Murfreesboro, TN

Stones River Manor, Inc

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

205 Haynes Drive, Murfreesboro, TN

(615) 893-5617

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

27

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2018-12-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.00

Registered nurse staffing

LPN hours / resident day

2.00

Licensed practical nurse staffing

Aide hours / resident day

3.22

Nurse aide staffing

Weekend hours

5.03

Weekend nurse staffing

RN turnover

17%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.4%
89.9%
11.5 pts worse
93.4%
15 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.6%
3.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 4.2%
6.2%
2 pts better
5.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 0.0%
32.2%
32.2 pts better
19.6%
19.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.0%
18.1%
0.9 pts worse
16.7%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 33.3%
15.3%
18 pts worse
14.9%
18.4 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 5.4%
1.9%
3.5 pts worse
1.7%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.5%
20.2%
7.3 pts worse
19.8%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 53.6%
79.6%
26 pts worse
81.7%
28.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.9%
11.2%
2.3 pts better
12.0%
3.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.6%
0.1 pts better
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.5%
79.8%
2.3 pts worse
79.7%
2.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.0%
22.2%
6.8 pts worse
23.9%
5.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-01 · Fire 2025-07-01

3 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2022-10-26 · Fire 2022-10-26

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-07-31 · Fire 2019-07-31

10 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-07-01

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

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 2025-08-15

D · Potential for more than minimal harm 2025-07-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-15

D · Potential for more than minimal harm 2022-10-26

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-12-12

D · Potential for more than minimal harm 2022-10-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-12

F · Potential for more than minimal harm 2019-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-01

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 2025-07-23

D · Potential for more than minimal harm 2025-07-01

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 2025-07-23

D · Potential for more than minimal harm 2025-07-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-23

D · Potential for more than minimal harm 2024-09-18

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 2024-10-21

D · Potential for more than minimal harm 2023-04-06

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 2023-05-12

D · Potential for more than minimal harm 2023-04-06

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-05-12

D · Potential for more than minimal harm 2022-10-26

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-12-12

D · Potential for more than minimal harm 2022-10-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-12

D · Potential for more than minimal harm 2022-10-26

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 2022-12-12

D · Potential for more than minimal harm 2019-07-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-09-14

D · Potential for more than minimal harm 2019-07-31

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 2019-09-14

D · Potential for more than minimal harm 2019-07-31

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 2019-09-14

D · Potential for more than minimal harm 2019-07-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-09-14

D · Potential for more than minimal harm 2019-07-31

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-09-14

D · Potential for more than minimal harm 2019-07-31

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 2019-09-14

D · Potential for more than minimal harm 2019-07-31

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 2019-09-14

D · Potential for more than minimal harm 2019-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-09-14

Penalties and ownership

What sits behind the stars

Ownership

Adcock, Jeffrey

Corporate Officer · Individual

0% 1 facilities 2021-05-28
First Bank

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2020-08-16
King, Roger

Corporate Officer · Individual

0% 1 facilities 2023-05-17
Knox, Heather

Corporate Director · Individual

0% 1 facilities 2022-05-27
Mason, Kirkland

Operational/Managerial Control · Individual

0% 1 facilities 2018-05-24
Minatra, Clay

Corporate Officer · Individual

0% 1 facilities 2017-05-19
Pullias, Amanda

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-03
Vollmer, Donald

Operational/Managerial Control · Individual

0% 5 facilities 2021-04-19
Whitworth, Marvin

Corporate Officer · Individual

0% 1 facilities 1999-05-21

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