Cycle 1
Health 2025-03-04 · Fire 2025-03-04
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Monterey, TN
Standing Stone Care And Rehab
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
410 W Crawford Avenue, Monterey, TN
(931) 839-2244
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
115
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1996-01-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
71 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.71
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
2.84
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,499
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.96
Baseline 22.29% · Performance 19.95% · Measure score 3.96 · Achievement 3.20 · Improvement 3.96
Healthcare-associated infections
0
Baseline 7.66% · Performance 9.43% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.44
Baseline 46.27% · Performance 41.46% · Measure score 5.44 · Achievement 5.44 · Improvement 1.74
Adjusted total nurse staffing
0
Baseline 3.23 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.14% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 152 · Observed rate 16.45% · Lower 95% interval 8.87% |
| Discharge to community | 46.02% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 135 · Observed rate 34.81% · Lower 95% interval 38.08% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 69 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 24 · Denominator 44 |
| Discharge mobility score | 47.73% |
50.94%
3.2 pts worse
|
Numerator 21 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 1.45% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 69 · Adjusted rate 1.2% |
| Healthcare-associated infections requiring hospitalization | 9.43% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 69 · Observed rate 14.49% · Lower 95% interval 5.48% |
| Staff COVID-19 vaccination coverage | 1.16% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 86 |
| Staff flu vaccination coverage | 18.33% |
42%
23.7 pts worse
|
Numerator 22 · Denominator 120 |
| Discharge function score | 59.09% |
56.45%
2.6 pts better
|
Numerator 26 · Denominator 44 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 40 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 57.89% |
25.2%
32.7 pts better
|
Numerator 22 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
1.6
1.9 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 4.0 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
1.6
1.5 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
89.9%
0.4 pts better
|
93.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 89.9% · Q3 91.2% · Q4 91.5% · 4Q avg 90.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.0% |
94.5%
10.5 pts worse
|
95.5%
11.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.6% |
3.6%
5 pts worse
|
3.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.1% · Q3 11.8% · Q4 2.8% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.4% |
11.8%
18.6 pts worse
|
11.4%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 17.2% · Q3 51.9% · Q4 40.3% · 4Q avg 30.4% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
6.2%
4.2 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.2% · Q4 1.5% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.3% |
32.2%
10.1 pts worse
|
19.6%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 42.9% · Q3 43.5% · Q4 47.0% · 4Q avg 42.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.8% |
18.1%
15.7 pts worse
|
16.7%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 33.3% · Q3 34.7% · Q4 36.5% · 4Q avg 33.8% · 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 | 5.4% |
19.9%
14.5 pts better
|
16.3%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.7% · Q3 0.0% · Q4 3.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
15.3%
10.6 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.8% · Q3 0.0% · Q4 3.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.9%
0.8 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.7% |
20.2%
2.5 pts better
|
19.8%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 24.4% · Q3 17.0% · Q4 16.8% · 4Q avg 17.7% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.4%
3.9 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.2% · Q3 0.0% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% |
79.6%
5.1 pts better
|
81.7%
3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.6% · Q2 79.8% · Q3 85.2% · Q4 88.0% · 4Q avg 84.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.4% |
11.2%
12.2 pts worse
|
12.0%
11.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 26.0% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.6%
1.1 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 5.5% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.7% |
79.8%
1.1 pts worse
|
79.7%
1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
22.2%
0.1 pts worse
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 24.7% · Expected 26.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-09-24 · Fire 2019-09-24
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-10-24 · Fire 2018-10-24
5 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-04
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
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 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
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 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
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 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-04
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-17
D · Potential for more than minimal harm
2019-09-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-24
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-11-08
D · Potential for more than minimal harm
2018-10-24
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 2018-11-08
D · Potential for more than minimal harm
2018-10-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-10-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-10-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-11-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-04
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 2025-03-28
D · Potential for more than minimal harm
2025-03-04
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 2025-03-28
D · Potential for more than minimal harm
2025-03-04
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 2025-03-28
D · Potential for more than minimal harm
2025-01-15
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 2025-01-24
D · Potential for more than minimal harm
2025-01-15
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 2024-05-21
F · Potential for more than minimal harm
2019-09-24
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-09-24
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 2019-11-08
D · Potential for more than minimal harm
2019-09-24
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-11-08
F · Potential for more than minimal harm
2018-10-24
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 2018-11-08
D · Potential for more than minimal harm
2018-10-24
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 2018-11-08
D · Potential for more than minimal harm
2018-10-24
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 2018-11-08
D · Potential for more than minimal harm
2018-10-24
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-10-24
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2018-11-08
Penalties and ownership
What sits behind the stars
Ownership
Lp Cr Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Agemo Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Clabeuax, Dawn
W-2 Managing Employee · Individual
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Smedra, Ira
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
5% Or Greater Indirect Ownership Interest · Individual
Wheaten LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Signature Healthcare Of Putnam County
Cookeville, TN
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Ahc Bethesda
Cookeville, TN
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Wharton Nursing Home
Pleasant Hill, TN
1-star overall rating with 1-star inspections with $78,533 in total fines with 5 recent health deficiencies
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