Avondale Health and Rehabilitation Center, LLC
Humboldt, Tennessee · CCN 445454
11 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 43
- Surveys
- 11
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 89
- Ownership
- For profit - Limited Liability company
- Chain
- CHAMPION CARE
- County
- Gibson
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 63 for-profit facilities of 66–99 beds in Tennessee.
Last survey on record
Jun 12, 2026
150 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 | 3.31 | 3.49 |
| Registered-nurse hours per resident day | 0.47 | — |
| Annual nurse turnover | 56.3% | 52.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G15.3% | H— | I— |
| No harm, potential for more than minimal | D1368.4% | E526.3% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- 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.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Avondale Health and Rehabilitation Center, LLC, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF732Jan 9, 2025
Based on policy review, record review, and interview, the facility failed to post the total number of staff, and actual hours worked by the licensed and unlicensed staff responsible for resident care on the facility's Daily Nurse Staffing form for 31 of 31 sampled days. The findings include: 1. Review of the facility policy titled, Nurse Staffing Posting Information, dated 12/1/2024, revealed .It is the policy of this facility to make nurse staffing information readily available in a readable format to residents and visitors at any given time .will contain the following information .Facility name .total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift .Registered Nurses(RNs) .Licensed… […]
- No harm, potential for more than minimal, patternF801Jan 9, 2025
Based on job description review, and interview, the facility failed to ensure a full-time or part-time Registered Dietitian (RD), or a qualified Dietary Manager (DM) was employed to provide oversight of the kitchen, kitchen staff competencies, residents' prescribed diets, and meals served in a timely manner. This had the potential to affect 55 of 55 residents who received a tray from the kitchen. The findings include: 1. Review of a Registered Dietitian job description revealed .Major Duties and Responsibilities .Provides registered dietitian services in one or more sites according to policies and procedures, and federal and state requirements. […]
- No harm, potential for more than minimal, patternF802Jan 9, 2025
Based on policy review, document review, observation, and interview, the facility failed to provide sufficient staff with competencies and skill sets to carry out the functions of the food and nutrition services for 4 of 4 staff members (Dietary [NAME] C, D, F, and Dietary Supervisor) working in the kitchen. The facility had a census of 55, with 55 of those residents receiving a meal tray from the kitchen. The findings include: 1. Review of the facility policy titled, Food Safety Requirements, dated 12/1/2024, revealed .Food safety practices shall be followed throughout the facility's entire food handling process .This process begins when food is received from the vendor and ends with delivery of the food to the resident. […]
- No harm, potential for more than minimal, patternF812Jan 9, 2025
Based on policy review, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions when for 2 of 4 (Dietary [NAME] C and Dietary [NAME] D) dietary staff failed to perform hand hygiene, and when 1 of 4 (Dietary [NAME] D) failed to test the sanitation of the 3 compartment sink prior to use, when unlabeled, undated, and expired foods were stored in the kitchen. The facility had a census of 55 with 55 of those residents receiving a tray from the kitchen. The findings include: 1. […]
- No harm, potential for more than minimal, patternF880Jan 9, 2025
Based on policy review, medical record review, observation, and interview, the facility failed to ensure infection control practices were followed during medication administration when 1 of 4 (Licensed Practical Nurse (LPN G)) staff were observed during medication administration, when 1 of 1 (LPN A) LPN failed to follow Enhanced Barrier Precautions when administering PEG (percutaneous endoscopic gastrostomy) tube medications, during dining when the facility failed to follow transmission based precautions for 1 of 1 (Resident #159) reviewed for isolation, and when a random observation revealed LPN H failed to perform proper hand hygiene and failed to clean reusable medical equipment. The findings include: 1. […]
Read 21 findings in full →The most serious and the most recent: 21 of 43 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2026Standard2 findings
- Jun 12, 2026Complaint1 finding
- Jan 9, 2025Standard11 findings
- Sep 22, 2023Standard6 findings
- Jun 26, 2019Standard1 finding · 1 harm
- Apr 12, 2017Standard4 findings
- Jan 20, 2016Standard2 findings
- Dec 17, 2014Standard1 finding
Show the 3 earlier surveys
- Jul 24, 2013—5 findings
- Nov 27, 2012—2 findings
- Aug 24, 2011—8 findings
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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