Deficiency Index

Vanayer Senior Living and Rehabilitation

Martin, Tennessee · CCN 445423

10 surveys since 2009. 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
21
Surveys
10
Harm or worse
1
Immediate jeopardy
0
The record, 2009–2025
’09’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file6/10

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

The facility

Certified beds
91
Ownership
For profit - Individual
Chain
THE ENSIGN GROUP
County
Weakley · rural
Medicare-certified since
2000

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Nov 21, 2025

353 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 day3.493.49
Registered-nurse hours per resident day0.59—
Annual nurse turnover50.0%52.6%

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

Enforcement

Fines
$8,589 across 1 penalty

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 harmG111.1%H—I—
No harm, potential for more than minimalD777.8%E—F111.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 21 citations on record.

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.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F6561×

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

  • F6931×

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Vanayer Senior Living and Rehabilitation, in the surveyor’s own words.

  • Actual harm, isolatedF689Feb 11, 2025

    Based on facility policy review, medical record review, facility investigation, Quality Assurance and Performance Improvement (QAPI) Committee documentation review, and interview, the facility failed to provide adequate assistance and supervision to prevent falls for 1 of 12 (Resident #1) sampled residents reviewed for accident hazards. Resident #1, who was dependent on staff for bed mobility, fell from her bed on 1/14/2025 when Certified Nursing Assistant (CNA) A rolled the resident on her side then CNA A turned her back on the resident during incontinence care. […]

  • No harm, potential for more than minimal, widespreadF812Jul 28, 2021

    Based on policy review, observation, and interview, the facility failed to ensure food was stored under sanitary conditions as evidenced by carbon build-up on pots and pans, expired food items in the Kitchen, open and undated food items in the Kitchen, dirty equipment in the Kitchen, staff failed to clean the thermometer during tray line temperature checks, and 5 of 10 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #4, and #5) placed contaminated cups back onto a clean dining cart, entered a droplet isolation room without the proper Personal Protective Equipment (PPE), and failed to perform hand hygiene during dining observations. The facility had a census of 59 with 59 of those residents receiving a meal tray from the kitchen. […]

  • No harm, potential for more than minimal, patternF880Sep 15, 2021

    Based on policy review, observation, and interview, the facility failed to follow appropriate infection control measures when 4 of 8 staff members (Family Nurse Practitioner (FNP), Certified Nursing Assistant (CNA) #1, #3 and #4) failed to apply proper Personal Protective Equipment (PPE) before entering droplet precaution rooms, failed to perform hand hygiene, and failed to clean reusable equipment after use for 12 of 18 sampled residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, and #12) reviewed in isolation precautions for COVID-19. […]

  • No harm, potential for more than minimal, isolatedF554Nov 21, 2025

    Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure that resident medication was administered as ordered when 1 of 1 (Resident #70) random residents observed self-administered a nebulizer treatment without staff present. The findings include: Review of the facility policy titled, Self Administration of Medications, dated 1/2025, revealed . maintain the safety and accuracy of medication administration.interdisciplinary team will assess and periodically re-evaluate the resident based on change in resident status.resident candidate for self-administration of medications will be indicated in the chart. […]

  • No harm, potential for more than minimal, isolatedF656Nov 21, 2025

    Based on policy review, medical record review, observation, and interview, the facility failed to implement care plan interventions for 1 of 2 (Resident #3) sampled residents reviewed for falls. The findings include: 1. Review of the facility policy titled, Comprehensive Person-Centered Care Planning, dated 1/2025, revealed .The facility IDT [Interdisciplinary Team] will develop and implement a comprehensive person-centered .care plan .The resident's comprehensive plan of care will be reviewed and/or revised by the IDT after each assessment .The care plan process will be .ongoing to meet the residents' needs . 2. Review of the medical record revealed Resident #3 was admitted to the facility on [DATE], with diagnoses including Cerebral Infarction, Dementia, and Osteoarthritis. […]

Read 20 findings in full →The most serious and the most recent: 20 of 21 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 21, 2025Standard4 findings
  • Feb 11, 2025Complaint2 findings · 1 harm
  • Sep 15, 2021Infection control1 finding
  • Jul 28, 2021Standard2 findings
  • Dec 11, 2019Standard1 finding
  • Aug 9, 2018Complaint1 finding
  • Jan 11, 2017Standard5 findings
  • Sep 24, 2014Standard1 finding
Show the 2 earlier surveys
  • Nov 16, 2011—3 findings
  • May 20, 2009—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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