Cycle 1
Health 2024-12-12 · Fire 2024-12-12
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Linden, TN
Perry County Nursing Home
1-star overall rating with 2-star inspections with $15,593 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
127 E Brooklyn Avenue, Linden, TN
(931) 589-2134
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2011-04-01
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
0.24
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.35
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
4.37
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
32%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,263
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 21.55% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.19
Baseline 7.93% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 1.05
Total nurse turnover
8.24
Baseline 31.58% · Performance 30.00% · Measure score 8.24 · Achievement 8.24 · Improvement 1.85
Adjusted total nurse staffing
3.94
Baseline 4.76 hours · Performance 4.20 hours · Measure score 3.94 · Achievement 3.94 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.2% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 6.9% |
| Discharge to community | 41.97% |
50.57%
8.6 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 37.78% · Lower 95% interval 30.01% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 73 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 35.71% |
53.69%
18 pts worse
|
Numerator 20 · Denominator 56 |
| Discharge mobility score | 48.21% |
50.94%
2.7 pts worse
|
Numerator 27 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 4.11% |
2.29%
1.8 pts worse
|
Numerator 3 · Denominator 73 · Adjusted rate 4.75% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.53% |
| Staff COVID-19 vaccination coverage | 3.85% |
8.2%
4.3 pts worse
|
Numerator 7 · Denominator 182 |
| Staff flu vaccination coverage | 17.95% |
42%
24.1 pts worse
|
Numerator 28 · Denominator 156 |
| Discharge function score | 48.21% |
56.45%
8.2 pts worse
|
Numerator 27 · Denominator 56 |
| 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 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 8 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
1.6
2.3 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.5 |
1.6
2.9 pts worse
|
1.8
2.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.5 · Observed 4.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
89.9%
1 pts worse
|
93.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 90.7% · Q3 84.9% · Q4 81.3% · 4Q avg 88.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
94.5%
4.3 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.0% · Q3 1.4% · Q4 5.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.4% |
11.8%
3.4 pts better
|
11.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 9.1% · Q3 4.8% · Q4 6.2% · 4Q avg 8.4% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.2%
3.1 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 15.2% · Q3 9.4% · Q4 6.0% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 46.3% |
32.2%
14.1 pts worse
|
19.6%
26.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.2% · Q2 44.9% · Q3 50.0% · Q4 46.5% · 4Q avg 46.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.0% |
18.1%
11.9 pts worse
|
16.7%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 29.1% · Q3 30.4% · Q4 32.1% · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 3.9% |
0.1%
3.8 pts worse
|
0.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.0% · Q3 4.1% · Q4 4.0% · 4Q avg 3.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.5% |
19.9%
11.6 pts worse
|
16.3%
15.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 42.1% · Q3 26.5% · Q4 23.1% · 4Q avg 31.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.8% |
15.3%
17.5 pts worse
|
14.9%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 39.1% · Q3 26.7% · Q4 38.1% · 4Q avg 32.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.5% |
0.9%
2.6 pts worse
|
1.0%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.5% · Q3 3.3% · Q4 4.4% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.9%
1.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.8% |
20.2%
0.4 pts better
|
19.8%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 16.6% · Q3 27.1% · Q4 18.4% · 4Q avg 19.8% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
5.4%
2.8 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 11.1% · Q3 6.9% · Q4 6.4% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 20.0% |
79.6%
59.6 pts worse
|
81.7%
61.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 17.9% · Q3 14.7% · Q4 19.2% · 4Q avg 20.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
11.2%
1 pts worse
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.5% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.4% |
79.8%
38.4 pts worse
|
79.7%
38.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 41.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
22.2%
2.3 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 22.5% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-01 · Fire 2023-08-01
11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Cycle 3
Health 2019-07-17 · Fire 2019-07-17
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-12-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-12-10
D · Potential for more than minimal harm
2024-12-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-12-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-23
D · Potential for more than minimal harm
2023-08-01
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 2023-07-25
D · Potential for more than minimal harm
2023-08-01
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-08-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-08-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-14
D · Potential for more than minimal harm
2023-08-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-15
D · Potential for more than minimal harm
2023-08-01
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-14
D · Potential for more than minimal harm
2023-08-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-08-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-01
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-08-23
D · Potential for more than minimal harm
2019-07-17
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-17
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2019-08-02
D · Potential for more than minimal harm
2019-07-17
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-07-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-12
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 2025-01-06
E · Potential for more than minimal harm
2024-12-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
F572 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
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 2025-01-06
D · Potential for more than minimal harm
2024-12-12
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
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 2025-01-06
D · Potential for more than minimal harm
2024-12-12
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-06
D · Potential for more than minimal harm
2024-12-12
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 2025-01-06
J · Immediate jeopardy
2023-08-01
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-08-23
E · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2023-08-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-01
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 2023-08-23
D · Potential for more than minimal harm
2019-07-17
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 2019-08-20
D · Potential for more than minimal harm
2019-07-17
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-08-20
Penalties and ownership
What sits behind the stars
$15,593
2023-08-01
Fine
Fine · fine $15,593
Fine
Ownership
Hinson, Brent
5% Or Greater Direct Ownership Interest · Individual
Hinson, Brent
Corporate Director · Individual
Hinson, Brent
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
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4-star overall rating with 4-star inspections with 2 recent health deficiencies
#2
Westwood Nursing and Rehabilitation
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2-star overall rating with 2-star inspections with abuse icon flag with $9,620 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Waynesboro Post Acute & Rehabilitation
Waynesboro, TN
1-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies
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