Crossville, TN

Wyndridge Health And Rehab Ctr

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

456 Wayne Avenue, Crossville, TN

(931) 484-6129

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 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

157

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-11-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

1.16

Licensed practical nurse staffing

Aide hours / resident day

2.14

Nurse aide staffing

Weekend hours

3.36

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.6 0.3 pts worse	1.9 About the same	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.6 0.7 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	89.9% 7.1 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	94.5% 2.1 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	3.6% 2.2 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	5.2%	11.8% 6.6 pts better	11.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	5.9%	6.2% 0.3 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.0%	32.2% 6.2 pts better	19.6% 6.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	19.3%	18.1% 1.2 pts worse	16.7% 2.6 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 ability to walk independently worsened	21.8%	19.9% 1.9 pts worse	16.3% 5.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	20.9%	15.3% 5.6 pts worse	14.9% 6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.6%	0.9% 2.7 pts worse	1.0% 2.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.6%	1.9% 1.3 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	20.2% 3.5 pts worse	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	7.9%	5.4% 2.5 pts worse	5.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	79.6% 16.8 pts better	81.7% 14.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	17.6%	11.2% 6.4 pts worse	12.0% 5.6 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.6% 1.2 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.3%	79.8% 13.5 pts better	79.7% 13.6 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.6%	22.2% 12.4 pts worse	23.9% 10.7 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-11-30 · Fire 2022-11-30

3 health deficiencies

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

14 fire-safety deficiencies

Top issue: Egress (5 deficiencies)

Cycle 2 Health 2019-08-14 · Fire 2019-08-14

3 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-08-29 · Fire 2018-08-29

6 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-05-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K251 · Egress Deficiencies

Fire Safety

Conform to length requirements for dead end corridors.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K252 · Egress Deficiencies

Fire Safety

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2025-05-29

F · Potential for more than minimal harm 2022-11-30

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-01-14

E · Potential for more than minimal harm 2022-11-30

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-12-29

E · Potential for more than minimal harm 2022-11-30

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 2023-01-14

D · Potential for more than minimal harm 2022-11-30

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2022-12-29

D · Potential for more than minimal harm 2022-11-30

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-01-14

D · Potential for more than minimal harm 2022-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-14

D · Potential for more than minimal harm 2019-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-15

E · Potential for more than minimal harm 2018-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-10-19

D · Potential for more than minimal harm 2018-08-29

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 2018-09-20

D · Potential for more than minimal harm 2018-08-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-10-19

D · Potential for more than minimal harm 2018-08-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-09-20

D · Potential for more than minimal harm 2018-08-29

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2018-09-13

C · Minimal harm 2018-08-29

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2018-09-17

C · Minimal harm 2018-08-29

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2018-09-12

C · Minimal harm 2018-08-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-09-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-06-27

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 2023-07-17

D · Potential for more than minimal harm 2023-06-27

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 2023-07-17

E · Potential for more than minimal harm 2022-11-30

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 2023-01-01

D · Potential for more than minimal harm 2022-11-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-22

D · Potential for more than minimal harm 2022-11-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-01-24

D · Potential for more than minimal harm 2019-08-14

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 2019-08-29

D · Potential for more than minimal harm 2019-08-14

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 2019-08-29

D · Potential for more than minimal harm 2019-08-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-08-29

G · Actual harm 2018-08-29

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 2018-10-05

G · Actual harm 2018-08-29

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 2018-10-05

D · Potential for more than minimal harm 2018-08-29

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 2018-10-05

D · Potential for more than minimal harm 2018-08-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2018-10-05

Penalties and ownership