential for more than minimal harm 2021-07-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-10

D · Potential for more than minimal harm 2021-07-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-08-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-05

D · Potential for more than minimal harm 2025-04-09

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 2025-05-05

D · Potential for more than minimal harm 2025-04-09

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 2025-05-05

D · Potential for more than minimal harm 2025-04-09

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-05-05

D · Potential for more than minimal harm 2025-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-05

E · Potential for more than minimal harm 2023-10-11

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-10-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-10-11

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 2023-11-29

D · Potential for more than minimal harm 2023-10-11

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 2023-11-29

D · Potential for more than minimal harm 2023-10-11

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 2023-11-29

D · Potential for more than minimal harm 2023-10-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-10-11

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 2023-11-29

F · Potential for more than minimal harm 2021-07-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-08-16

E · Potential for more than minimal harm 2021-07-29

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 2021-08-04

D · Potential for more than minimal harm 2021-07-29

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 2021-08-09

D · Potential for more than minimal harm 2021-07-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-08-09

D · Potential for more than minimal harm 2021-07-29

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 2021-09-01

Penalties and ownership