Alamo Nursing and Rehabilitation Center
Alamo, Tennessee · CCN 445467
11 surveys since 2010. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 45
- Surveys
- 11
- Harm or worse
- 5
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 121
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Crockett
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 86 for-profit facilities of 100–127 beds in Tennessee.
Last survey on record
Mar 11, 2026
243 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.96 | 3.58 |
| Registered-nurse hours per resident day | 0.40 | — |
| Annual nurse turnover | 43.8% | 48.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $12,542 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G15.9% | H— | I— |
| No harm, potential for more than minimal | D1588.2% | E15.9% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7592×
Ensure medication error rates are not 5 percent or greater.
- F7612×
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.
- F8802×
Provide and implement an infection prevention and control program.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
In the surveyor’s words
From the most serious findings on record at Alamo Nursing and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF835Feb 8, 2022
Based on policy review, job description review, Center for Disease Control and Prevention (CDC) guidelines, observation and interview, the facility Administration failed to administer the facility in a manner that provided a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Administration failed to provide oversight and a sanitary environment for all residents when meal delivery carts containing meal trays from COVID-19 positive resident rooms were not cleaned with an Environmental Protection Agency (EPA) approved disinfectant to kill COVID-19 prior to using the trays for the next meal delivery service to COVID-19 positive and non-COVID-19 positive residents and staff failed to wear the appropriate Personal Protective… […]
- Immediate jeopardy, widespreadF867Feb 8, 2022
Based on policy review, job description review, Quality Assurance (QA) document review, observation, and interview, the Quality Assurance Performance Improvement (QAPI) committee failed to ensure an effective QAPI program that identified opportunities for improvement related to infection control, failed to implement corrective action or performance improvement activities for infection control in order to provide a safe and sanitary environment for residents, prevent the spread of infections and communicable disease, and ensure systems and processes were in place that were consistently followed by staff and administration. […]
- Immediate jeopardy, widespreadF880Feb 8, 2022
Based on the Centers for Disease Control and Prevention (CDC) guidelines, policy review, medical record review, observation, and interview, the facility failed to follow CDC infection control guidelines and ensure practices to prevent the spread of infection were maintained when 4 of 20 staff members (Hostess #1, Housekeeper #1, and Certified Nursing Assistant (CNA) #1 and #2) failed to wear appropriate Personal Protective Equipment (PPE) in COVID-19 positive residents' rooms and were caring for other residents, 1 of 20 staff members (the Activity Assistant) failed to wear appropriate PPE in resident care areas and in resident's rooms, 1 of 15 staff (CNA #3) failed to wear gloves when handling a meal tray from a COVID-19 positive resident's room, 1 of 3 staff members (Dietary staff #1)… […]
- Immediate jeopardy, isolatedF689Dec 13, 2022
Based on policy review, facility investigation review, medical record review, and interview, the facility failed to ensure a safe and secure environment was provided to prevent accidents for 2 of 3 sampled residents (Resident #1 and #4) reviewed for accident hazards. The facility's failure to ensure a safe and secure environment resulted in Immediate Jeopardy when 2 staff members left Resident #1 in the smoking area unsupervised with a lit cigarette for an undetermined amount of time. Resident #1, an aphasic, wheelchair bound resident with severe cognition impairment, was found on the ground of the Smoke Shack by an outside source. Resident #1 sustained a skin tear. […]
- Actual harm, isolatedF689Mar 15, 2024
Based on policy review, medical record review, observation, and interview, the facility failed to ensure fall interventions were implemented for 1 of 4 (Resident #7) sampled residents reviewed for accidents. The facility's failure to implement a fall intervention resulted in Actual Harm when Resident #7 had a fall that resulted in a head laceration [a deep cut] and was sent to the emergency room . The findings include: 1. Review of the facility's policy titled, Assessing Falls and Their Causes, dated 10/2010, revealed .After a Fall .If a resident has just fallen, or is on the floor without a witness to the event, nursing staff will record vital signs and evaluate for possible injuries to the head, neck, spine, and extremities .If there is evidence of a significant injury such as a… […]
Read 21 findings in full →The most serious and the most recent: 21 of 45 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 11, 2026Standard4 findings
- Feb 12, 2025Standard and complaint7 findings
- Mar 15, 2024Standard6 findings · 1 harm
- Dec 13, 2022Complaint1 finding · 1 harm
- Feb 8, 2022Standard7 findings · 3 harm
- Jul 19, 2017Standard4 findings
- Apr 28, 2016Standard2 findings
- Apr 8, 2015Standard4 findings
Show the 3 earlier surveys
- Jan 15, 2014—4 findings
- Dec 14, 2011—5 findings
- Sep 15, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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