Church Hill Post-Acute and Rehabilitation Center

701 West Main Blvd · Church Hill, TN · 37642 · 4233577178

124 certified beds For profit - Limited Liability company Chain: Plainview Healthcare Partners

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (6 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $250,780 in fines in the last 24 months.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

6 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$250,780 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 65
Federal penalties 15% 33
Trend 10% 41
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.723.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day3.30≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $250,780

Inspection citations (35 in the current record)

  • Potential for harm · D February 12, 2026 · found via complaint

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected March 18, 2026 · Administration

  • Potential for harm · D May 5, 2025 · found via complaint

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

    Corrected May 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 8, 2025 · Quality of Life and Care

  • Immediate jeopardy · K November 18, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 16, 2024 · Quality of Life and Care

  • Immediate jeopardy · L November 18, 2024

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected December 16, 2024 · Nursing and Physician Services

  • Immediate jeopardy · L November 18, 2024

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 16, 2024 · Administration

  • Immediate jeopardy · L November 18, 2024

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Corrected December 16, 2024 · Administration

  • Immediate jeopardy · L November 18, 2024

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected December 16, 2024 · Administration

  • Immediate jeopardy · L November 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 16, 2024 · Infection Control

  • Potential for harm · D November 18, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · D November 18, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · F November 18, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · E November 18, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2024

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

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E November 18, 2024

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

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2024

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

    Corrected December 16, 2024 · Quality of Life and Care

  • Potential for harm · D November 18, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected December 16, 2024 · Quality of Life and Care

  • Potential for harm · D November 18, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 16, 2024 · Pharmacy Service

  • Potential for harm · E November 18, 2024

    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.

    Corrected December 16, 2024 · Pharmacy Service

  • Potential for harm · F November 18, 2024

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

    Corrected December 16, 2024 · Nutrition and Dietary

  • Potential for harm · D November 18, 2024

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected December 16, 2024 · Administration

  • Potential for harm · D November 18, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 8, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2024 · found via complaint

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

    Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L July 13, 2021

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 19, 2021 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 18, 2024Fine$250,780
November 18, 2024Payment Denial72 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445237 · certified since September 23, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.