Deficiency Index

Laurelbrook Nursing Home

Dayton, Tennessee · CCN 445535

8 surveys since 2019, 10 of them producing a finding at harm level or worse.

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

Citations on record
29
Surveys
8
Harm or worse
10
Immediate jeopardy
10
The record, 2019–2026
’19’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy10

Findings at the most serious level CMS records.

Beyond CMS’s monthly file3/8

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

The facility

Certified beds
50
Ownership
Non profit - Corporation
Chain
Independent
County
Rhea · rural
Medicare-certified since
2019

CMS ratings

Overall
4
Health inspection
3
Staffing
5
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 36 facilities with fewer than 66 beds in Tennessee.

Last survey on record

May 7, 2026

186 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 day4.124.48
Registered-nurse hours per resident day0.77—
Annual nurse turnover21.7%46.7%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ526.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1157.9%E210.5%F15.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 29 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6372×

    Assess the resident when there is a significant change in condition

  • F6442×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5781×

    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.

In the surveyor’s words

From the most serious findings on record at Laurelbrook Nursing Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF637Feb 18, 2022

    Based on facility policy review, review of The Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to identify a severe weight loss and decline in 1 or more Activities of Daily Living (ADL) as a significant change in a resident's condition and failed to complete a significant change assessment after a severe weight loss for 1 Resident (#30) of 4 residents reviewed for assessments. […]

  • Immediate jeopardy, isolatedF657Feb 18, 2022

    Based on facility policy review, medical record review, and interview, the facility failed to revise the care plan for an unplanned weight loss for 1 resident (Resident #30) of 4 residents reviewed. Resident #30 experienced a significant weight loss of 11.4% in 90 days on 12/2/2021, and then went on to have a severe weight loss of 41.3 lbs. (20.6%) in 5 months. The facility's failure placed Resident #30 in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). The Administrator was informed of the IJ in the Administrator's office on 2/15/2022 at 6:48 PM. The Immediate Jeopardy was effective 12/2/2021 - 2/17/2022. […]

  • Immediate jeopardy, isolatedF692Feb 18, 2022

    Based on facility policy review, medical record review, review of physician logs, interviews, and observations, the facility failed to identify a significant weight loss and implement interventions to prevent further weight loss for 1 resident (Resident #30) of 4 residents reviewed for nutrition and hydration status. Resident #30 experienced a significant weight loss of 11.4% in 90 days on 12/2/2021, and then went on to have a severe weight loss of 41.3 lbs. (20.6%) in 5 months. […]

  • Immediate jeopardy, isolatedF727Feb 18, 2022

    Based on review of staff job descriptions, review of facility policy, medical record review, review of facility documentation, review of staffing schedules, review of staff time punches, and interview, the facility failed to employ a Registered Nurse (RN) acting as the Director of Nursing (DON) for 18 of 52 weeks and failed to provide RN coverage for 8 consecutive hours, 7 days per week in the facility for 4 of 30 days. The failure of the facility to provide an RN as a DON from 9/1/2021-2/18/2022 resulted in a failure to identify and implement interventions to prevent a severe weight loss for Resident #30, who experienced a significant weight loss of 11.4% in 90 days on 12/2/2021, and then went on to have a severe weight loss of 41.3 lbs. (20.6%) in 5 months. […]

  • Immediate jeopardy, isolatedF867Feb 18, 2022

    Based on review of facility policy, medical record review, review of facility documentation, and interview, the facility's Quality Assurance Performance Improvement (QAPI) program failed to identify a quality deficiency by failing to identify and implement interventions to prevent a severe weight loss for Resident #30. Resident #30 experienced a significant weight loss of 11.4% in 90 days on 12/2/2021, and then went on to have a severe weight loss of 41.3 lbs. (20.6%) in 5 months. […]

Read 22 findings in full →The most serious and the most recent: 22 of 29 on record.

Every survey on record

FindingsAt actual harm or above

  • May 7, 2026Complaint3 findings
  • Oct 23, 2024Standard and complaint4 findings
  • Dec 13, 2023Complaint3 findings
  • Feb 18, 2022Standard6 findings · 5 harm
  • Jul 28, 2021Complaint1 finding
  • May 21, 2021Complaint5 findings · 5 harm
  • Nov 3, 2020Infection control1 finding
  • Aug 20, 2019Standard6 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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