2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
White House, TN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2871 Highway 31w, White House, TN
(615) 672-3636
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2013-07-17
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
RN hours / resident day
0.68
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
3.11
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.85
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.58
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.61
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
2,633
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.65
Composite VBP score used to determine payment impact.
Payment multiplier
1.0024
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.24
Baseline 17.45% · Performance 19.93% · Measure score 3.24 · Achievement 3.24 · Improvement 0
Healthcare-associated infections
5.62
Baseline 6.91% · Performance 6.15% · Measure score 5.62 · Achievement 5.62 · Improvement 3.46
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.73
Baseline 4.49 hours · Performance 4.71 hours · Measure score 5.73 · Achievement 5.73 · Improvement 1.22
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.84% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 243 · Observed rate 10.29% · Lower 95% interval 8.23% |
| Discharge to community | 61% |
50.57%
10.4 pts better
|
Better than the National Rate · Eligible stays 245 · Observed rate 56.73% · Lower 95% interval 54.26% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.77% |
95.27%
3.5 pts better
|
Numerator 161 · Denominator 163 |
| Falls with major injury | 0.61% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 163 |
| Discharge self-care score | 45.52% |
53.69%
8.2 pts worse
|
Numerator 61 · Denominator 134 |
| Discharge mobility score | 37.31% |
50.94%
13.6 pts worse
|
Numerator 50 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 0.61% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 163 · Adjusted rate 0.71% |
| Healthcare-associated infections requiring hospitalization | 6.15% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 4.23% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 15.15% |
42%
26.9 pts worse
|
Numerator 25 · Denominator 165 |
| Discharge function score | 50.75% |
56.45%
5.7 pts worse
|
Numerator 68 · Denominator 134 |
| Transfer of health information to provider | 96.55% |
95.95%
0.6 pts better
|
Numerator 28 · Denominator 29 |
| Transfer of health information to patient | 97.12% |
96.28%
0.8 pts better
|
Numerator 101 · Denominator 104 |
| Resident COVID-19 vaccinations up to date | 1.1% |
25.2%
24.1 pts worse
|
Numerator 1 · Denominator 91 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.6
0.1 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.6%
0.6 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.5% · Q3 6.1% · Q4 3.7% · 4Q avg 4.2% · 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 | 1.2% |
6.2%
5 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.8% |
32.2%
5.4 pts better
|
19.6%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 27.1% · Q3 28.6% · Q4 27.9% · 4Q avg 26.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.7% |
18.1%
0.6 pts worse
|
16.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 18.9% · Q3 19.4% · Q4 20.5% · 4Q avg 18.7% · 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 | 3.2% |
19.9%
16.7 pts better
|
16.3%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
15.3%
3.8 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 14.3% · Q3 13.9% · Q4 12.8% · 4Q avg 11.5% · 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 | 1.5% |
1.9%
0.4 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 4.3% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.0% |
20.2%
17.2 pts better
|
19.8%
16.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.0% · Q3 0.0% · Q4 1.8% · 4Q avg 3.0% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.4%
1.6 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.9% · Q3 3.6% · Q4 5.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
79.6%
20.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
11.2%
About the same
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.1% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.6%
0.8 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.5% · Q3 1.5% · Q4 3.6% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
79.8%
11.2 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.0% |
22.2%
6.2 pts better
|
23.9%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 13.3% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-12-15
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-12-15
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-12-15
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-12-08
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 2025-12-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-12-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-12-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-12-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-07
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 2020-03-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-03-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-25
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-03-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-27
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-29
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 2025-12-29
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-10-24
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 2024-10-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-24
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 2020-03-25
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
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