Deficiency Index

Humphreys County Care and Rehabilitation

Waverly, Tennessee · CCN 445489

10 surveys since 2011. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
49
Surveys
10
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
91
Ownership
Non profit - Other
Chain
Independent
County
Humphreys · rural
Medicare-certified since
2009

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
2

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 80 facilities of 66–99 beds in Tennessee.

Last survey on record

Sep 4, 2025

431 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.283.67
Registered-nurse hours per resident day0.64—
Annual nurse turnover48.4%48.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,013 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.0%H—I—
No harm, potential for more than minimalD2080.0%E28.0%F28.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 25 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Humphreys County Care and Rehabilitation, in the surveyor’s own words.

  • Actual harm, isolatedF692Sep 4, 2025

    Based on policy review, medical record review, and interview, the facility failed to provide care to ensure acceptable parameters of nutritional status were maintained for 2 of 2 (Resident #31 and #75) sampled residents reviewed for weight loss. This resulted in actual harm when the facility failed to implement interventions following a significant weight loss for Resident #31 and #75. The findings include: 1. Review of the facility policy titled, Weight Monitoring, dated 2/2023, revealed .The facility will ensure that all residents maintain acceptable parameters of nutritional status.Information gathered from the nutritional assessment.interventions will be identified, implemented, monitored and modified.consistent with the resident's assessed needs.A significant change in weight is… […]

  • No harm, potential for more than minimal, widespreadF922Sep 4, 2025

    Based on policy review, observation, and interview, the facility failed to ensure a sufficient emergency water supply was available. This had the potential to affect all 76 residents residing in the facility. The findings include: Review of the facility policy titled, Emergency Water Supply, dated 9/17/2024, revealed, .It is the policy of this facility to establish procedures to ensure that water remains available for drinking and essential functions when there is a loss of normal water supply.The volume of water needed.Drinking.1 gallon per day times the number of residents and staff.Handwashing.1 gallon per day time the number of staff.Cooking.1 gallon per day times the number of staff.Toilet flushing.2 gallons per day times the number of residents.Miscellaneous.1 gallon per day times… […]

  • No harm, potential for more than minimal, widespreadF812Jul 28, 2022

    Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions, when opened and undated food items, soiled serving bowls, unclean storage carts and storage bins were in the Kitchen, and when bleach wipes were stored near food in the Kitchen. The facility had a census of 67 with 67 of those residents receiving a meal from the Kitchen. The findings include: Review of the facility's undated policy titled, Policy for Labeling and Dating Food, revealed Food must have a date when it is opened . […]

  • No harm, potential for more than minimal, patternF801Sep 4, 2025

    Based on job description review, observation, and interview, the facility failed to maintain qualified dietary staff for 76 of 76 residents residing in the facility. The findings include: 1. Review of the undated job description titled, Director of Food Services, revealed .Education.Be a graduate of an accredited course in dietetic training approved by the American Dietetic Association.Experience.Must have, as a minimum five (5) years experience in a supervisory capacity in a hospital, nursing care facility, or other related medical facility. […]

  • No harm, potential for more than minimal, patternF812Jun 5, 2024

    Based on policy review, observation and interview the facility failed to ensure food was protected from contamination when 2 of 20 staff members (Certified Nursing Assistant (CNA) C and Admissions Coordinator ) touched the food with their bare hands, when 3 of 20 staff members (CNA C, and D, and the Admissions Coordinator) failed to perform hand hygiene, when 1 of 20 staff members (CNA B) placed a dirty meal tray back on a clean cart with clean trays, failed to ensure 2 of 2 ice machines were clean, and open and undated food in 1 of 1 pantry refrigerators. The findings include: 1. […]

Read 20 findings in full →The most serious and the most recent: 20 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 4, 2025Standard12 findings · 1 harm
  • Jun 5, 2024Standard10 findings
  • Jul 28, 2022Standard3 findings
  • Dec 11, 2019Standard5 findings
  • Feb 6, 2019Standard3 findings
  • Mar 21, 2018Standard3 findings
  • Dec 15, 2015Standard1 finding
  • Nov 4, 2014Standard1 finding
Show the 2 earlier surveys
  • May 31, 2012—7 findings
  • Mar 30, 2011—4 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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