Donalson Care Center
1681 Winchester Highway · Fayetteville, TN · 37334 · 9314337156
168 certified beds Non profit - Corporation Chain: Huntsville Hospital Health System
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D March 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 26, 2025 · Resident Rights
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Potential for harm · D March 12, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025
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.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025
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 April 26, 2025 · Pharmacy Service
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Potential for harm · D March 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2025
Provide and implement an infection prevention and control program.
Corrected April 26, 2025 · Infection Control
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Potential for harm · D March 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 30, 2021
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 August 12, 2021 · Resident Rights
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Potential for harm · D June 30, 2021
Ensure each resident receives an accurate assessment.
Corrected August 12, 2021 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2021
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 12, 2021 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 12, 2021 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 12, 2021 · Quality of Life and Care
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Potential for harm · D June 30, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 12, 2021 · Quality of Life and Care
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Potential for harm · D June 30, 2021
Provide and implement an infection prevention and control program.
Corrected August 12, 2021 · Infection Control
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Potential for harm · E June 30, 2021
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 12, 2021 · Environmental
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Immediate jeopardy · K July 15, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 19, 2019 · Resident Assessment and Care Planning
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Immediate jeopardy · K July 15, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 19, 2019 · Quality of Life and Care
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Immediate jeopardy · K July 15, 2019
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 19, 2019 · Administration
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Immediate jeopardy · K July 15, 2019
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected August 19, 2019 · Nursing and Physician Services
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Immediate jeopardy · K July 15, 2019
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 19, 2019 · Administration
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Potential for harm · D July 15, 2019
Ensure each resident receives an accurate assessment.
Corrected August 19, 2019 · Resident Assessment and Care Planning
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Potential for harm · D July 15, 2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 19, 2019 · Quality of Life and Care
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Potential for harm · E July 15, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 19, 2019 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445173 · certified since April 22, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.